Hereditary orotic aciduria identified by newborn screening

Copyright © 2023 Staretz-Chacham, Damseh, Daas, Abu Salah, Anikster, Barel, Dumin, Fattal-Valevski, Falik-Zaccai, Hershkovitz, Josefsberg, Landau, Lerman-Sagie, Mandel, Rock, Rostami, Saraf-Levy, Shaul Lotan, Spiegel, Tal, Ulanovsky, Wilnai, Korman and Almashanu..

Introduction: Hereditary orotic aciduria is an extremely rare, autosomal recessive disease caused by deficiency of uridine monophosphate synthase. Untreated, affected individuals may develop refractory megaloblastic anemia, neurodevelopmental disabilities, and crystalluria. Newborn screening has the potential to identify and enable treatment of affected individuals before they become significantly ill. Methods: Measuring orotic acid as part of expanded newborn screening using flow injection analysis tandem mass spectrometry. Results: Since the addition of orotic acid measurement to the Israeli routine newborn screening program, 1,492,439 neonates have been screened. The screen has identified ten Muslim Arab newborns that remain asymptomatic so far, with DBS orotic acid elevated up to 10 times the upper reference limit. Urine organic acid testing confirmed the presence of orotic aciduria along with homozygous variations in the UMPS gene. Conclusion: Newborn screening measuring of orotic acid, now integrated into the routine tandem mass spectrometry panel, is capable of identifying neonates with hereditary orotic aciduria.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:14

Enthalten in:

Frontiers in genetics - 14(2023) vom: 26., Seite 1135267

Sprache:

Englisch

Beteiligte Personen:

Staretz-Chacham, Orna [VerfasserIn]
Damseh, Nadirah S [VerfasserIn]
Daas, Suha [VerfasserIn]
Abu Salah, Nasser [VerfasserIn]
Anikster, Yair [VerfasserIn]
Barel, Ortal [VerfasserIn]
Dumin, Elena [VerfasserIn]
Fattal-Valevski, Aviva [VerfasserIn]
Falik-Zaccai, Tzipora C [VerfasserIn]
Hershkovitz, Eli [VerfasserIn]
Josefsberg, Sagi [VerfasserIn]
Landau, Yuval [VerfasserIn]
Lerman-Sagie, Tally [VerfasserIn]
Mandel, Hanna [VerfasserIn]
Rock, Rachel [VerfasserIn]
Rostami, Nira [VerfasserIn]
Saraf-Levy, Talya [VerfasserIn]
Shaul Lotan, Nava [VerfasserIn]
Spiegel, Ronen [VerfasserIn]
Tal, Galit [VerfasserIn]
Ulanovsky, Igor [VerfasserIn]
Wilnai, Yael [VerfasserIn]
Korman, Stanley H [VerfasserIn]
Almashanu, Shlomo [VerfasserIn]

Links:

Volltext

Themen:

Hereditary orotic aciduria
Journal Article
Megaloblastic anemia
Neurodevelopmental disability
Newborn screening (NBS)
Orotic acid
Uridine monophosphate synthase

Anmerkungen:

Date Revised 01.04.2023

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.3389/fgene.2023.1135267

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM355039621