MALDI-TOF MS profiling as the first-tier screen for sickle cell disease in neonates: Matching throughput to objectives

Purpose: Universal newborn screening for sickle cell diseases (SCDs) is not currently performed in many countries concerned by this public health problem. Owing to the technical and financial limitations of standard profiling methods (IEF coupled to subsequent HPLC), ethnically targeted neonatal scr...

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Veröffentlicht in:Proteomics. Clinical applications 2011-08, Vol.5 (7-8), p.405-414
Hauptverfasser: Hachani, Johan, Duban-Deweer, Sophie, Pottiez, Gwënaël, Renom, Gilles, Flahaut, Christophe, Périni, Jean-Marc
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container_end_page 414
container_issue 7-8
container_start_page 405
container_title Proteomics. Clinical applications
container_volume 5
creator Hachani, Johan
Duban-Deweer, Sophie
Pottiez, Gwënaël
Renom, Gilles
Flahaut, Christophe
Périni, Jean-Marc
description Purpose: Universal newborn screening for sickle cell diseases (SCDs) is not currently performed in many countries concerned by this public health problem. Owing to the technical and financial limitations of standard profiling methods (IEF coupled to subsequent HPLC), ethnically targeted neonatal screening is often preferred. Here, we demonstrate that MALDI‐MS‐based SCD newborn screening could be considered as a potential method for a strategy to universal screening because of its high throughput, cost‐effectiveness, sensitivity and ability to automatically discriminate sickle haemoglobin. Experimental design: We carried out a retrospective study of dried blood spots from 844 Guthrie cards. Four determinations of 1000 mass spectra were performed from each tested dried blood spot. Results: The MALDI‐MS‐based screening was highly correlated with the reference method. Only 2.3% of the samples presented a poor spectral quality. Conclusions and clinical relevance: Given that the overall acquisition, data reprocessing and software‐assisted classification (ClinProTools™) time for processing four mass determinations (corresponding to one sample) was around 1 min, 1000 samples can be analysed per day. Rather than seeking to detect as many different haemoglobinopathies as possible, it would become possible to use MALDI‐TOF‐MS to screen (at a constant cost) as many samples as possible for sickle cell disease.
doi_str_mv 10.1002/prca.201000093
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Clinical applications</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hachani, Johan</au><au>Duban-Deweer, Sophie</au><au>Pottiez, Gwënaël</au><au>Renom, Gilles</au><au>Flahaut, Christophe</au><au>Périni, Jean-Marc</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>MALDI-TOF MS profiling as the first-tier screen for sickle cell disease in neonates: Matching throughput to objectives</atitle><jtitle>Proteomics. Clinical applications</jtitle><addtitle>Prot. Clin. Appl</addtitle><date>2011-08</date><risdate>2011</risdate><volume>5</volume><issue>7-8</issue><spage>405</spage><epage>414</epage><pages>405-414</pages><issn>1862-8346</issn><eissn>1862-8354</eissn><abstract>Purpose: Universal newborn screening for sickle cell diseases (SCDs) is not currently performed in many countries concerned by this public health problem. Owing to the technical and financial limitations of standard profiling methods (IEF coupled to subsequent HPLC), ethnically targeted neonatal screening is often preferred. Here, we demonstrate that MALDI‐MS‐based SCD newborn screening could be considered as a potential method for a strategy to universal screening because of its high throughput, cost‐effectiveness, sensitivity and ability to automatically discriminate sickle haemoglobin. Experimental design: We carried out a retrospective study of dried blood spots from 844 Guthrie cards. Four determinations of 1000 mass spectra were performed from each tested dried blood spot. Results: The MALDI‐MS‐based screening was highly correlated with the reference method. Only 2.3% of the samples presented a poor spectral quality. 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subjects Anemia, Sickle Cell - diagnosis
Anemia, Sickle Cell - economics
Anemia, Sickle Cell - pathology
Anemias. Hemoglobinopathies
Biological and medical sciences
Case-Control Studies
Cost-Benefit Analysis
Diseases of red blood cells
Diverse techniques
Female
Fundamental and applied biological sciences. Psychology
Hematologic and hematopoietic diseases
Hemoglobin, Sickle - analysis
High-Throughput Screening Assays - economics
High-Throughput Screening Assays - methods
Humans
Infant, Newborn
Male
Medical sciences
Medical screening
Molecular and cellular biology
Neonatal screening
Neonatal Screening - economics
Neonatal Screening - methods
Objectives
Public Health
Quality Control
Retrospective Studies
Sensitivity and Specificity
Sickle cell anemia
Sickle cell disease
Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization - economics
Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization - methods
Thalassaemia
title MALDI-TOF MS profiling as the first-tier screen for sickle cell disease in neonates: Matching throughput to objectives
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