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Successful newborn screening for SCID in the Navajo Nation.


ABSTRACT: Newborn screening (NBS) for severe combined immunodeficiency (SCID) identifies affected infants before the onset of life-threatening infections, permitting optimal treatment. Navajo Native Americans have a founder mutation in the DNA repair enzyme Artemis, resulting in frequent Artemis SCID (SCID-A). A pilot study at 2 Navajo hospitals assessed the feasibility of SCID NBS in this population. Dried blood spots from 1800 infants were assayed by PCR for T-cell receptor excision circles (TRECs), a biomarker for naïve T cells. Starting in February 2012, TREC testing transitioned to standard care throughout the Navajo Area Indian Health Service, and a total of 7900 infants were screened through July 2014. One infant had low TRECs and was diagnosed with non-SCID T lymphopenia, while 4 had undetectable TRECs due to SCID-A, all of whom were referred for hematopoietic cell transplantation. This report establishes the incidence of SCID-A and demonstrates effectiveness of TREC NBS in the Navajo.

SUBMITTER: Kwan A 

PROVIDER: S-EPMC4420660 | biostudies-literature | 2015 May

REPOSITORIES: biostudies-literature

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Successful newborn screening for SCID in the Navajo Nation.

Kwan Antonia A   Hu Diana D   Song Miran M   Gomes Heidi H   Brown Denise R DR   Bourque Trudy T   Gonzalez-Espinosa Diana D   Lin Zhili Z   Cowan Morton J MJ   Puck Jennifer M JM  

Clinical immunology (Orlando, Fla.) 20150308 1


Newborn screening (NBS) for severe combined immunodeficiency (SCID) identifies affected infants before the onset of life-threatening infections, permitting optimal treatment. Navajo Native Americans have a founder mutation in the DNA repair enzyme Artemis, resulting in frequent Artemis SCID (SCID-A). A pilot study at 2 Navajo hospitals assessed the feasibility of SCID NBS in this population. Dried blood spots from 1800 infants were assayed by PCR for T-cell receptor excision circles (TRECs), a b  ...[more]

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