Evidence map›Paper›PMID 32352041›Full record

ArticleInternational journal of neonatal screening2020

Second Tier Molecular Genetic Testing in Newborn Screening for Pompe Disease: Landscape and Challenges.

Laurie D Smith, Matthew N Bainbridge, Richard B Parad, Arindam Bhattacharjee

Open access · goldAbstract read
In one paragraph

Article in International journal of neonatal screening, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

18 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Novel Mutation in the FelineAnimals : an open access journal from MDPI · 2023
    Article
  6. Article
  7. Article
  8. Article
  9. A Window of Opportunity for Newborn Screening.Molecular diagnosis & therapy · 2022
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Newborn Screening for Pompe Disease: Pennsylvania Experience.International journal of neonatal screening · 2020
    Article
  15. Review
  16. Current Practices for U.S. Newborn Screening of Pompe Disease and MPSI.International journal of neonatal screening · 2020
    Article
  17. Article
  18. Article
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

4 authors at 4 institutions in 1 country.

Laurie D SmithDepartment of Pediatrics, UNC Hospitals, Chapel Hill, NC 27599, USA.
Matthew N BainbridgeCodified Genomics, Houston, TX 77004, USA.
Richard B ParadDepartment of Pediatric Newborn Medicine, Brigham & Women's Hospital, Harvard Medical School, Boston, MA 02115, USA.
Arindam BhattacharjeeLaboratory Services Division, Baebies, Inc., Durham, NC 27709, USA.
Baebies (United States) · USBrigham and Women's Hospital · USChildren’s Institute · USUniversity of North Carolina Health Care · US

Funding

Feasibility and validation of an integrated newborn screening algorithm with the targeted Next Generation Sequencing (tNGS) technology as part of a 2nd tier test for Pompe and MPS IR43HD094543 · NICHD · BAEBIES, INC. · PI BHATTACHARJEE, ARINDAM · 2018 to 2018
$215k
NICHD NIH HHS R43 HD094543
6 · The paper itself

Abstract

Pompe disease (PD) is screened by a two tier newborn screening (NBS) algorithm, the first tier of which is an enzymatic assay performed on newborn dried blood spots (DBS). As first tier enzymatic screening tests have false positive results, an immediate second tier test on the same sample is critical in resolving newborn health status. Two methodologies have been proposed for second tier testing: (a) measurement of enzymatic activities such as of Creatine/Creatinine over alpha-glucosidase ratio, and (b) DNA sequencing (a molecular genetics approach), such as targeted next generation sequencing. (tNGS). In this review, we discuss the tNGS approach, as well as the challenges in providing second tier screening and follow-up care. While tNGS can predict genotype-phenotype effects when known, these advantages may be diminished when the variants are novel, of unknown significance or not discoverable by current test methodologies. Due to the fact that criticisms of screening algorithms that utilize tNGS are based on perceived complexities, including variant detection and interpretation, we clarify the actual limitations and present the rationale that supports optimizing a molecular genetic testing approach with tNGS. Second tier tNGS can benefit clinical decision-making through the use of the initial NBS DBS punch and rapid turn-around time methodology for tNGS, that includes copy number variant analysis, variant effect prediction, and variant 'cut-off' tools for the reduction of false positive results. The availability of DNA sequence data will contribute to the improved understanding of genotype-phenotype associations and application of treatment. The ultimate goal of second tier testing should enable the earliest possible diagnosis for the earliest initiation of the most effective clinical interventions in infants with PD.

Indexed as

diagnosisdried blood spotslysosomal storage diseasesnewborn screeningnext generation sequencingvariant cut-off

Identifiers

PMID32352041
PMCPMC7189780
OpenAlexW3014847260

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.