Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/55316
Type: Artigo de Periódico
Title: Frequency of biotinidase gene variants and incidence of biotinidase deficiency in the newborn screening program in minas gerais, brazil
Authors: Nara de Oliveira Carvalho
José Nélio Januário
Gilsimary Lessa Pereira Felix
Daniela Magalhães Nolasco
Roberto Vagner Puglia Ladeira
Dora Mendes Del Castillo
Ana Lúcia Pimenta Starling
Rocksane de Carvalho Norton
Marcos Borato Viana
Abstract: Objective: The prevalence of biotinidase deficiency and the frequency of biotinidase gene variants in Brazil are not docu mented. We aimed to determine the incidence of partial and profound biotinidase deficiency in the state of Minas Gerais, Brazil,and to calculate the frequency of biotinidase gene variants in the newborn screening program of Minas Gerais.Methods: Neonates (1,168,385) were screened from May 2013 to June 2018. Those detected with abnormal biotinidaseactivity based on semi-quantitative assays underwent confirmatory serum tests. The biotinidase gene was sequenced in allconfirmed cases.Results: The combined incidence of partial and profound biotinidase deficiency was estimated at 1:13,909 live births (95%confidence limit 1:11,235–1:17,217), much higher than the incidence rates reported in other populations worldwide. The mostfrequent biotinidase gene variants were p.D444H (allele frequency, 0.016), haplotype c.1330G>C;c.511G>A (p.D444H;A171T), p.D543E, c.310-15delT (intronic), p.V199M, and p.H485Q. Together these accounted for 74.6% of the alleles analysed.Conclusion: Newborn screening for biotinidase deficiency, which revealed a higher incidence in Minas Gerais, is feasible and plays a critical role in the early identification of affected neonates and prevention of symptoms and irreversible sequelae. Biotinidase gene sequencing is a useful tool to confirm the diagnosis, and also provides valuable information about genetic variability among different populations
Subject: Biotinidase
Deficiência de Biotinidase
Mutação
Recém nascido
language: eng
metadata.dc.publisher.country: Brasil
Publisher: Universidade Federal de Minas Gerais
Publisher Initials: UFMG
metadata.dc.publisher.department: MEDICINA - FACULDADE DE MEDICINA
Rights: Acesso Aberto
metadata.dc.identifier.doi: 10.1177/0969141319892298
URI: http://hdl.handle.net/1843/55316
Issue Date: 13-Nov-2019
metadata.dc.url.externa: https://journals.sagepub.com/doi/full/10.1177/0969141319892298
metadata.dc.relation.ispartof: Journal of Medical Screening
Appears in Collections:Artigo de Periódico

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