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Newborn screening of neuromuscular diseases
Neuromuscular Disorders ( IF 2.8 ) Pub Date : 2021-07-28 , DOI: 10.1016/j.nmd.2021.07.008
Tamara Dangouloff 1 , François Boemer 2 , Laurent Servais 3
Affiliation  

Neuromuscular diseases represent an heterogenous group of more than 400 diseases, with a very broad phenotypic spectrum. Given their rarity and complexity, neuromuscular diseases are often diagnosed with a very significant delay after which irreversible muscle damage may limit the efficacy of treatments when available. In this context, neonatal screening could constitute a solution for early detection and treatment. A systematic review of the literature in PubMed up to May 1, 2021, was conducted according to PRISMA guidelines, including classical neuromuscular diseases and diseases with a clear peripheral nervous system involvement (including central nervous system disease with severe neuropathy). We found seven diseases for which newborn screening data were reported: spinal muscular atrophy (9), Duchenne muscular dystrophy (9), Pompe disease (8), X-linked adrenoleukodystrophy (5), Krabbe disease (4), myotonic dystrophy type 1 (1), metachromatic leukodystrophy (1). The future of newborn screening for neuromuscular disorders pass through a global technological switch, from a biochemical to a genetic-based approach. The rapid development of therapy also requires the possibility to quickly adapt the list of treated conditions, to allow innovative therapies to achieve their best efficacy.



中文翻译:

新生儿神经肌肉疾病筛查

神经肌肉疾病代表了 400 多种疾病的异质组,具有非常广泛的表型谱。鉴于它们的稀有性和复杂性,神经肌肉疾病的诊断通常会出现非常显着的延迟,之后不可逆转的肌肉损伤可能会限制可用的治疗效果。在这种情况下,新生儿筛查可以构成早期发现和治疗的解决方案。根据 PRISMA 指南对 PubMed 中截至 2021 年 5 月 1 日的文献进行了系统回顾,包括典型的神经肌肉疾病和明显受累周围神经系统的疾病(包括伴有严重神经病变的中枢神经系统疾病)。我们发现报告了新生儿筛查数据的七种疾病:脊髓性肌萎缩症 (9)、杜氏肌营养不良症 (9)、庞贝病 (8)、X 连锁肾上腺脑白质营养不良 (5)、Krabbe 病 (4)、1 型强直性营养不良 (1)、异染性脑白质营养不良 (1)。新生儿神经肌肉疾病筛查的未来将经历一个全球性的技术转变,从生化方法到基于基因的方法。治疗的快速发展还需要能够快速调整治疗条件列表,以使创新疗法达到最佳疗效。

更新日期:2021-07-28
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