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T-Cell Lymphopenia Detected by Newborn Screening in Two Siblings with an Xq13.1 Duplication.在两名患有Xq13.1重复的兄弟姐妹中,通过新生儿筛查检测到T细胞淋巴细胞减少症。
Front Pediatr. 2017 Jul 18;5:156. doi: 10.3389/fped.2017.00156. eCollection 2017.
2
Idiopathic T cell lymphopenia identified in New York State Newborn Screening.在纽约州新生儿筛查中发现的特发性T细胞淋巴细胞减少症。
Clin Immunol. 2017 Oct;183:36-40. doi: 10.1016/j.clim.2017.07.002. Epub 2017 Jul 8.
3
Treatment of infants identified as having severe combined immunodeficiency by means of newborn screening.通过新生儿筛查确诊为严重联合免疫缺陷的婴儿的治疗。
J Allergy Clin Immunol. 2017 Mar;139(3):733-742. doi: 10.1016/j.jaci.2017.01.005.
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Newborn Screening for Severe Primary Immunodeficiency Diseases in Sweden-a 2-Year Pilot TREC and KREC Screening Study.瑞典严重原发性免疫缺陷病的新生儿筛查——一项为期两年的TREC和KREC筛查试点研究。
J Clin Immunol. 2017 Jan;37(1):51-60. doi: 10.1007/s10875-016-0347-5. Epub 2016 Nov 21.
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Neonatal screening for severe combined immunodeficiency in Brazil.巴西新生儿重症联合免疫缺陷筛查
J Pediatr (Rio J). 2016 Jul-Aug;92(4):374-80. doi: 10.1016/j.jped.2015.10.006. Epub 2016 May 18.
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Prospective neonatal screening for severe T- and B-lymphocyte deficiencies in Seville.在塞维利亚对严重T淋巴细胞和B淋巴细胞缺陷进行前瞻性新生儿筛查。
Pediatr Allergy Immunol. 2016 Feb;27(1):70-7. doi: 10.1111/pai.12501. Epub 2015 Nov 23.
7
Radiation-sensitive severe combined immunodeficiency: The arguments for and against conditioning before hematopoietic cell transplantation--what to do?辐射敏感型重症联合免疫缺陷:造血细胞移植前预处理的支持与反对观点——该如何抉择?
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TREC Based Newborn Screening for Severe Combined Immunodeficiency Disease: A Systematic Review.基于TREC的严重联合免疫缺陷病新生儿筛查:一项系统评价。
J Clin Immunol. 2015 May;35(4):416-30. doi: 10.1007/s10875-015-0152-6. Epub 2015 Apr 17.
9
Incidence of severe combined immunodeficiency through newborn screening in a Chinese population.中国人群中通过新生儿筛查发现的严重联合免疫缺陷病发病率。
J Formos Med Assoc. 2015 Jan;114(1):12-6. doi: 10.1016/j.jfma.2012.10.020. Epub 2013 Jan 3.
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Newborn screening for severe combined immunodeficiency in 11 screening programs in the United States.美国11个筛查项目中对重症联合免疫缺陷的新生儿筛查。
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一种使用T细胞受体切除环检测法进行严重联合免疫缺陷新生儿筛查的实用方法。

A Practical Approach to Newborn Screening for Severe Combined Immunodeficiency Using the T Cell Receptor Excision Circle Assay.

作者信息

Thakar Monica S, Hintermeyer Mary K, Gries Miranda G, Routes John M, Verbsky James W

机构信息

Department of Pediatrics, Divisions of Hematology/Oncology, Medical College of Wisconsin, Milwaukee, WI, United States.

Children's Hospital of Wisconsin, Milwaukee, WI, United States.

出版信息

Front Immunol. 2017 Nov 8;8:1470. doi: 10.3389/fimmu.2017.01470. eCollection 2017.

DOI:10.3389/fimmu.2017.01470
PMID:29167668
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5682299/
Abstract

Severe combined immunodeficiency (SCID) is a life-threatening condition of newborns and infants caused by defects in genes involved in T cell development. Newborn screening (NBS) for SCID using the T cell receptor excision circle (TREC) assay began in Wisconsin in 2008 and has been adopted or is being implemented by all states in 2017. It has been established that NBS using the TREC assay is extremely sensitive to detect SCID in the newborn period. Some controversies remain regarding how screening positives are handled by individual states, including when to perform confirmatory flow cytometry, what is the necessary diagnostic workup of patients, what infection prophylaxis measures should be taken, and when hematopoietic stem cell transplantation should occur. In addition, the TREC can also assay detect infants with T cell lymphopenia who are not severe enough to be considered SCID; management of these infants is also evolving.

摘要

重症联合免疫缺陷(SCID)是一种危及新生儿和婴儿生命的疾病,由参与T细胞发育的基因缺陷引起。2008年,威斯康星州开始使用T细胞受体切除环(TREC)检测法对SCID进行新生儿筛查(NBS),到2017年所有州都已采用或正在实施该检测法。已证实,使用TREC检测法进行的NBS在新生儿期检测SCID时极其敏感。关于各个州如何处理筛查阳性结果仍存在一些争议,包括何时进行确认性流式细胞术、患者所需的诊断检查是什么、应采取哪些感染预防措施以及何时应进行造血干细胞移植。此外,TREC检测法还可以检测出T细胞淋巴细胞减少但病情严重程度不足以被视为SCID的婴儿;对这些婴儿的管理也在不断发展。