1. NMR-based newborn urine screening for optimized detection of inherited errors of metabolism
- Author
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Rubén Gil-Redondo, Lourdes Román Echevarría, Alberto Pérez Legorburu, Miguel Ángel Kortajarena, Nieves Embade, Sara Ansó, Itziar Astigarraga, Blanca Lodoso, Izaskun Asla Elorriaga, Laura Collazos, Fang Fang, Chiara Bruzzone, Eneritz Guerra, Oscar Millet, Manfred Spraul, Hartmut Schäfer, Tammo Diercks, Claire Cannet, and M. Mercedes Martinez Ayucar
- Subjects
0301 basic medicine ,Magnetic Resonance Spectroscopy ,Urine screening ,Population ,Metabolic disorders ,lcsh:Medicine ,Physiology ,Urine ,Urinalysis ,Predictive markers ,Sensitivity and Specificity ,Article ,03 medical and health sciences ,0302 clinical medicine ,Metabolomics ,H-1-NMR spectroscopy ,Humans ,Medicine ,metabonomics ,lcsh:Science ,education ,education.field_of_study ,Multidisciplinary ,business.industry ,lcsh:R ,Infant, Newborn ,Reproducibility of Results ,Diagnostic markers ,Metabolism ,medicine.disease ,030104 developmental biology ,Homogeneous ,body-fluids ,lcsh:Q ,Ketosis ,Urine sample ,business ,Biomarkers ,Metabolism, Inborn Errors ,030217 neurology & neurosurgery ,inborn-errors - Abstract
Inborn errors of metabolism (IEMs) are rare diseases produced by the accumulation of abnormal amounts of metabolites, toxic to the newborn. When not detected on time, they can lead to irreversible physiological and psychological sequels or even demise. Metabolomics has emerged as an efficient and powerful tool for IEM detection in newborns, children, and adults with late onset. In here, we screened urine samples from a large set of neonates (470 individuals) from a homogeneous population (Basque Country), for the identification of congenital metabolic diseases using NMR spectroscopy. Absolute quantification allowed to derive a probability function for up to 66 metabolites that adequately describes their normal concentration ranges in newborns from the Basque Country. The absence of another 84 metabolites, considered abnormal, was routinely verified in the healthy newborn population and confirmed for all but 2 samples, of which one showed toxic concentrations of metabolites associated to ketosis and the other one a high trimethylamine concentration that strongly suggested an episode of trimethylaminuria. Thus, a non-invasive and readily accessible urine sample contains enough information to assess the potential existence of a substantial number (>70) of IEMs in newborns, using a single, automated and standardized H-1-NMR-based analysis. The authors thank the collaboration of the Basque Biobank/BioCruces Node www.biobancovasco.org for collecting the samples and data from the neonates included in this study. Support was provided from The Department of Industry, Tourism and Trade of the Government of the Autonomous Community of the Basque Country (Elkartek BG2015 & BG2017); grant from Agencia Estatal de Investigacion (Spain) CTQ2015-68756-R and for the Severo Ochoa Excellence Accreditation (SEV-2016-0644).
- Published
- 2019