3-years experience review of neonatal screening for hemoglobin disorders using tandem mass spectrometry

Clin Chim Acta. 2011 Jul 15;412(15-16):1476-9. doi: 10.1016/j.cca.2011.04.031. Epub 2011 May 4.

Abstract

Background: Neonatal screening programs for sickle cell disease are common in North America and in some European countries. Isoelectric Focusing or High Performance Liquid Chromatography is the main technique used for hemoglobin variant detection.

Methods: Since tandem mass spectrometry is being used for screening of inherited metabolic disorders and allows protein identification, we had developed an application to identify the most relevant hemoglobin mutations with this technology.

Results: This approach had been previously validated and has been routinely applied in our laboratory for the last three years. We report here our experience with this new method in the field, applied to our East-Belgian population.

Conclusions: To conclude, mass spectrometry provides an efficient alternative approach for laboratories performing neonatal screening of hemoglobin disorders.

MeSH terms

  • Fetal Hemoglobin / chemistry*
  • Fetal Hemoglobin / genetics
  • Fetal Hemoglobin / metabolism
  • Genotype
  • Humans
  • Infant, Newborn
  • Metabolism, Inborn Errors / genetics
  • Metabolism, Inborn Errors / metabolism*
  • Mutation
  • Neonatal Screening*
  • Sensitivity and Specificity
  • Tandem Mass Spectrometry

Substances

  • Fetal Hemoglobin