Newborn screening for X-linked adrenoleukodystrophy in New York State: Diagnostic protocol, surveillance protocol and treatment guidelines

被引:85
|
作者
Vogel, B. H. [1 ]
Bradley, S. E. [1 ]
Adams, D. J. [2 ]
D'Aco, K. [3 ]
Erbe, R. W. [4 ]
Fong, C. [3 ]
Iglesias, A. [5 ]
Kronn, D. [6 ]
Levy, P. [7 ]
Morrissey, M. [1 ]
Orsini, J. [1 ]
Parton, P. [8 ]
Pellegrino, J. [9 ]
Saavedra-Matiz, C. A. [1 ]
Shur, N. [10 ]
Wasserstein, M. [11 ]
Raymond, G. V. [12 ]
Caggana, M. [1 ]
机构
[1] New York State Dept Hlth, Wadsworth Ctr, Newborn Screening Program, Albany, NY USA
[2] Gotyeb Pediat Genet & Metab, Jacobs Equity Management Personalized Genom Med P, Morristown, NJ USA
[3] Univ Rochester, Med Ctr, Dept Pediat, Rochester, NY 14642 USA
[4] Women & Childrens Hosp Buffalo, Div Genet, Buffalo, NY USA
[5] New York Presbyterian Morgan Stanley Childrens Ho, New York, NY USA
[6] New York Med Coll, Valhalla, NY 10595 USA
[7] Childrens Hosp Montefiore, Ctr Inherited Med Disorders, Bronx, NY USA
[8] Stony Brook Long Isl Childrens Hosp, Div Genet, Stony Brook, NY USA
[9] State Univ New York Upstate Med Univ, Dept Pediat, Syracuse, NY USA
[10] Albany Med Ctr, Albany, NY USA
[11] Mt Sinai Med Ctr, Div Med Genet, Div Genom Sci, New York, NY 10029 USA
[12] Univ Minnesota, Med Ctr, Dept Neurol, Minneapolis, MN 55455 USA
关键词
Adrenoleukodystrophy; Newborn screening; Peroxisomal disorders; Adrenal insufficiency; Genetic counseling; HEMATOPOIETIC-CELL TRANSPLANTATION; TERM-FOLLOW-UP; LORENZOS OIL; ADRENAL INSUFFICIENCY; PREDICTION; DISORDERS; THERAPY; MS/MS; GENE; ALD;
D O I
10.1016/j.ymgme.2015.02.002
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Purpose: To describe a diagnostic protocol, surveillance and treatment guidelines, genetic counseling considerations and long-term follow-up data elements developed in preparation for X-linked adrenoleukodystrophy (X-ALD) newborn screening in New York State. Methods: A group including the director from each regional NYS inherited metabolic disorder center, personnel from the NYS Newborn Screening Program, and others prepared a follow-up plan for X-ALD NBS. Over the months preceding the start of screening, a series of conference calls took place to develop and refine a complete newborn screening system from initial positive screen results to long-term follow-up. Results: A diagnostic protocol was developed to determine for each newborn with a positive screen whether the final diagnosis is X-ALD, carrier of X-ALD, Zellweger spectrum disorder, acyl CoA oxidase deficiency or D-bifunctional protein deficiency. For asymptomatic males with X-ALD, surveillance protocols were developed for use at the time of diagnosis, during childhood and during adulthood. Considerations for timing of treatment of adrenal and cerebral disease were developed. Conclusion: Because New York was the first newborn screening laboratory to include X-ALD on its panel, and symptoms may not develop for years, long-term follow-up is needed to evaluate the presented guidelines. (C) 2015 Elsevier Inc. All rights reserved.
引用
收藏
页码:599 / 603
页数:5
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