Metabolomics to Screen and Diagnose Inborn Errors of Metabolism in Newborns

A special issue of Metabolites (ISSN 2218-1989). This special issue belongs to the section "Endocrinology and Clinical Metabolic Research".

Deadline for manuscript submissions: closed (31 October 2022) | Viewed by 2967

Special Issue Editor


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Guest Editor
Biochemical Mass Spectrometry Laboratory, Newborn Screening and Molecular Biology Branch, Centers for Disease Control and Prevention, Atlanta, GA 30341, USA
Interests: newborn screening; metabolomics; proteomics; biomarker development; mass spectrometry

Special Issue Information

Dear Colleagues,

Many inborn errors of metabolism (IEM) are detected through newborn screening via mass spectrometry. Targeted metabolomics is the “gold standard” method used for measuring metabolites indicative of IEMs. Screening is primarily performed with dried blood spots, whereas confirmatory diagnosis uses urine and/or plasma. Currently, all newborns in the United States are screened for dozens of IEMs listed in the Recommended Uniform Screening Panel (RUSP). However, this number may soon increase. Dozens of metabolic disorders are candidates for RUSP inclusion, while hundreds more are the subject of treatment and therapeutic investigations.

Advances in mass spectrometry and bioinformatics have enabled IEM screening and diagnosis, as well as the discovery of new diagnostic markers using untargeted metabolomics. Interestingly, recent studies that have compared targeted and untargeted approaches have favored the use of untargeted metabolomics for IEM screening. Untargeted metabolomics may be able to further expand the number of disorders that are detected through newborn screening. It may also facilitate the diagnosis of symptomatic patients with rare IEMs who remain undiagnosed for several years.

This Special Issue is dedicated to the use of metabolomics for the screening and diagnosis of IEMs. Papers covering the following topics are warmly welcomed:

  • Original research articles about clinical metabolomics;
  • Case studies where metabolomics has helped to resolve diagnoses that were previously elusive;
  • Discoveries of novel IEM diagnostic markers;
  • Review articles on clinical metabolomics.

Dr. Konstantinos Petritis
Guest Editor

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Published Papers (1 paper)

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Review

16 pages, 1547 KiB  
Review
Vitamin B12 (Cobalamin): Its Fate from Ingestion to Metabolism with Particular Emphasis on Diagnostic Approaches of Acquired Neonatal/Infantile Deficiency Detected by Newborn Screening
by Magdolna Kósa, Zsolt Galla, István Lénárt, Ákos Baráth, Nóra Grecsó, Gábor Rácz, Csaba Bereczki and Péter Monostori
Metabolites 2022, 12(11), 1104; https://doi.org/10.3390/metabo12111104 - 12 Nov 2022
Cited by 1 | Viewed by 2522
Abstract
Acquired vitamin B12 (vB12) deficiency (vB12D) of newborns is relatively frequent as compared with the incidence of inherited diseases included in newborn screening (NBS) of different countries across the globe. Infants may present signs of vB12D before 6 months of age with anemia [...] Read more.
Acquired vitamin B12 (vB12) deficiency (vB12D) of newborns is relatively frequent as compared with the incidence of inherited diseases included in newborn screening (NBS) of different countries across the globe. Infants may present signs of vB12D before 6 months of age with anemia and/or neurologic symptoms when not diagnosed in asymptomatic state. The possibility of identifying vitamin deficient mothers after their pregnancy during the breastfeeding period could be an additional benefit of the newborn screening. Vitamin supplementation is widely available and easy to administer. However, in many laboratories, vB12D is not included in the national screening program. Optimized screening requires either second-tier testing or analysis of new urine and blood samples combined with multiple clinical and laboratory follow ups. Our scope was to review the physiologic fate of vB12 and the pathobiochemical consequences of vB12D in the human body. Particular emphasis was put on the latest approaches for diagnosis and treatment of vB12D in NBS. Full article
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