Next-generation sequencing-based newborn screening initiatives in Europe: an overview

Virginie Bros-Facer , Stacie Taylor , Christine Patch

Rare Disease and Orphan Drugs Journal ›› 2023, Vol. 2 ›› Issue (4) : 21

PDF
Rare Disease and Orphan Drugs Journal ›› 2023, Vol. 2 ›› Issue (4) :21 DOI: 10.20517/rdodj.2023.26
Original Article

Next-generation sequencing-based newborn screening initiatives in Europe: an overview

Author information +
History +
PDF

Abstract

Aim: This article describes results from a survey targeting healthcare professionals (HCPs) leading newborn screening (NBS) initiatives in Europe. The survey was developed within the framework of a dedicated working group set up by the International Rare Diseases Research Consortium (IRDiRC) to gather collective efforts relating to NBS. The objectives of the survey were to gain a better understanding of approaches being tested for the expansion of NBS and to raise awareness of the significant momentum across Europe to evaluate novel technologies for use in future NBS programs.

Methods: A web-based survey including 57 questions was developed to gather information about genomic newborn screening initiatives in Europe that are using next-generation sequencing (NGS) as a first-tier test. Responses were analyzed qualitatively, and aggregated results are presented herein. The identity of some initiatives is not presented to preserve confidentiality.

Results: The findings of the survey indicated that most initiatives are in the planning stage and have not yet started. Although all 14 studies are heterogeneous in design, there is broad consensus that NGS approaches to NBS will, in the short term, be implemented in parallel with current screening programs. The results of this survey can be used to inform the design of studies still in the early planning stages.

Conclusion: Here, we provide an overview of NGS-based initiatives in Europe. Importantly, the initiatives described herein will generate evidence to evaluate the utility and feasibility of NGS approaches to NBS, thereby shortening the pathway to responsible implementation of NGS in NBS and informing future research efforts.

Keywords

Newborn screening / rare disease / genetic disease / genomic sequencing / genomic screening

Cite this article

Download citation ▾
Virginie Bros-Facer, Stacie Taylor, Christine Patch. Next-generation sequencing-based newborn screening initiatives in Europe: an overview. Rare Disease and Orphan Drugs Journal, 2023, 2(4): 21 DOI:10.20517/rdodj.2023.26

登录浏览全文

4963

注册一个新账户 忘记密码

References

[1]

Zytkovicz TH,Marsden D.Tandem mass spectrometric analysis for amino, organic, and fatty acid disorders in newborn dried blood spots: a two-year summary from the New England Newborn Screening Program.Clin Chem2001;47:1945-55.

[2]

Chace DH.Altered metabolism and newborn screening using tandem mass spectrometry: lessons learned from the bench to bedside.Curr Pharm Biotechnol2011;12:965-75

[3]

Watson MS,Howell RR.The progress and future of US newborn screening.Int J Neonatal Screen2022;8:41 PMCID:PMC9326622

[4]

van Karnebeek CD,Niermeijer J.Pyridoxine-dependent epilepsy: an expanding clinical spectrum.Pediatr Neurol2016;59:6-12.

[5]

McCombie WR,Mardis ER.Next-generation sequencing technologies.Cold Spring Harb Perspect Med2019;9:a036798 PMCID:PMC6824406

[6]

Dimmock D,Waldman B.Project baby bear: rapid precision care incorporating rWGS in 5 California children's hospitals demonstrates improved clinical outcomes and reduced costs of care.Am J Hum Genet2021;108:1231-8. PMCID:PMC8322922

[7]

Krantz ID,Weatherly JM.Effect of whole-genome sequencing on the clinical management of acutely Ill infants with suspected genetic disease: a randomized clinical trial.JAMA Pediatr2021;175:1218-26. PMCID:PMC8477301

[8]

Petrikin JE,Clark MM.The NSIGHT1-randomized controlled trial: rapid whole-genome sequencing for accelerated etiologic diagnosis in critically Ill infants.NPJ Genom Med2018;3:6

[9]

Farnaes L,Sweeney NM.Rapid whole-genome sequencing decreases infant morbidity and cost of hospitalization.NPJ Genom Med2018;3:10 PMCID:PMC5884823

[10]

Mestek-Boukhibar L,Jones WD.Rapid paediatric sequencing (RaPS): comprehensive real-life workflow for rapid diagnosis of critically ill children.J Med Genet2018;55:721-8 PMCID:PMC6252361

[11]

van Diemen CC,Bergman KA.Rapid targeted genomics in critically Ill newborns.Pediatrics2017;140:e20162854.

[12]

Willig LK,Smith LD.Whole-genome sequencing for identification of Mendelian disorders in critically ill infants: a retrospective analysis of diagnostic and clinical findings.Lancet Respir Med2015;3:377-87 PMCID:PMC4479194

[13]

Ceyhan-Birsoy O,Machini K.BabySeq Project TeamInterpretation of genomic sequencing results in healthy and Ill newborns: results from the BabySeq project.Am J Hum Genet2019;104:76-93

[14]

Dimmock DP,Gaughran M.RCIGM InvestigatorsAn RCT of rapid genomic sequencing among seriously Ill infants results in high clinical utility, changes in management, and low perceived harm.Am J Hum Genet2020;107:942-52 PMCID:PMC7675004

[15]

Bick D,Dimmock DP,Caulfield MJ.An online compendium of treatable genetic disorders.Am J Med Genet C Semin Med Genet2021;187:48-54 PMCID:PMC7986124

[16]

Owen MJ,Hansen C.An automated 13.5 hour system for scalable diagnosis and acute management guidance for genetic diseases.Nat Commun2022;13:4057. PMCID:PMC9325884

[17]

GUARDIAN Study. Available from: https://guardian-study.org [Last accessed on 27 Sep 2023].

[18]

BeginNGS. Available from: https://radygenomics.org/begin-ngs-newborn-sequencing/ [Last accessed on Last accessed on 27 Sep 2023].

[19]

Early Check. Available from: https://earlycheck.org/news-and-outreach/newsroom/ [Last accessed on 27 Sep 2023].

[20]

Screen4Care (European Union). Available from: https://screen4care.eu/ [Last accessed on 27 Sep 2023].

[21]

Pichini A,Patch C.Developing a national newborn genomes program: an approach driven by ethics, engagement and co-design.Front Genet2022;13:866168. PMCID:PMC9195613

[22]

The UK Newborn Genomes Programme. Available from: https://www.genomicsengland.co.uk/initiatives/newborns [Last accessed on 27 Sep 2023].

[23]

Baby Detect. Available from: https://babydetect.com [Last accessed on 27 Sep 2023].

[24]

Stark Z.Genomic newborn screening for rare diseases.Nat Rev Genet2023;24:755-66

[25]

Wilson JMG. World Health Organization Principles and practice of screening for disease. Geneva: World Health Organization; 1968. Available from: https://policycommons.net/artifacts/537214/principles-and-practice-of-screening-for-disease-j/1513770/ [Last accessed on 27 Sep 2023].

[26]

Key principles for newborn screening (2021). Available from: https://www.eurordis.org/publications/key-principles-for-newborn-screening/ [Last accessed on 27 Sep 2023].

[27]

Balciuniene J,Bean L.At-risk genomic findings for pediatric-onset disorders from genome sequencing vs medically actionable gene panel in proactive screening of newborns and children.JAMA Netw Open2023;6:e2326445. PMCID:PMC10391308

[28]

Richards S,Bale S.ACMG Laboratory Quality Assurance CommitteeStandards and guidelines for the interpretation of sequence variants: a joint consensus recommendation of the American College of Medical Genetics and Genomics and the Association for Molecular Pathology.Genet Med2015;17:405-24 PMCID:PMC4544753

[29]

Oliver GR,Klee EW.Bioinformatics for clinical next generation sequencing.Clin Chem2015;61:124-35

[30]

Owen MJ,Dimmock DP.Rapid sequencing-based diagnosis of thiamine metabolism dysfunction syndrome.N Engl J Med2021;384:2159-61. PMCID:PMC9844116

[31]

Austin-Tse CA,Perry DL.Medical Genome Initiative*Best practices for the interpretation and reporting of clinical whole genome sequencing.NPJ Genom Med2022;7:27 PMCID:PMC8993917

[32]

Souche E,Brosens E.Recommendations for whole genome sequencing in diagnostics for rare diseases.Eur J Hum Genet2022;30:1017-21. PMCID:PMC9437083

[33]

Nurchis MC,Radio FC.Incremental net benefit of whole genome sequencing for newborns and children with suspected genetic disorders: systematic review and meta-analysis of cost-effectiveness evidence.Health Policy2022;126:337-45.

[34]

NIH National Human Genome Research Institute. DNA Sequencing Costs: data. Available from: https://www.genome.gov/about-genomics/fact-sheets/DNA-Sequencing-Costs-Data [Last accessed on 27 Sep 2023]

[35]

Incerti D,Chou JW,Belmont JW.Cost-effectiveness of genome sequencing for diagnosing patients with undiagnosed rare genetic diseases.Genet Med2022;24:109-18

[36]

Implications of whole genome sequencing for newborn screening-a public dialogue. Available from: https://files.genomicsengland.co.uk/documents/public-dialogue-wgs-for-nbs-final-report.pdf [Last accessed on 27 Sep 2023].

AI Summary AI Mindmap
PDF

103

Accesses

0

Citation

Detail

Sections
Recommended

AI思维导图

/