Relationship of Octanoylcarnitine Concentrations to Age at Sampling in Unaffected Newborns Screened for Medium-Chain Acyl-CoA Dehydrogenase Deficiency

Although octanoylcarnitine (C8) concentrations measured from newborn screening dried blood spots are used to identify those at high risk of medium-chain acyl-CoA dehydrogenase deficiency (MCADD), age-related reference values are currently not available for unaffected newborn populations. Because age...

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Veröffentlicht in:Clinical chemistry (Baltimore, Md.) Md.), 2010-06, Vol.56 (6), p.1015-1021
Hauptverfasser: KHALID, Javaria M, OERTON, Juliet, DEZATEUX, Carol, BESLEY, Guy, DALTON, Neil, DOWNING, Melanie, GREEN, Anne, HENDERSON, Mick, KRYWAWYCH, Steve, WILEY, Veronica, WILCKEN, Bridget
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container_end_page 1021
container_issue 6
container_start_page 1015
container_title Clinical chemistry (Baltimore, Md.)
container_volume 56
creator KHALID, Javaria M
OERTON, Juliet
DEZATEUX, Carol
BESLEY, Guy
DALTON, Neil
DOWNING, Melanie
GREEN, Anne
HENDERSON, Mick
KRYWAWYCH, Steve
WILEY, Veronica
WILCKEN, Bridget
description Although octanoylcarnitine (C8) concentrations measured from newborn screening dried blood spots are used to identify those at high risk of medium-chain acyl-CoA dehydrogenase deficiency (MCADD), age-related reference values are currently not available for unaffected newborn populations. Because age at sampling may vary within and between screening programs, variations in C8 concentrations by age may affect screening program performance. We determined whether C8 concentrations vary by age at sampling, sex, birth weight, or gestational age in unaffected newborns. We analyzed C8 concentrations from 227,098 unaffected newborns, including 179,729 from 6 English laboratories participating in a multicenter study and 47,369 from the single laboratory serving the New South Wales (NSW) Newborn Screening Program in Australia. In England, the majority of samples were collected at age 5-8 days and analyzed underivatized by use of tandem mass spectrometry (MS/MS); in NSW, samples were obtained at a median age of 3 days and analyzed derivatized by MS/MS. Information on infants' sex, birth weight, gestation, hospitalization, and transfusion status was recorded at time of sampling. C8 concentrations did not vary significantly by age at sampling, sex, birth weight, or gestational age and remained relatively constant during the first 2 weeks of life in unaffected babies being screened for MCADD. Newborn MCADD screening programs using this biomarker for screening samples collected after the first day and during the first 14 days of life do not need to adjust cutoff values to account for postnatal age, prematurity, or size at birth.
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Because age at sampling may vary within and between screening programs, variations in C8 concentrations by age may affect screening program performance. We determined whether C8 concentrations vary by age at sampling, sex, birth weight, or gestational age in unaffected newborns. We analyzed C8 concentrations from 227,098 unaffected newborns, including 179,729 from 6 English laboratories participating in a multicenter study and 47,369 from the single laboratory serving the New South Wales (NSW) Newborn Screening Program in Australia. In England, the majority of samples were collected at age 5-8 days and analyzed underivatized by use of tandem mass spectrometry (MS/MS); in NSW, samples were obtained at a median age of 3 days and analyzed derivatized by MS/MS. Information on infants' sex, birth weight, gestation, hospitalization, and transfusion status was recorded at time of sampling. C8 concentrations did not vary significantly by age at sampling, sex, birth weight, or gestational age and remained relatively constant during the first 2 weeks of life in unaffected babies being screened for MCADD. 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Because age at sampling may vary within and between screening programs, variations in C8 concentrations by age may affect screening program performance. We determined whether C8 concentrations vary by age at sampling, sex, birth weight, or gestational age in unaffected newborns. We analyzed C8 concentrations from 227,098 unaffected newborns, including 179,729 from 6 English laboratories participating in a multicenter study and 47,369 from the single laboratory serving the New South Wales (NSW) Newborn Screening Program in Australia. In England, the majority of samples were collected at age 5-8 days and analyzed underivatized by use of tandem mass spectrometry (MS/MS); in NSW, samples were obtained at a median age of 3 days and analyzed derivatized by MS/MS. Information on infants' sex, birth weight, gestation, hospitalization, and transfusion status was recorded at time of sampling. 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subjects Acyl-CoA Dehydrogenase - deficiency
Age Factors
Amino Acid Metabolism, Inborn Errors - diagnosis
Analytical, structural and metabolic biochemistry
Australia
Babies
Biological and medical sciences
Biomedical research
Birth weight
Births
Carnitine - analogs & derivatives
Carnitine - blood
Data collection
Dehydrogenase
England
Female
Fundamental and applied biological sciences. Psychology
Humans
Infant, Newborn
Investigative techniques, diagnostic techniques (general aspects)
Male
Mass spectrometry
Medical research
Medical sciences
Medical screening
Molecular biophysics
Newborn babies
title Relationship of Octanoylcarnitine Concentrations to Age at Sampling in Unaffected Newborns Screened for Medium-Chain Acyl-CoA Dehydrogenase Deficiency
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