Skip to main content

Table 2 Genes on commercial laboratory NBS panels considered adult-onset by ASQM

From: Actionability of commercial laboratory sequencing panels for newborn screening and the importance of transparency for parental decision-making

Gene

OMIM phenotype

Inheritance

Outcome considered

Age of onset

Intervention considered

Age of intervention implementation

Severity

Likelihood

Efficacy

Acceptability

Knowledge

Total

ASQM

Category

NF2

Neurofibromatosis type 2

AD

Acoustic neuroma and meningiomas

Adulthood

Referral to specialists for surveillance and early management

Adolescent

1

3

1

3

3

11

3

SERPINA1

Emphysema-cirrhosis, due to AAT deficiency

AR

Syndromic manifestations

Adulthood

Referral to specialists for surveillance and early management

Adulthood

2

3

1

3

3

12

3

HGD

Alkaptonuria

AR

Arthritis

Adulthood

Referral to specialists for surveillance and supportive care

Adulthood

1

3

0

0

3

7

4

NAGA

Kanzaki disease (Schindler’s Disease type II)

AR

Syndromic manifestations

Adolescent/Adult

Referral to specialists for surveillance and supportive care

N/A

1

3

0

0

1

5

4

PRNP

Creutzfeldt-Jakob disease / Huntington disease-like 1 / Prion disease with protracted course/Cerebral amyloid angiopathy, PRNPrelated/Gerstmann-Straussler disease / Insomnia, fatal familial / {Kuru, susceptibility to}

AD

Progressive neurodegeneration

Adulthood

Referral to specialists for surveillance and supportive management

N/A

2

3

0

0

2

7

4

  1. Five genes listed on commercial laboratory NBS panels were defined as being associated with an adult-onset condition and categorized into ASQM Category 3 or ASQM Category 4 based on actionability scoring. NF2 was listed on Fulgent’s panel and SERPINA1, HGD, NAGA, PRNP were all found on PerkinElmer’s panel. Phenotypic association, inheritance, outcome considered for scoring, age of onset, intervention considered for scoring, individual scores for the five ASQM criteria (severity of disease, likelihood of presentation, efficacy and acceptability of intervention, and knowledge base), ASQM total score, and category indicate what was reviewed and decided upon by the scoring committee