Molecular genetic screening of full-term small for gestational age

Abstract Objective To examine the clinical application of genomic screening in newborns small for gestational age (SGA), hoping to provide an efficient technique for early discovery of neonatal diseases, which is necessary to elevate survival rates and the quality of life in infants. Methods Totally...

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Main Authors: Shuman Zhang, Lingna Zhou, Lin Zhang, Yu Wang, Huaiyan Wang
Format: Article
Language:English
Published: BMC 2023-05-01
Series:BMC Pediatrics
Subjects:
Online Access:https://doi.org/10.1186/s12887-023-04030-0
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author Shuman Zhang
Lingna Zhou
Lin Zhang
Yu Wang
Huaiyan Wang
author_facet Shuman Zhang
Lingna Zhou
Lin Zhang
Yu Wang
Huaiyan Wang
author_sort Shuman Zhang
collection DOAJ
description Abstract Objective To examine the clinical application of genomic screening in newborns small for gestational age (SGA), hoping to provide an efficient technique for early discovery of neonatal diseases, which is necessary to elevate survival rates and the quality of life in infants. Methods Totally 93 full-term SGA newborns were assessed. Dried blood spot (DBS) samples were obtained at 72 h after birth, and tandem mass spectrometry (TMS) and Angel Care genomic screening (GS, using Targeted next generation sequencing) were carried out. Results All 93 subjects were examined by Angel Care GS and TMS. No children showing inborn errors of metabolism (IEM) were detected by TMS, while 2 pediatric cases (2.15%, 2/93) were confirmed as thyroid dyshormonogenesis 6 (TDH6) by Angel Care GS. Additionally, 45 pediatric cases (48.4%) had one or more variants conferring a carrier status for recessive childhood-onset disorders, with 31 genes and 42 variants associated with 26 diseases. The top three gene-related diseases with carrier status were autosomal recessive deafness (DFNB), abnormal thyroid hormone and Krabbe disease. Conclusions SGA is tightly associated with genetic variation. Molecular Genetic Screening allows early detection of congenital hypothyroidism and may be a potent genomic sequencing technique for screening newborns.
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spelling doaj.art-f2e02cc1f5654f55acbca3342ca48a742023-05-07T11:24:22ZengBMCBMC Pediatrics1471-24312023-05-012311710.1186/s12887-023-04030-0Molecular genetic screening of full-term small for gestational ageShuman Zhang0Lingna Zhou1Lin Zhang2Yu Wang3Huaiyan Wang4Department of Neonatology, Changzhou Maternity and Child Health Care Hospital, Changzhou Medical Center, Nanjing Medical UniversityDepartment of Medical Genetics, Changzhou Maternity and Child Health Care Hospital, Changzhou Medical Center, Nanjing Medical UniversityDepartment of Neonatology, Changzhou Maternity and Child Health Care Hospital, Changzhou Medical Center, Nanjing Medical UniversityDepartment of Neonatology, Changzhou Maternity and Child Health Care Hospital, Changzhou Medical Center, Nanjing Medical UniversityDepartment of Neonatology, Changzhou Maternity and Child Health Care Hospital, Changzhou Medical Center, Nanjing Medical UniversityAbstract Objective To examine the clinical application of genomic screening in newborns small for gestational age (SGA), hoping to provide an efficient technique for early discovery of neonatal diseases, which is necessary to elevate survival rates and the quality of life in infants. Methods Totally 93 full-term SGA newborns were assessed. Dried blood spot (DBS) samples were obtained at 72 h after birth, and tandem mass spectrometry (TMS) and Angel Care genomic screening (GS, using Targeted next generation sequencing) were carried out. Results All 93 subjects were examined by Angel Care GS and TMS. No children showing inborn errors of metabolism (IEM) were detected by TMS, while 2 pediatric cases (2.15%, 2/93) were confirmed as thyroid dyshormonogenesis 6 (TDH6) by Angel Care GS. Additionally, 45 pediatric cases (48.4%) had one or more variants conferring a carrier status for recessive childhood-onset disorders, with 31 genes and 42 variants associated with 26 diseases. The top three gene-related diseases with carrier status were autosomal recessive deafness (DFNB), abnormal thyroid hormone and Krabbe disease. Conclusions SGA is tightly associated with genetic variation. Molecular Genetic Screening allows early detection of congenital hypothyroidism and may be a potent genomic sequencing technique for screening newborns.https://doi.org/10.1186/s12887-023-04030-0Small for gestational ageNewborn screeningTandem mass spectrometryGenomic sequencingNext-generation sequencing
spellingShingle Shuman Zhang
Lingna Zhou
Lin Zhang
Yu Wang
Huaiyan Wang
Molecular genetic screening of full-term small for gestational age
BMC Pediatrics
Small for gestational age
Newborn screening
Tandem mass spectrometry
Genomic sequencing
Next-generation sequencing
title Molecular genetic screening of full-term small for gestational age
title_full Molecular genetic screening of full-term small for gestational age
title_fullStr Molecular genetic screening of full-term small for gestational age
title_full_unstemmed Molecular genetic screening of full-term small for gestational age
title_short Molecular genetic screening of full-term small for gestational age
title_sort molecular genetic screening of full term small for gestational age
topic Small for gestational age
Newborn screening
Tandem mass spectrometry
Genomic sequencing
Next-generation sequencing
url https://doi.org/10.1186/s12887-023-04030-0
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AT linzhang moleculargeneticscreeningoffulltermsmallforgestationalage
AT yuwang moleculargeneticscreeningoffulltermsmallforgestationalage
AT huaiyanwang moleculargeneticscreeningoffulltermsmallforgestationalage