Evidence map›Paper›PMID 33123640›Full record

ArticleInternational journal of neonatal screening2020

Evaluation of Multiple Methods for Quantification of Glycosaminoglycan Biomarkers in Newborn Dried Blood Spots from Patients with Severe and Attenuated Mucopolysaccharidosis-I.

Zackary M Herbst, Leslie Urdaneta, Terri Klein, Maria Fuller, Michael H Gelb

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 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
3.0field-weighted citation impact, top 8% 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

31 citing papers in PubMed, 37 citations in OpenAlex.

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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

5 authors at 3 institutions in 2 countries.

Zackary M HerbstDepartment of Chemistry, University of Washington, Seattle, WA 98195, USA; zherbst@uw.edu.ORCID https://orcid.org/0000-0002-0097-4222
Leslie UrdanetaNational MPS Society, P.O. Box 14686, Durham, NC 27707-4686, USA; leslie@mpssociety.org (L.U.); terri@mpssociety.org (T.K.).ORCID https://orcid.org/0000-0003-1978-0855
Terri KleinNational MPS Society, P.O. Box 14686, Durham, NC 27707-4686, USA; leslie@mpssociety.org (L.U.); terri@mpssociety.org (T.K.).
Maria FullerGenetics and Molecular Pathology, SA Pathology at Women's and Children's Hospital, North Adelaide 5006, Australia; maria.fuller@adelaide.edu.au.ORCID https://orcid.org/0000-0001-9092-8942
Michael H GelbDepartment of Chemistry, University of Washington, Seattle, WA 98195, USA; zherbst@uw.edu.
National MPS Society · USUniversity of Washington · USSouth Australia Pathology · AU

Funding

Multiplex Analysis of Inborn Errors of MetabolismR01DK067859 · NIDDK · UNIVERSITY OF WASHINGTON · PI GELB, MICHAEL H · 2003 to 2025
$9.8M
NIDDK NIH HHS R01 DK067859
6 · The paper itself

Abstract

All newborn screening (NBS) for mucopolysaccharidosis-I (MPS-I) is carried out by the measurement of α-iduronidase (IDUA) enzymatic activity in dried blood spots (DBS). The majority of low enzyme results are due to pseudodeficiencies, and studies from the Mayo Clinic have shown that the false positive rate can be greatly reduced by including a second-tier analysis of glycosaminoglycans (GAGs) in DBS as part of NBS. In the present study, we obtained newborn DBS from 13 patients with severe MPS-I and 2 with attenuated phenotypes. These samples were submitted to four different GAG mass spectrometry analyses in a comparative study: (1) internal disaccharide; (2) endogenous disaccharide; (3) Sensi-Pro; (4) Sensi-Pro Lite (a variation of Sensi-Pro with a simplified workflow). Patients with attenuated MPS-I show less GAG elevation than those with severe disease, and all MPS-I patients were separated from the reference range using all four methods. The minimal differential factor (lowest GAG marker level in MPS-I samples divided by highest level in the reference range of 30 random newborns) was about two for internal disaccharide, Sensi-Pro, and Sensi-Pro Lite methods. The endogenous disaccharide was clearly the best method with a minimal differential of 16-fold. This study supports use of second-tier GAG analysis of newborn DBS, especially the endogenous disaccharide method, as part of NBS to reduce the false positive rate.

Indexed as

biochemical geneticsglycosaminoglycanshurler syndromemass spectrometrymucopolysaccharidosisnewborn screeningscheie syndrome

Identifiers

PMID33123640
PMCPMC7570209
OpenAlexW3080802338

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.