Evidence map›Paper›PMID 23660237›Full record

ArticleClinica chimica acta; international journal of clinical chemistry2013

Multiplex newborn screening for Pompe, Fabry, Hunter, Gaucher, and Hurler diseases using a digital microfluidic platform.

Ramakrishna S Sista, Tong Wang, Ning Wu, Carrie Graham, Allen Eckhardt, Theodore Winger, Vijay Srinivasan, Deeksha Bali, David S Millington, Vamsee K Pamula

Abstract read
In one paragraph

Article in Clinica chimica acta; international journal of clinical chemistry, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

50 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Guideline
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. Review
  7. Review
  8. Newborn Screening for Fabry Disease: Current Status of Knowledge.International journal of neonatal screening · 2023
    Review
  9. Review
  10. Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Article
  17. Review
  18. Review
  19. Article
  20. Newborn Screening for Pompe Disease.International journal of neonatal screening · 2020
    Review
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

10 authors.

Ramakrishna S SistaAdvanced Liquid Logic, Inc., P.O. Box 14025, Research Triangle Park, NC 27709, USA.
Tong Wang
Ning Wu
Carrie Graham
Allen Eckhardt
Theodore Winger
Vijay Srinivasan
Deeksha Bali
David S Millington
Vamsee K Pamula

Funding

Lab-on-a-Chip for Multiplexed Newborn Screening of Lysosomal Storage DisordersR44HD057713 · NICHD · BAEBIES, INC. · PI PAMULA, VAMSEE K. · 2009 to 2014
$3.9M
NICHD NIH HHS R44 HD057713NICHD NIH HHS R44HD057713
6 · The paper itself

Abstract

purposeNew therapies for lysosomal storage diseases (LSDs) have generated interest in screening newborns for these conditions. We present performance validation data on a digital microfluidic platform that performs multiplex enzymatic assays for Pompe, Fabry, Hunter, Gaucher, and Hurler diseases.

methodsWe developed an investigational disposable digital microfluidic cartridge that uses a single dried blood spot (DBS) punch for performing a 5-plex fluorometric enzymatic assay on up to 44 DBS samples. Precision and linearity of the assays were determined by analyzing quality control DBS samples; clinical performance was determined by analyzing 600 presumed normal and known affected samples (12 for Pompe, 7 for Fabry and 10 each for Hunter, Gaucher and Hurler).

resultsOverall coefficient of variation (CV) values between cartridges, days, instruments, and operators ranged from 2 to 21%; linearity correlation coefficients were ≥0.98 for all assays. The multiplex enzymatic assay performed from a single DBS punch was able to discriminate presumed normal from known affected samples for 5 LSDs.

conclusionsDigital microfluidic technology shows potential for rapid, high-throughput screening for 5 LSDs in a newborn screening laboratory environment. Sample preparation to enzymatic activity on each cartridge is less than 3h.

Indexed as

Neonatal Screeningalpha-GlucosidasesDried Blood Spot TestingEnzyme AssaysHigh-Throughput Screening AssaysHumansInfant, NewbornLysosomal Storage DiseasesMicrofluidicsReproducibility of ResultsSensitivity and Specificityalpha-Glucosidases4-methyl umbelliferone4-methylumbelliferyl α-d-galactopyranoside4-methylumbelliferyl α-d-glucopyranoside4-methylumbelliferyl α-l-iduronate-2-sulfate4-methylumbelliferyl α-l-iduronide4-methylumbelliferyl β-d-glucopyranoside4-MU4-MU-α-Gal4-MU-α-gluc4-MU-α-IDS4-MU-α-IDU4-MU-β-Glucacid α-galactosidaseacid α-glucosidaseacid α-l-iduronate-2-sulfataseacid α-l-iduronidaseacid β-d-glucosidaseadvanced liquid logic, Inc.ALLCDCCenters for Disease Control and PreventionClinical and Laboratory Standards InstituteCLSIDBSDigital microfluidicsdimethyl sulfoxideDMSOdried blood spotDried blood spotd-Sacd-saccharic acid 1,4 lactoneGAAGalNacGBAGLAHigh throughputIDSIDULSDsLysosomal storage diseaselysosomal storage diseasesmethyl-β-cyclodextrinMultiplex enzymatic assayN-acetyl-d-galactosamineNBSnewborn screeningNewborn screeningQCBPQCHQCLQCMquality control base pool, 0% cord blood+100% leukoreduced adult blood adjusted to 50.5% hematocrit on filter paperquality control high, cord blood adjusted to 50.5% hematocrit on filter paperquality control low, 5% cord blood+95% leukoreduced adult blood adjusted to 50.5% hematocrit on filter paperquality control medium, 50% cord blood+50% leukoreduced adult blood adjusted to 50.5% hematocrit on filter paperrelative fluorescence unitsRFUβ-MBCD

Identifiers

PMID23660237
PMCPMC3926752

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Registered trials

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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.