Evidence map›Paper›PMID 23465405›Full record

ArticleThe Journal of pediatrics2013

Identification of infants at risk for developing Fabry, Pompe, or mucopolysaccharidosis-I from newborn blood spots by tandem mass spectrometry.

C Ronald Scott, Susan Elliott, Norman Buroker, Lauren I Thomas, Joan Keutzer, Michael Glass, Michael H Gelb, Frantisek Turecek

Open access · greenAbstract read
In one paragraph

Article in The Journal of pediatrics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 92 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
92citing papers in PubMed, 1 pooled it
10.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

92 citing papers in PubMed, 1 synthesis or guideline pooled it, 159 citations in OpenAlex.

  1. Fabry disease in infancy and early childhood: a systematic literature review.Genetics in medicine : official journal of the American College of Medical Genetics · 2015
    Pooled it
  2. Trial
  3. Trial
  4. Article
  5. ReclassifyingInternational journal of neonatal screening · 2025
    Article
  6. Article
  7. Review
  8. Review
  9. Review
  10. Article
  11. A novel doubleMolecular genetics and metabolism reports · 2023
    Article
  12. Newborn Screening for Fabry Disease: Current Status of Knowledge.International journal of neonatal screening · 2023
    Review
  13. Review
  14. Article
  15. Review
  16. Platelet and myeloid cell phenotypes in a rat model of Fabry disease.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2021
    Article
  17. Article
  18. Article
  19. Review
  20. Health and economic outcomes of newborn screening for infantile-onset Pompe disease.Genetics in medicine : official journal of the American College of Medical Genetics · 2021
    Article

32 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

C Ronald ScottDepartment of Pediatrics, University of Washington, Seattle, WA 98195-6320, USA. crscott@u.washington.edu
Susan Elliott
Norman Buroker
Lauren I Thomas
Joan Keutzer
Michael Glass
Michael H Gelb
Frantisek Turecek
University of Washington · USWashington State Department of Health · US

Funding

Multiplex Analysis of Inborn Errors of MetabolismR01DK067859 · NIDDK · UNIVERSITY OF WASHINGTON · PI GELB, MICHAEL H · 2003 to 2025
$9.8M
NIDDK NIH HHS 5R01 DK067859-13NIDDK NIH HHS HHSN267200603429CNIDDK NIH HHS N01 DK063429NIDDK NIH HHS R01 DK067859PHS HHS HHSN267200603429C/ADB-N01-KD-6-3429
6 · The paper itself

Abstract

objectiveTo assess the performance of a tandem mass spectrometry (MS/MS) technology in a newborn screening laboratory to simultaneously measure α-galactosidase, acid-α-glucosidase, and α-L-iduronidase for the detection of infants at risk to develop Fabry, Pompe, or mucopolysaccharidosis (MPS)-I diseases. STUDY

designEnzyme activity was assayed from a 3.2-mm punch from 100,000+ anonymous newborn blood spots. Punches with low enzyme activity were further evaluated by nucleotide sequence analysis of the responsible gene. Confirmation of affected infants was dependent on identification of mutations compatible with diminished enzyme activity.

resultsThe technology for simultaneously measuring multiple enzyme activities by MS/MS was successful. The confirmation of diagnosis for Fabry, Pompe, or MPS-I, by DNA sequencing estimated the prevalence of Fabry disease at 1/7800 males (95% CI 1/17,800-1/3600); Pompe disease at 1/27,800 newborns (95% CI 1/90,000-1/10,200); and MPS-I at 1/35,500 newborns (95% CI 1/143,000-1/11,100). These estimates of prevalence are 2 to 4 times greater than the prevalence estimated by clinical diagnosis. The combined prevalence for the 3 disorders was 1/7500 newborns (95% CI 1/13,500-1/4500).

conclusionsMS/MS for the simultaneous assay of multiple lysosomal enzymes can be successfully introduced into a routine newborn screening laboratory. The technology has a positive predictive value equal to, or better, than methods currently used for the detection of nonlysosomal disorders. Using newborn blood spots, the combined prevalence of Fabry, Pompe, and MPS-I is estimated at 1/7500 newborns based on low-enzyme activity and confirmation by mutation analysis.

Indexed as

Tandem Mass SpectrometryFabry DiseaseFemaleGlycogen Storage Disease Type IIHumansInfant, NewbornMaleMucopolysaccharidosis INeonatal ScreeningRisk FactorsCDCCenters for Disease Control and PreventionGAAGLAIDUALSDLysosomal storage diseaseMPSMS/MSMucopolysaccharidosisPCRPolymerase chain reactionQCQuality controlTandem mass spectrometryα-galactosidaseα-glucosidaseα-L-iduronidase

Identifiers

PMID23465405
PMCPMC3725184
OpenAlexW2109407008

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.