2023, Number 6
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Rev Mex Pediatr 2023; 90 (6)
Results of the metabolic screening program in a private hospital in Mexico City
Velasco-Aznar A, Rendón-Macías ME, Silva-Ramírez H, Gerardo-Del HMN, Cruz-Camino H, Cantú-Reyna C, Moscona-Nissan A, Wollenstein-Seligson D
Language: Spanish
References: 37
Page: 221-226
PDF size: 400.43 Kb.
ABSTRACT
Introduction: the neonatal metabolic screen is a tool that allows identifying patients with different diseases, from preclinical stages
Objective: to report the birth prevalence of metabolic diseases detected through the expanded neonatal metabolic screening program of a private hospital in Mexico City.
Material and methods: cross-sectional and descriptive study, which includes the results of all screening studies performed on newborns, over a seven-year period (2016-2023). Blood samples were taken by puncture between the second and fifth day of life. Rates are presented in cases per 10,000 live births.
Results: during the period, 10,442 newborns were studied. A specific disease was identified in 41 (0.4%) patients, while carrier states of different diseases were detected in 77. The diseases diagnosed were: glucose-6 dehydrogenase deficiency (rate 31.6), congenital hypothyroidism (rate 2.8), phenylketonuria (rate 1.9), tyrosinemia (rate 0.95), short-chain acyl-CoA dehydrogenase deficiency (rate 0.95), and cystic fibrosis (rate 0.95).
Conclusions: the prevalence of diseases detected by neonatal screening obtained in the present study is similar to that previously reported in Mexico, with the exception of glucose 6 dehydrogenase deficiency, which is higher.
REFERENCES
Velázquez A, Villareal M, Galindo M. Newborn genetic screening: the Mexican program. In: Armendares S, Lisker R, Ebling F, Henderson I, editors. Human genetics. Amsterdam: Excerpta Médica; 1977. pp. 214-224.
Vela-Amieva M, Belmont-Martínez L, Ibarra-González I, Fernández-Lainez C. Variabilidad interinstitucional del tamiz neonatal en México. Bol Med Hosp Infant Mex. 2009; 66(5): 431-439.
Norma técnica 321 para la prevención del retraso mental producido por hipotiroidismo congénito. México: Diario Oficial de la Federación, Órgano del Gobierno Constitucional de los Estados Unidos Mexicanos, Tomo CDXX; 1988. pp. 89-90.
Norma Oficial Mexicana NOM-034-SSA2-2013 Para la prevención y control de los defectos al nacimiento. Disponible en: https://www.gob.mx/salud/articulos/tamiz-metabolico-neonatal-y-auditivo#:~:text=El%20tamiz%20metab%C3%B3lico%20consiste%20en,cong%C3%A9nita%20y%20deficiencia%20de%20biotinidasa
Trigo-Madrid M, Díaz-Gallardo J, Mar-Aldana R, Ruiz-Ochoa D, Moreno-Graciano C, Martínez-Cruz P et al. Resultados del Programa de Tamiz Neonatal Ampliado y epidemiología perinatal en los servicios de sanidad de la Secretaría de Marina Armada de México. Acta Ped Mex. 2014; 35(6): 448-458.
Torres-Sepúlveda MR, Martínez-de Villareal LE, Esmer C et al. Expanded newborn screening. Using tandem mass spectrometry: two years' experience in Nuevo León, México. Sal Pub Mex. 2008; 50(3): 200-206.
Ibarra-González I, Campos-García FJ, Herrera-Pérez LA et al. Newborn cystic fibrosis screening in southeastern Mexico: birth prevalence and novel CFTR gene variants. J Med Screen. 2018; 25(3): 119-125.
Rendón-Macías ME, Morales-García I, Huerta-Hernández E, Silva-Batalla A, Villasís-Keever MA. Birth prevalence of congenital hypothyroidism in Mexico. Paediatr Perinat Epidemiol. 2008; 22(5): 478-485.
Vela M, Gamboa S, Loera-Luna A, Aguirre BE, Perez-Palacios G, Velázquez A. Neonatal screening for congenital hypothyroidism in Mexico: experience, obstacles, and strategies. J Med Screen. 1999; 6: 77-79.
Topete-González LR, Ramírez-García SA, Macías-López IM et al. Incidencia de hipotiroidismo y niveles séricos de tirotropina en neonatos. Rev Med Inst Mex Seguro Soc. 2013; 51(2): 136-141.
Vela-Amieva M, Gamboa-Cardiel S, Pérez Andrade M, Ortiz-Cortes J, González-Contreras CR, Ortega-Velázquez V. Epidemiología del hipotiroidismo congénito en México. Sal Pub Mex. 2004; 46(2): 141-148.
Rodríguez-León GA, García-Rodríguez JF, Castillo-Orueta ML, Rodríguez-Santiago GA. Hipotiroidismo congénito y tamiz neonatal como método de detección oportuna en Tabasco. Salud Tab. 2013; 19(1): 19-22.
Velázquez A, Loera-Luna A, Aguirre BE, Gamboa S, Vargas H, Robles C. Tamiz neonatal para hipotiroidismo congénito y fenilcetonuria. Sal Pub Mex. 1994; 36(3): 249-256.
Vela-Amieva M, Ibarra-González I, Herrera-Pérez LA, Caamal-Parra G, Belmont-Martínez L, García Flores EP. Epidemiología de la fenilcetonuria obtenida mediante tamiz neonatal. Act Ped Mex. 2018; 39(Sup 1): 25S-34S.
Villarreal-Martínez L, Torres-Sánchez KA, Ibarra-Ramírez M, Martínez-Garza LE, Villarreal-Martínez DZ, Viera DAG et al. Prevalence of glucose-6-phosphate dehydrogenase deficiency in newborns in northeast Mexico. Am J Perinatol. 2024; 41(S 01): e573-e576. doi: 10.1055/a-1926-0075.
de Céspedes C, Saborío M, Trejos R, Abarca G, Sánchez A, Rojas L. Evolution, and innovations of the national neonatal and high-risk screening program in Costa Rica. Rev Bio Trop. 2004; 54(3): 451-466.
Rastogi MV, LaFranchi SH, Congenital hypothyroidism. Orphanet J Rare Dis. 2010; 5; 17. doi: 10.1186/1750-1172-5-17.
Chen WH, Hsieh SL, Hsu KP, Chen HP, Su XY, Tseng YJ et al. Web-based newborn screening system for metabolic diseases: machine learning versus clinicians. J Med Internet Res. 2013; 15(5): e98.
Kui Deng, Chunhua He, Jun Zhu et al. Incidence of congenital hypothyroidism in China: data form the national newborn screening program 2013-2015. J Ped Endocrin Metavol. 2018; 31(6): 601-608.
Ministry of Health. Newborn Metabolic Screening Programme: Annual report 2018. Wellington: Ministry of Health; 2019. Available in: https://www.nsu.govt.nz/system/files/page/newborn-metabolic-screening-programme-annual-report-2018-12nov2019_final.pdf
Cornejo V, Raimann E, Cabello JF, Valiente A, Becerra C, Opazo M et al. Past, present and future of newborn screening in Chile. J Inherit Metab Dis. 2010; 33(3): 301-306.
Liangcheng X, Tao J, Denog K et al. Phenylketonuria incidence in China between 2013 and 2017 based on data from the Chinese newborn screening information system: a descriptive study. BMJ Open. 2019; 9(8): e031474.
Charoensiriwatana W, Janejai N, Boonwanich W, Krasao P, Chaisomchit S, Waiyasilp S. Neonatal screening program in Thailand. Southeast Asian J Trop Med Public Health. 2003; 34(Suppl 3): 94-100.
Lindner M, Gramer G, Haege G, Fang-Hoffmann J, Schwab KO, Tacke U et al. Efficacy and outcome of expanded newborn screening for metabolic diseases--report of 10 years from South-West Germany. Orphanet J Rare Dis. 2011; 6: 44.
Toktas I, Saribas S, Canpolat S, Erdem O, Ozbek MN. Evaluation of patients diagnosed with phenylketonuria and biotinidase deficiency by the newborn screening program: a ten-year retrospective study. Turk J Pediatr. 2022; 64(6): 985-992.
Shoraka HR, Haghdoost AA, Baneshi MR, Bagherinezhad Z, Zolala F. Global prevalence of classic phenylketonuria based on Neonatal Screening Program Data: systematic review and meta-analysis. Clin Exp Pediatr. 2020; 63(2): 34-43.
Cantú-Reyna C, Zepeda LM, Montemayor R, Benavides S, González HJ, Vazquez-Cantú M et al. Incidence of inborn errors of metabolism by expanded newborn screening in a Mexican hospital. J Inborn Error Metab Screen. 2016; 4: 1-8.
Zamorano-Jiménez CA, Baptista-González H, Bouchán-Valencia P et al. Molecular identification of glucosa-6-phosphate dehydrogenase (G6PD) detected in neonatal screening. Gac Med Mex. 2015; 151: 31-37.
Iranpour R, Hashemiopour M, Amini A et al. Newborn Screening for glucose-6-phosphate dehydrogenase deficiency in Isfahan, Iran: a quantitative assay. J Med Screen. 2008; 15(2): 62-64.
Elella SA, Tawfik M, Barseem N, Moustafa W. Prevalence of glucose-6-phosphate dehydrogenase deficiency in neonates in Egypt. Ann Saudi Med. 2017; 37(5): 362-365.
Mañu-Pereira MM, Cabot A, Martínez González A et al. Cribado neonatal de hemoglobinopatías y déficit de glucosa 6 fosfato deshidrogenasa (G6PD) en Cataluña. Estudio molecular de la anemia falciforme asociada a alfatalasemia y déficit de G6PDH. Med Clin. 2007; 129(5): 161-164.
Al-Lawama M, Ghanem N, Arabiat E et al. Prevalence of glucose-6-phosphate dehydrogenase deficiency and the potential of neonatal complication prevention. JPNIM. 2022; 11(1): e110120. doi: 10.7363/110120.
Kaban R, Wijaya V. Prevalence of glucose-6-phosphate dehydrogenase (G6PD) deficiency in neonates in Bunda Women's and Children's Hospital, Jakarta, Indonesia. PI. 2011; 51(1): 29-33.
Fu C, Luo S, Li Q, Xie B, Yang Q, Geng G et al. Newborn screening of glucose-6-phosphate dehydrogenase deficiency in Guangxi, China: determination of optimal cutoff value to identify heterozygous female neonates. Sci Rep. 2018; 8(1): 833. doi: 10.1038/s41598-017-17667-6.
Molou E, Schulpiss K, Thodi G, Georgiou V, Dotsikas Y, Papadopoulos K. Glucose-6-phosphate dehydrogenase (G6PD) deficiency in Greek newborn: the Mediterranean C563T mutation screening. Scand J Clin Lab Inv. 2014; 74(3): 259-263.
Navarrete-Martínez JI, Limón-Rojas AE, Gaytán-García MJ et al. Newborn screening for six lysosomal storage disorders in a cohort of Mexican patients: three-year findings from a screening program in a closed Mexican health system. Mol Genet Metab. 2017; 121(1): 16-21. doi: 10.1016/j.ymgme.2017.03.001.
Origa R, Gianesin B, Longo F, Di Maggio R, Cassinerio E, Gamberini MR et al. Incidence of cancer and related deaths in hemoglobinopathies: a follow-up of 4631 patients between 1970 and 2021. Cancer. 2023; 129(1): 107-117.