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一家英国医院进行半乳糖血症常规活产筛查的经验,重点在于杂合子检测。

Experience of routine live-birth screening for galactosaemia in a British hospital, with emphasis on heterozygote detection.

作者信息

Ellis G, Wilcock A R, Goldberg D M

出版信息

Arch Dis Child. 1972 Feb;47(251):34-40. doi: 10.1136/adc.47.251.34.

DOI:10.1136/adc.47.251.34
PMID:4401641
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1647993/
Abstract

Results are reported of a screening programme for galactosaemia covering a period of 2½ years and 6415 births. The gene frequency for galactosaemia estimated from the data of the screening programme was 0·002. This conflicted with the known live-birth incidence of at least 1: 50,000 during this same period. 2 of the 4 galactosaemic infants concerned died under circumstances that were preventable had they been screened at birth. The need to screen all sick infants for galactosaemia is emphasized, as is the requirement for reliable information on its incidence in Great Britain. The screening test employed (Beutler and Baluda, 1966a) seemed appropriate for this purpose. It was simple to perform and apparently accurate in galactosaemic infants. Its accuracy in detecting heterozygotes is uncertain. This test should be available in all hospitals receiving sick neonates.

摘要

报告了一项为期两年半、涵盖6415例出生病例的半乳糖血症筛查项目的结果。根据筛查项目数据估算的半乳糖血症基因频率为0.002。这与同一时期已知的至少1:50000的活产发病率相冲突。4名患有半乳糖血症的婴儿中有2名在出生时若接受筛查本可预防的情况下死亡。强调了对所有患病婴儿进行半乳糖血症筛查的必要性,以及获取英国半乳糖血症发病率可靠信息的要求。所采用的筛查试验(Beutler和Baluda,1966a)似乎适用于此目的。该试验操作简单,对半乳糖血症婴儿显然准确。其检测杂合子的准确性尚不确定。所有接收患病新生儿的医院都应具备此检测方法。

相似文献

1
Experience of routine live-birth screening for galactosaemia in a British hospital, with emphasis on heterozygote detection.一家英国医院进行半乳糖血症常规活产筛查的经验,重点在于杂合子检测。
Arch Dis Child. 1972 Feb;47(251):34-40. doi: 10.1136/adc.47.251.34.
2
Galactose metabolism of the red cell.红细胞的半乳糖代谢
Exp Eye Res. 1971 May;11(3):402-14. doi: 10.1016/s0014-4835(71)80053-2.
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Screening for galactosemia. Studies of the gene frequencies for galactosemia and the Duarte variant.半乳糖血症筛查。半乳糖血症和杜阿尔特变异型的基因频率研究。
Isr J Med Sci. 1973 Sep-Oct;9(9):1323-9.
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Galactosemia screening of newborns in Massachusetts.马萨诸塞州新生儿半乳糖血症筛查
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Improved method of mass-screening for galactosemia.
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Monatsschr Kinderheilkd (1902). 1976 Sep;129(9):654-7.
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[Gene frequency of hereditary galactosemia with reference to the Duarte variant].
Z Kinderheilkd. 1972;113(3):205-14.
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引用本文的文献

1
Galactosemia: early structural changes in the liver.半乳糖血症:肝脏早期结构变化
Can Med Assoc J. 1972 Nov 4;107(9):877-8.
2
Human erythrocyte galactokinase and galactose-1-phosphate uridylyltransferase: a population survey.人红细胞半乳糖激酶和1-磷酸半乳糖尿苷酰转移酶:一项群体调查
Am J Hum Genet. 1975 Nov;27(6):737-47.

本文引用的文献

1
Variability in the clinical manifestations of galactosemia.半乳糖血症临床表现的变异性。
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2
A NEW GENETIC ABNORMALITY RESULTING IN GALACTOSE-1-PHOSPHATE URIDYLTRANSFERASE DEFICIENCY.一种导致1-磷酸半乳糖尿苷转移酶缺乏的新的基因异常。
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A MICRODIFFUSION TEST FOR CONGENITAL GALACTOSEMIA UTILIZING GALACTOSE-1-C14.一种利用半乳糖 -1-C14 检测先天性半乳糖血症的微量扩散试验。
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ESTIMATION OF FREQUENCY OF OCCURRENCE OF GALACTOSEMIA IN THE POPULATION.
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THE ASSAY OF GALACTOKINASE AND GALACTOSE-1-PHOSPHATE URIDYL TRANSFERASE ACTIVITY IN HUMAN ERYTHROCYTES. A PRESUMED TEST FOR HETEROZYGOUS CARRIERS OF THE GALACTOSEMIC DEFECT.人红细胞中半乳糖激酶和1-磷酸半乳糖尿苷酰转移酶活性的测定。一种针对半乳糖血症缺陷杂合子携带者的推测性检测。
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A study of the genetics of galactosaemia.一项关于半乳糖血症遗传学的研究。
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Galactosemia.
Am J Med. 1957 May;22(5):703-11. doi: 10.1016/0002-9343(57)90121-3.
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Frequency of heterozygotes for hereditary galactosaemia in a normal population.正常人群中遗传性半乳糖血症杂合子的频率。
Acta Genet Stat Med. 1967;17(4):289-98. doi: 10.1159/000152075.
10
Field test of galactosemia screening methods in newborn infants.新生儿半乳糖血症筛查方法的现场试验
JAMA. 1967 Feb 13;199(7):501-3.