Evidence map›Paper›PMID 37507255›Full record

ArticleMolecular genetics and metabolism

Pilot study of newborn screening for six lysosomal diseases in Brazil.

Francyne Kubaski, Ines Sousa, Tatiana Amorim, Danilo Pereira, Camilo Silva, Vitor Chaves, Ana Carolina Brusius-Facchin, Alice B O Netto, Juliano Soares, Filippo Vairo and 10 more

Open access · greenAbstract read
In one paragraph

Article in Molecular genetics and metabolism. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.8field-weighted citation impact, top 9% 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

14 citing papers in PubMed, 16 citations in OpenAlex.

  1. Trial
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  3. Review
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  5. Article
  6. Newborn screening in Brazil: realities and challenges.Journal of community genetics · 2025
    Review
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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

20 authors at 11 institutions in 3 countries.

Francyne KubaskiGreenwood Genetic Center, Biochemical Genetics Laboratory, Greenwood, USA; BioDiscovery Laboratory, HCPA, Porto Alegre, Brazil; Medical Genetics Service, HCPA, Porto Alegre, Brazil; PPGBM, UFRGS, Porto Alegre, Brazil. Electronic address: fkubaski@ggc.org.
Ines SousaAPAE Salvador, Salvador, Brazil. Electronic address: ines.sousa@apaesalvador.org.br.
Tatiana AmorimAPAE Salvador, Salvador, Brazil; Colegiado de Medicina, Universidade do Estado da Bahia, Salvador, Brazil. Electronic address: tatiana.amorim@apaesalvador.org.br.
Danilo PereiraInnovatox, Sao Paulo, Brazil. Electronic address: danilopereira@innovatox.com.br.
Camilo SilvaWaters technologies do Brazil, Sao Paulo, Brazil. Electronic address: Camilo_Silva@waters.com.
Vitor ChavesWaters technologies do Brazil, Sao Paulo, Brazil. Electronic address: vitor_chaves@waters.com.
Ana Carolina Brusius-FacchinBioDiscovery Laboratory, HCPA, Porto Alegre, Brazil; Medical Genetics Service, HCPA, Porto Alegre, Brazil. Electronic address: afacchin@hcpa.edu.br.
Alice B O NettoBioDiscovery Laboratory, HCPA, Porto Alegre, Brazil; PPGBM, UFRGS, Porto Alegre, Brazil. Electronic address: alicenetto@hcpa.edu.br.
Juliano SoaresBioDiscovery Laboratory, HCPA, Porto Alegre, Brazil.
Filippo VairoDepartment of Clinical Genomics, Center for Individualized Medicine, Mayo Clinic, Rochester, USA. Electronic address: vairo.filippo@mayo.edu.
Edina PolettoMedical Genetics Service, HCPA, Porto Alegre, Brazil; PPGBM, UFRGS, Porto Alegre, Brazil.
Joe TrometerPerkin Elmer, Waltham, USA. Electronic address: joe.trometer@perkinelmer.com.
Alexandre SouzaPerkin Elmer, Sao Paulo, Brazil. Electronic address: alexandre.souza@perkinelmer.com.
Enzo RanieriWomen's and Children Hospital, Adelaide, Australia. Electronic address: Enzo.Ranieri@sa.gov.au.
Giulia PoloDivision of Inherited Metabolic Diseases, Regional Center for Expanded Neonatal Screening, Department of Women and Children's Health, University Hospital of Padova, Padova, Italy.
Xinying HongDepartment of Chemistry, University of Washington, Seattle, USA; Department of Pathology and Laboratory of Medicine, Children's Hospital of Philadelphia, Philadelphia, USA. Electronic address: hongx@chop.edu.
Zackary M HerbstDepartment of Chemistry, University of Washington, Seattle, USA. Electronic address: zherbst@uw.edu.
Alberto BurlinaDivision of Inherited Metabolic Diseases, Regional Center for Expanded Neonatal Screening, Department of Women and Children's Health, University Hospital of Padova, Padova, Italy. Electronic address: alberto.burlina@unipd.it.
Michael H GelbDepartment of Chemistry, University of Washington, Seattle, USA. Electronic address: gelb@uw.edu.
Roberto GiuglianiBioDiscovery Laboratory, HCPA, Porto Alegre, Brazil; Medical Genetics Service, HCPA, Porto Alegre, Brazil; PPGBM, UFRGS, Porto Alegre, Brazil; DASA, Sao Paulo, Brazil; Casa dos Raros, Porto Alegre, Brazil. Electronic address: rgiugliani@hcpa.edu.br.
National Institute on Population Medical Genetics · BRSeattle University · USGreenwood Genetic Center · USInnovatech (Brazil) · BRMayo Clinic · USPerkinElmer (United States) · USUniversidade do Estado da Bahia · BRUniversidade Federal do Rio Grande do Sul · BRUniversidade Salvador · BRUniversity of Washington · USWomen's and Children's Hospital · 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

backgroundLysosomal diseases (LDs) are progressive life-threatening disorders that are usually asymptomatic at birth. Specific treatments are available for several LDs, and early intervention improves patient's outcomes. Thus, these diseases benefit from newborn screening (NBS). We have performed a pilot study for six LDs in Brazil by tandem mass spectrometry.

methodsDried blood spot (DBS) samples of unselected newborns were analyzed by the Neo-LSD™ kit (Perkin-Elmer) by MS/MS. Samples with low enzyme activity were submitted to the evaluation of specific biomarkers by ultra-performance liquid chromatography tandem-mass spectrometry as the second-tier, and were analyzed by a next-generation sequencing (NGS) multi-gene panel as the third-tier. All tests were performed in the same DBS sample.

resultsIn 20,066 newborns analyzed, 15 samples showed activity of one enzyme below the cutoff. Two newborns had biochemical and molecular results compatible with Fabry disease, and five newborns had biochemical results and pathogenic variants or variants of unknown significance (VUS) in GAA.

conclusionsThis study indicates that the use of enzyme assay as the first-tier test gives an acceptably low number of positive results that requires second/third tier testing. The possibility to run all tests in a DBS sample makes this protocol applicable to large-scale NBS programs.

Indexed as

Fabry DiseaseNeonatal ScreeningBrazilHumansInfant, NewbornPilot ProjectsTandem Mass SpectrometryBiomarkersEnzyme analysisLysosomal storage diseasesNewborn screeningTandem mass spectrometry

Identifiers

PMID37507255
PMCPMC12516792
OpenAlexW4384206921

What OpenQuestion holds

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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.