Department of Biochemistry Box 357350 University of Washington Seattle, WA 98195
   
 



 
 
Early Detection Screens Developed For
Six Metabolic Disorders In Newborns


Blood is taken by heel prick performed on newborns 24 to 36 hours old, then spotted and dried directly on the revised newborn screening card.

Michael Gelb, Professor of Chemistry and Adjunct Professor of Biochemistry, together with Professors Frank Turecek of Chemistry and C. Ron Scott of Medicine, have developed a panel of tandem mass spectrometry assays for early detection of six different lysosomal storage disorders. These diseases are caused by deficiencies in lysosomal enzymes that are involved in the breakdown of specific cellular components.

The Gelb group developed a tandem mass spectrometry assay for newborn screening of Krabbe, Gaucher, Fabry, Pompe, Niemann-Pick, and Hurler diseases. Newborn screening for these diseases using the new technology is expected to begin over the next few years. The advantage of the new technology is that several enzyme deficiency diseases can be diagnosed in a single, multiplex analysis in which tandem mass spectrometry is used to simultaneously quantify a number of different enzymes.

Tandem mass spectrometry is already being used on dried blood spots from newborns to screen for about 25 different inborn errors of metabolism, such as amino acidurias and fatty acid breakdown diseases. These diseases can be treated and the effects minimized if treatment begins soon after birth. Over the past decade, treatment for a number of lysosomal storage disorders has become available.

(Slightly modified from UW School of Medicine Online News, November 4, 2005)

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2004 Foresight Institute Feynman Prize in Nanotechnology