2023
DOI: 10.1002/jimd.12669
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Maleic acid is a biomarker for maleylacetoacetate isomerase deficiency; implications for newborn screening of tyrosinemia type 1

K. van Vliet,
A. M. Dijkstra,
M. J. Bouva
et al.

Abstract: PurposeDried blood spot succinylacetone (SA) is often used as biomarker for newborn screening (NBS) for Tyrosinemia type 1 (TT1). However, false‐positive SA results are often observed. Elevated SA may also be due to maleylacetoacetate isomerase deficiency (MAAI‐D), which appears to be clinically insignificant. This study investigated whether urine organic acid (uOA) and quantitative urine maleic acid (Q‐uMA) analyses can distinguish between TT1 and MAAI‐D.MethodsWe reevaluated/measured uOA (GC‐MS) and/or Q‐uMA… Show more

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Cited by 6 publications
(1 citation statement)
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“…Recent articles have also appeared concerning other RUSP conditions. A multi-national study (including both USA and Canadian collaborators) of false-positive screening results for succinylacetone when screening for TYR-I found that maleylacetoacetate isomerase deficiency (clinically insignificant) was a recognizable cause, and that a second-tier screening test with (urine) maleic acid (a biomarker for) might be useful to improve screening efficacy [ 116 ]. A survey of the USA practices regarding screening for alpha-thalassemia was reported in 2020 [ 117 ] and a similar survey with beta-thalassemia was reported in 2021 [ 118 ].…”
Section: Resultsmentioning
confidence: 99%
“…Recent articles have also appeared concerning other RUSP conditions. A multi-national study (including both USA and Canadian collaborators) of false-positive screening results for succinylacetone when screening for TYR-I found that maleylacetoacetate isomerase deficiency (clinically insignificant) was a recognizable cause, and that a second-tier screening test with (urine) maleic acid (a biomarker for) might be useful to improve screening efficacy [ 116 ]. A survey of the USA practices regarding screening for alpha-thalassemia was reported in 2020 [ 117 ] and a similar survey with beta-thalassemia was reported in 2021 [ 118 ].…”
Section: Resultsmentioning
confidence: 99%