Evidence map›Paper›PMID 24610337›Full record

ArticleJournal of clinical immunology2014

Retrospective analysis of TREC based newborn screening results and clinical phenotypes in infants with the 22q11 deletion syndrome.

Jenny Lingman Framme, Stephan Borte, Ulrika von Döbeln, Lennart Hammarström, Sólveig Oskarsdóttir

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Article in Journal of clinical immunology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

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25citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  10. SCID newborn screening: What we've learned.The Journal of allergy and clinical immunology · 2021
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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Jenny Lingman FrammeDepartment of Pediatrics, Halland Hospital Halmstad, S-301 85, Halmstad, Sweden, jenny.lingman-framme@regionhalland.se.
Stephan Borte
Ulrika von Döbeln
Lennart Hammarström
Sólveig Oskarsdóttir

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePopulation-based newborn screening using T-cell receptor excision circles (TREC) identifies infants with severe T-lymphopenia, seen in severe combined immunodeficiencies (SCID), but also infants with the 22q11 deletion syndrome (22q11DS). Methods for analysis of kappa-deleting recombination excision circles (KREC) help identifying infants with B-lymphopenia. We aimed to evaluate the occurrence of abnormal TREC or KREC newborn screening results in 22q11DS patients and assessed the clinical relevance of abnormal screening reports.

methodsSimultaneous TREC and KREC analysis was performed on stored original Guthrie cards. Patients with abnormal screening reports were compared to patients with normal reports, regarding lymphocyte counts and clinical severity, obtained by retrospective analysis of medical charts.

resultsOf 48 included patients, nine (19 %) had abnormal TREC copy numbers. All 22q11DS patients with abnormal TRECs had CD3+ T-lymphopenia at the time of diagnosis, but only one patient had the complete DiGeorge syndrome. Identified 22q11DS patients with abnormal TREC copy numbers showed significantly lower CD8+ T-lymphocytes at time-of-diagnosis and were significantly more prone to viral infections, compared to 22q11DS patients with normal TREC copy numbers. All 22q11DS patients showed KREC copies within the normal range.

conclusionsIn this retrospective study a high proportion of 22q11DS patients were identified by TREC-based newborn screening. Although only one of them had the complete DiGeorge syndrome with no T-lymphocytes, all of them had T-lymphopenia and most of them had recurrent viral infections, as well as other medical problems, warranting early recognition of the syndrome.

Indexed as

Gene Rearrangement, T-Lymphocyte22q11 Deletion SyndromeB-LymphocytesChildChild, PreschoolFemaleGenotypeHumansImmunologic TestsInfantInfant, NewbornLymphopeniaMaleNeonatal ScreeningPhenotypeRetrospective Studies

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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.