SUMA Technology and Newborn Screening Tests for Inherited Metabolic Diseases in Cuba

The ultramicroanalytic system (SUMA), created in the 1980s, is a complete system of reagents and instrumentation to perform ultramicroassays combining the sensitivity of the micro-enzyme-linked immunosorbent assay (ELISA) tests with the use of ultramicrovolumes. This technology permitted establishin...

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Main Authors: Ernesto Carlos González Reyes PhD, Elisa M. Castells MSc, Amarilys Frómeta MSc, Ana Luisa Arteaga MD, Lesley Del Río MSc, Yileidis Tejeda MSc, Pedro L. Pérez LT, Mary Triny Segura BSc, Pedro Almenares MSc, Yenitse Perea MSc, Niurka M. Carlos MSc, René Robaina MD, PhD, José L. Fernández-Yero MD, PhD
Format: Article
Language:English
Published: SciELO 2016-07-01
Series:Journal of Inborn Errors of Metabolism and Screening
Online Access:https://doi.org/10.1177/2326409816661356
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author Ernesto Carlos González Reyes PhD
Elisa M. Castells MSc
Amarilys Frómeta MSc
Ana Luisa Arteaga MD
Lesley Del Río MSc
Yileidis Tejeda MSc
Pedro L. Pérez LT
Mary Triny Segura BSc
Pedro Almenares MSc
Yenitse Perea MSc
Niurka M. Carlos MSc
René Robaina MD, PhD
José L. Fernández-Yero MD, PhD
author_facet Ernesto Carlos González Reyes PhD
Elisa M. Castells MSc
Amarilys Frómeta MSc
Ana Luisa Arteaga MD
Lesley Del Río MSc
Yileidis Tejeda MSc
Pedro L. Pérez LT
Mary Triny Segura BSc
Pedro Almenares MSc
Yenitse Perea MSc
Niurka M. Carlos MSc
René Robaina MD, PhD
José L. Fernández-Yero MD, PhD
author_sort Ernesto Carlos González Reyes PhD
collection DOAJ
description The ultramicroanalytic system (SUMA), created in the 1980s, is a complete system of reagents and instrumentation to perform ultramicroassays combining the sensitivity of the micro-enzyme-linked immunosorbent assay (ELISA) tests with the use of ultramicrovolumes. This technology permitted establishing large-scale newborn screening programs (NSPs) for metabolic and endocrine disorders in Cuba. This article summarizes the main results of the implementation during the 30 years of SUMA technology in NSP for 5 inherited metabolic diseases, using ultramicroassays developed at the Department of Newborn Screening at the Immunoassay Center. Since 1986, SUMA technology has been used in the Cuban NSP for congenital hypothyroidism, initially studying thyroid hormone in cord serum samples. In 2000, a decentralized program for the detection of hyperphenylalaninemias using heel dried blood samples was initiated. These successful experiences permitted including protocols for screening congenital adrenal hyperplasia, galactosemia, and biotinidase deficiency in 2005. A program for the newborn screening of CH using the thyroid-stimulating hormone Neonatal ultramicro-ELISA was fully implemented in 2010. Nowadays, the NSP is supported by a network of 175 SUMA laboratories. After 30 years, more than 3.8 million Cuban newborns have been screened, and 1002 affected children have been detected. Moreover, SUMA technology has been presented in Latin America for over 2 decades and has contributed to screen around 17 million newborns. These results prove that developing countries can develop appropriate diagnostic technologies for making health care accessible to all.
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spelling doaj.art-5d98fe3871af403cbf5f26cf0c1ade7e2022-12-21T22:02:02ZengSciELOJournal of Inborn Errors of Metabolism and Screening2326-45942016-07-01410.1177/232640981666135610.1177_2326409816661356SUMA Technology and Newborn Screening Tests for Inherited Metabolic Diseases in CubaErnesto Carlos González Reyes PhD0Elisa M. Castells MSc1Amarilys Frómeta MSc2Ana Luisa Arteaga MD3Lesley Del Río MSc4Yileidis Tejeda MSc5Pedro L. Pérez LT6Mary Triny Segura BSc7Pedro Almenares MSc8Yenitse Perea MSc9Niurka M. Carlos MSc10René Robaina MD, PhD11José L. Fernández-Yero MD, PhD12 Department of Newborn Screening, Immunoassay Center, Cubanacan, Havana, Cuba Department of Newborn Screening, Immunoassay Center, Cubanacan, Havana, Cuba Department of Newborn Screening, Immunoassay Center, Cubanacan, Havana, Cuba National Programs Department, TecnoSuma Internacional SA Cubanacan, Havana, Cuba Department of Newborn Screening, Immunoassay Center, Cubanacan, Havana, Cuba Department of Newborn Screening, Immunoassay Center, Cubanacan, Havana, Cuba Department of Newborn Screening, Immunoassay Center, Cubanacan, Havana, Cuba Department of Newborn Screening, Immunoassay Center, Cubanacan, Havana, Cuba Department of Newborn Screening, Immunoassay Center, Cubanacan, Havana, Cuba Department of Newborn Screening, Immunoassay Center, Cubanacan, Havana, Cuba Immunoassay Center, Cubanacan, Havana, Cuba Department of Newborn Screening, Immunoassay Center, Cubanacan, Havana, Cuba Center of Molecular Immunology, Atabey, Havana, CubaThe ultramicroanalytic system (SUMA), created in the 1980s, is a complete system of reagents and instrumentation to perform ultramicroassays combining the sensitivity of the micro-enzyme-linked immunosorbent assay (ELISA) tests with the use of ultramicrovolumes. This technology permitted establishing large-scale newborn screening programs (NSPs) for metabolic and endocrine disorders in Cuba. This article summarizes the main results of the implementation during the 30 years of SUMA technology in NSP for 5 inherited metabolic diseases, using ultramicroassays developed at the Department of Newborn Screening at the Immunoassay Center. Since 1986, SUMA technology has been used in the Cuban NSP for congenital hypothyroidism, initially studying thyroid hormone in cord serum samples. In 2000, a decentralized program for the detection of hyperphenylalaninemias using heel dried blood samples was initiated. These successful experiences permitted including protocols for screening congenital adrenal hyperplasia, galactosemia, and biotinidase deficiency in 2005. A program for the newborn screening of CH using the thyroid-stimulating hormone Neonatal ultramicro-ELISA was fully implemented in 2010. Nowadays, the NSP is supported by a network of 175 SUMA laboratories. After 30 years, more than 3.8 million Cuban newborns have been screened, and 1002 affected children have been detected. Moreover, SUMA technology has been presented in Latin America for over 2 decades and has contributed to screen around 17 million newborns. These results prove that developing countries can develop appropriate diagnostic technologies for making health care accessible to all.https://doi.org/10.1177/2326409816661356
spellingShingle Ernesto Carlos González Reyes PhD
Elisa M. Castells MSc
Amarilys Frómeta MSc
Ana Luisa Arteaga MD
Lesley Del Río MSc
Yileidis Tejeda MSc
Pedro L. Pérez LT
Mary Triny Segura BSc
Pedro Almenares MSc
Yenitse Perea MSc
Niurka M. Carlos MSc
René Robaina MD, PhD
José L. Fernández-Yero MD, PhD
SUMA Technology and Newborn Screening Tests for Inherited Metabolic Diseases in Cuba
Journal of Inborn Errors of Metabolism and Screening
title SUMA Technology and Newborn Screening Tests for Inherited Metabolic Diseases in Cuba
title_full SUMA Technology and Newborn Screening Tests for Inherited Metabolic Diseases in Cuba
title_fullStr SUMA Technology and Newborn Screening Tests for Inherited Metabolic Diseases in Cuba
title_full_unstemmed SUMA Technology and Newborn Screening Tests for Inherited Metabolic Diseases in Cuba
title_short SUMA Technology and Newborn Screening Tests for Inherited Metabolic Diseases in Cuba
title_sort suma technology and newborn screening tests for inherited metabolic diseases in cuba
url https://doi.org/10.1177/2326409816661356
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