Newborn screening for SMA in Southern Belgium

被引:64
作者
Boemer, Francois [1 ]
Caberg, Jean-Hubert [2 ]
Dideberg, Vinciane [2 ]
Dardenne, Domien [2 ]
Bours, Vincent [3 ]
Hiligsmann, Mickael [4 ]
Dangouloff, Tamara [5 ,6 ]
Servais, Laurent [5 ,6 ]
机构
[1] Univ Liege, CHU Liege, Dept Human Genet, Biochem Genet Lab, B-4000 Liege, Belgium
[2] Univ Liege, CHU Liege, Dept Human Genet, Mol Genet Lab, Liege, Belgium
[3] Univ Liege, CHU Liege, Dept Human Genet, Liege, Belgium
[4] Maastricht Univ, CAPHRI, Dept Hlth Serv Res, Maastricht, Netherlands
[5] Arnold Trousseau Hosp, Platform Pediat Clin Trials, I Mot, Paris, France
[6] Univ Liege, CHR Citadelle, Neuromuscular Ctr, Liege, Belgium
关键词
Spinal muscular atrophy; Werdnig-Hoffmann disease; Newborn screening; SMN1; qPCR; SPINAL MUSCULAR-ATROPHY; SHAM CONTROL; NUSINERSEN; MECHANISMS;
D O I
10.1016/j.nmd.2019.02.003
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Approval was recently granted for a new treatment for spinal muscular atrophy (SMA). Given that the treatment is effective when administered early and the societal burden of SMA-related disability, the implementation of a newborn screening program is warranted. We describe the stepwise process that led us to launch a newborn screening program for SMA in Southern Belgium. Different political, ethical, and clinical partners were informed about this project and were involved in its governance, as were genetic and screening labs. We developed and validated a newborn screening method to specifically recognize homozygous deletions of exon 7 in the SMN1 gene. Subsequently, a 3-year pilot study has been recently initiated in one Belgian neonatal screening laboratory to cover 17.000 neonates per year. Coverage extension to all of Southern Belgium to screen 55.000 babies each year is underway. (C) 2019 Elsevier B.V. All rights reserved.
引用
收藏
页码:343 / 349
页数:7
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