Liquid Chromatography–Tandem Mass Spectrometry in Newborn Screening Laboratories

Tandem mass spectrometry (MS/MS) is the most universal platform currently available for the analysis of enzymatic activities and biomarkers in dried blood spots (DBS) for applications in newborn screening (NBS). Among the MS/MS applications in NBS, the most common is flow-injection analysis (FIA-) M...

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Main Authors: Michael H. Gelb, Khaja Basheeruddin, Alberto Burlina, Hsiao-Jan Chen, Yin-Hsiu Chien, George Dizikes, Christine Dorley, Roberto Giugliani, Amy Hietala, Xinying Hong, Shu-Min Kao, Hamid Khaledi, Tracy Klug, Francyne Kubaski, Hsuan-Chieh Liao, Monica Martin, Adrienne Manning, Joseph Orsini, Yin Peng, Enzo Ranieri, Andreas Rohrwasser, Nicolas Szabo-Fresnais, Coleman T. Turgeon, Frédérick M. Vaz, Li-yun Wang, Dietrich Matern
Format: Article
Language:English
Published: MDPI AG 2022-11-01
Series:International Journal of Neonatal Screening
Subjects:
Online Access:https://www.mdpi.com/2409-515X/8/4/62
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author Michael H. Gelb
Khaja Basheeruddin
Alberto Burlina
Hsiao-Jan Chen
Yin-Hsiu Chien
George Dizikes
Christine Dorley
Roberto Giugliani
Amy Hietala
Xinying Hong
Shu-Min Kao
Hamid Khaledi
Tracy Klug
Francyne Kubaski
Hsuan-Chieh Liao
Monica Martin
Adrienne Manning
Joseph Orsini
Yin Peng
Enzo Ranieri
Andreas Rohrwasser
Nicolas Szabo-Fresnais
Coleman T. Turgeon
Frédérick M. Vaz
Li-yun Wang
Dietrich Matern
author_facet Michael H. Gelb
Khaja Basheeruddin
Alberto Burlina
Hsiao-Jan Chen
Yin-Hsiu Chien
George Dizikes
Christine Dorley
Roberto Giugliani
Amy Hietala
Xinying Hong
Shu-Min Kao
Hamid Khaledi
Tracy Klug
Francyne Kubaski
Hsuan-Chieh Liao
Monica Martin
Adrienne Manning
Joseph Orsini
Yin Peng
Enzo Ranieri
Andreas Rohrwasser
Nicolas Szabo-Fresnais
Coleman T. Turgeon
Frédérick M. Vaz
Li-yun Wang
Dietrich Matern
author_sort Michael H. Gelb
collection DOAJ
description Tandem mass spectrometry (MS/MS) is the most universal platform currently available for the analysis of enzymatic activities and biomarkers in dried blood spots (DBS) for applications in newborn screening (NBS). Among the MS/MS applications in NBS, the most common is flow-injection analysis (FIA-) MS/MS, where the sample is introduced as a bolus injection into the mass spectrometer without the prior fractionation of analytes. Liquid chromatography combined with MS/MS (LC-MS/MS) has been employed for second-tier tests to reduce the false-positive rate associated with several nonspecific screening markers, beginning two decades ago. More recently, LC-MS/MS has been applied to primary screening for new conditions for which FIA-MS/MS or other methods, including genomic screening, are not yet adequate. In addition to providing a list of the currently used LC-MS/MS-based assays for NBS, the authors share their experience regarding the maintenance requirements of LC-MS/MS vs. FIA-MS/MS systems. The consensus is that the maintenance of LC-MS/MS and FIA-MS/MS instrumentation is similar, and LC-MS/MS has the advantage of allowing for a larger number of diseases to be screened for in a multiplex, cost-effective fashion with a high throughput and an adequate turnaround time.
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spelling doaj.art-41ab3a50602847f5af0ca36577a457d02023-11-24T15:35:29ZengMDPI AGInternational Journal of Neonatal Screening2409-515X2022-11-01846210.3390/ijns8040062Liquid Chromatography–Tandem Mass Spectrometry in Newborn Screening LaboratoriesMichael H. Gelb0Khaja Basheeruddin1Alberto Burlina2Hsiao-Jan Chen3Yin-Hsiu Chien4George Dizikes5Christine Dorley6Roberto Giugliani7Amy Hietala8Xinying Hong9Shu-Min Kao10Hamid Khaledi11Tracy Klug12Francyne Kubaski13Hsuan-Chieh Liao14Monica Martin15Adrienne Manning16Joseph Orsini17Yin Peng18Enzo Ranieri19Andreas Rohrwasser20Nicolas Szabo-Fresnais21Coleman T. Turgeon22Frédérick M. Vaz23Li-yun Wang24Dietrich Matern25Departments of Chemistry and Biochemistry, University of Washington, Seattle, WA 98195, USANewborn Screening Laboratory, Illinois Department of Public Health, Chicago, IL 60612, USADivision of Inherited Metabolic Diseases, Reference Centre Expanded Newborn Screening, University Hospital Padova, 35128 Padova, ItalyThe Chinese Foundation of Health, Neonatal Screening Center, Taipei 110, TaiwanDepartment of Medical Genetics and Pediatrics, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei 100, TaiwanTennessee Department of Health, Division of Laboratory Services, Knoxville, TN 37920, USATennessee Department of Health, Division of Laboratory Services, Knoxville, TN 37920, USADepartment of Genetics UFRGS, Medical Genetics Service, HCPA, DASA and Casa dos Raros, Porto Alegre 91501970, BrazilNewborn Screening Laboratory, Minnesota Department of Health, St. Paul, MN 55164, USADepartments of Chemistry and Biochemistry, University of Washington, Seattle, WA 98195, USAThe Chinese Foundation of Health, Neonatal Screening Center, Taipei 110, TaiwanGelbChem LLC, 4000 Mason Road, #300, Seattle, WA 98105, USAMissouri Department of Health and Senior Services, P.O. Box 570, Jefferson City, MO 65102, USADepartment of Genetics UFRGS, Medical Genetics Service, HCPA, DASA and Casa dos Raros, Porto Alegre 91501970, BrazilDepartment of Laboratory Medicine and Pathology, University of Washington, Seattle, WA 98195, USAWadsworth Center, New York State Department of Health, Newborn Screening Program, David Axelrod Institute, 120 New Scotland Ave., Albany, NY 12201, USAConnecticut Department of Public Health, Katherine A. Kelley Public Health Laboratory, Rocky Hill, CT 06067, USAWadsworth Center, New York State Department of Health, Newborn Screening Program, David Axelrod Institute, 120 New Scotland Ave., Albany, NY 12201, USANewborn Screening Laboratory, Illinois Department of Public Health, Chicago, IL 60612, USAGenetics and Molecular Pathology, SA Pathology (WCH Site), Adelaide 5043, AustraliaUtah Department of Health and Human Services, Salt Lake City, UT 84129, USAUtah Department of Health and Human Services, Salt Lake City, UT 84129, USADepartment of Laboratory Medicine and Pathology, Biochemical Genetics Laboratory, Mayo Clinic, Rochester, MN 55902, USALaboratory Genetic Metabolic Diseases, Academic Medical Center, 1105 AZ Amsterdam, The NetherlandsTaipei Institute of Pathology, Taipei 103, TaiwanDepartment of Laboratory Medicine and Pathology, Biochemical Genetics Laboratory, Mayo Clinic, Rochester, MN 55902, USATandem mass spectrometry (MS/MS) is the most universal platform currently available for the analysis of enzymatic activities and biomarkers in dried blood spots (DBS) for applications in newborn screening (NBS). Among the MS/MS applications in NBS, the most common is flow-injection analysis (FIA-) MS/MS, where the sample is introduced as a bolus injection into the mass spectrometer without the prior fractionation of analytes. Liquid chromatography combined with MS/MS (LC-MS/MS) has been employed for second-tier tests to reduce the false-positive rate associated with several nonspecific screening markers, beginning two decades ago. More recently, LC-MS/MS has been applied to primary screening for new conditions for which FIA-MS/MS or other methods, including genomic screening, are not yet adequate. In addition to providing a list of the currently used LC-MS/MS-based assays for NBS, the authors share their experience regarding the maintenance requirements of LC-MS/MS vs. FIA-MS/MS systems. The consensus is that the maintenance of LC-MS/MS and FIA-MS/MS instrumentation is similar, and LC-MS/MS has the advantage of allowing for a larger number of diseases to be screened for in a multiplex, cost-effective fashion with a high throughput and an adequate turnaround time.https://www.mdpi.com/2409-515X/8/4/62newborn screeningtandem mass spectrometryliquid chromatographydried blood spotsinborn errors of metabolismreflex testing
spellingShingle Michael H. Gelb
Khaja Basheeruddin
Alberto Burlina
Hsiao-Jan Chen
Yin-Hsiu Chien
George Dizikes
Christine Dorley
Roberto Giugliani
Amy Hietala
Xinying Hong
Shu-Min Kao
Hamid Khaledi
Tracy Klug
Francyne Kubaski
Hsuan-Chieh Liao
Monica Martin
Adrienne Manning
Joseph Orsini
Yin Peng
Enzo Ranieri
Andreas Rohrwasser
Nicolas Szabo-Fresnais
Coleman T. Turgeon
Frédérick M. Vaz
Li-yun Wang
Dietrich Matern
Liquid Chromatography–Tandem Mass Spectrometry in Newborn Screening Laboratories
International Journal of Neonatal Screening
newborn screening
tandem mass spectrometry
liquid chromatography
dried blood spots
inborn errors of metabolism
reflex testing
title Liquid Chromatography–Tandem Mass Spectrometry in Newborn Screening Laboratories
title_full Liquid Chromatography–Tandem Mass Spectrometry in Newborn Screening Laboratories
title_fullStr Liquid Chromatography–Tandem Mass Spectrometry in Newborn Screening Laboratories
title_full_unstemmed Liquid Chromatography–Tandem Mass Spectrometry in Newborn Screening Laboratories
title_short Liquid Chromatography–Tandem Mass Spectrometry in Newborn Screening Laboratories
title_sort liquid chromatography tandem mass spectrometry in newborn screening laboratories
topic newborn screening
tandem mass spectrometry
liquid chromatography
dried blood spots
inborn errors of metabolism
reflex testing
url https://www.mdpi.com/2409-515X/8/4/62
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