Evidence map›Paper›PMID 38718669›Full record

ArticleMolecular genetics and metabolism2024

Quantification of N-acetyl-l-aspartate in dried blood spots: A simple and fast LC-MS/MS neonatal screening method for the diagnosis of Canavan disease.

Christian Posern, Benjamin Dreyer, Sarah L Maier, Florian Eichler, Michael H Gelb, René Santer, Annette Bley, Simona Murko

Abstract read
In one paragraph

Article in Molecular genetics and metabolism, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Rigorous genetic diagnosis review in natural history studies.Orphanet journal of rare diseases · 2026
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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

8 authors.

Christian PosernDepartment of Pediatrics, University Medical Center Eppendorf, Martinistraße 52, 20246 Hamburg, Germany. Electronic address: c.posern@uke.de.
Benjamin DreyerDepartment of Pediatrics, University Medical Center Eppendorf, Martinistraße 52, 20246 Hamburg, Germany. Electronic address: be.dreyer@uke.de.
Sarah L MaierDepartment of Pediatrics, University Medical Center Eppendorf, Martinistraße 52, 20246 Hamburg, Germany. Electronic address: sarah.lena.maier@gmail.com.
Florian EichlerDepartment of Neurology, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA. Electronic address: feichler@mgb.org.
Michael H GelbDepartment of Chemistry, University of Washington, 109 Bagley Hall, Seattle, WA 98195, USA. Electronic address: gelb@uw.edu.
René SanterDepartment of Pediatrics, University Medical Center Eppendorf, Martinistraße 52, 20246 Hamburg, Germany. Electronic address: r.santer@uke.de.
Annette BleyDepartment of Pediatrics, University Medical Center Eppendorf, Martinistraße 52, 20246 Hamburg, Germany. Electronic address: a.bley@uke.de.
Simona MurkoDepartment of Pediatrics, University Medical Center Eppendorf, Martinistraße 52, 20246 Hamburg, Germany. Electronic address: s.murko@uke.de.

Funding

Validation of the GMFC-MLDU54NS115052 · NINDS · CHILDREN'S HOSP OF PHILADELPHIA · PI Adeline Lucie Vanderver · 2019 to 2026
$14.3M
Multiplex Analysis of Inborn Errors of MetabolismR01DK067859 · NIDDK · UNIVERSITY OF WASHINGTON · PI GELB, MICHAEL H · 2003 to 2025
$9.8M
NIDDK NIH HHS R01 DK067859NINDS NIH HHS U54 NS115052
6 · The paper itself

Abstract

backgroundCanavan disease is a devastating neurometabolic disorder caused by accumulation of N acetylaspartate in brain and body fluids due to genetic defects in the aspartoacylase gene (ASPA). New gene therapies are on the horizon but will require early presymptomatic diagnosis to be fully effective.

methodsWe therefore developed a fast and highly sensitive liquid chromatography mass spectrometry (LC-MS/MS)-based method for quantification of N-acetylaspartate in dried blood spots and established reference ranges for neonates and older controls. With this test, we investigated 45 samples of 25 Canavan patients including 8 with a neonatal sample.

resultsMeasuring N-acetylaspartate concentration in dried blood with this novel test, all Canavan patients (with variable severity) were well separated from the control group (median; range: 5.7; 1.6-13.6 μmol/L [n = 45] vs 0.44; 0.24-0.99 μmol/L [n = 59] (p < 0.05)). There was also no overlap when comparing neonatal samples of Canavan patients (7.3; 5.1-9.9 μmol/L [n = 8]) and neonatal controls (0.93; 0.4-1.8 μmol/L [n = 784]) (p < 0.05).

conclusionsWe have developed a new LC-MS/MS-based screening test for early postnatal diagnosis of Canavan disease that should be further evaluated in a population-based study once a promising treatment becomes available. The method meets the general requirements of newborn screening and should be appropriate for multiplexing with other screening approaches that combine chromatographic and mass spectrometry techniques.

Indexed as

Aspartic AcidCanavan DiseaseDried Blood Spot TestingNeonatal ScreeningTandem Mass SpectrometryAmidohydrolasesChild, PreschoolChromatography, LiquidFemaleHumansInfantInfant, NewbornLiquid Chromatography-Mass SpectrometryMaleAmidohydrolasesAspartic AcidaspartoacylaseN-acetylaspartateCanavan diseaseDried blood spotsLC-MS/MSLiquid chromatography-tandem mass spectrometryN-acetylaspartateNeonatal screening

Identifiers

PMID38718669
PMCPMC11847322

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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.