Genotype Structure Alterations in 5q SMA Patients as a Result of the Newborn Screening Program Implementation in the Russian Federation

Since 2023, the Russian Federation (RF) has implemented an expanded newborn screening (NBS) program for 36 hereditary disorders, which now includes 5q spinal muscular atrophy (5q SMA). As a result of newborn screening for 5q SMA conducted in the RF during 2023-2024, 288 newborns with a homozygous deletion of exon 7 in the <i>SMN1</i> gene were identified by molecular genetic methods. The overall observed incidence of 5q SMA was 1 in 8439 newborns, which does not significantly differ from the expected incidence of 1 in 7953 newborns, established by previous pilot screening projects (<i>p</i> > 0.05). A comparison of the genotypes of patients identified through selective and newborn screening showed statistically significant differences in the proportions of patients carrying two, three, and four or more copies of the <i>SMN2</i> gene. These findings demonstrate that the NBS program is effective in detecting both individuals with more severe phenotypes, as expected, and those with milder forms of the disease.

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Journal
International Journal of Molecular Sciences
Published
2025-08-15
DOI
https://doi.org/10.3390/ijms26167891
Primary Topic
Neurogenetic and Muscular Disorders Research
Type
article
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article

Genotype Structure Alterations in 5q SMA Patients as a Result of the Newborn Screening Program Implementation in the Russian Federation

G. N. Seitova, T. S. Beskorovainaya, S. A. Matulevich, Andrey V. Marakhonov et al.
International Journal of Molecular Sciences
Neurogenetic and Muscular Disorders Research
article

Genotype Structure Alterations in 5q SMA Patients as a Result of the Newborn Screening Program Implementation in the Russian Federation

G. N. Seitova, T. S. Beskorovainaya, S. A. Matulevich, Andrey V. Marakhonov, А. Л. Коротеев, В. В. Руденко, Fanil Bilalov, Ilya S. Zhanin, S.V. Voronin, Kristina Mikhalchuk, D. Yu. Trofimov, Olga Shchagina, Kirill V. Savostyanov, А. Л. Чухрова, Polina Chausova, Svetlana Braslavskaya, Maria Akhkiamova, Е.И. Николаева, A. V. Polyakov, В. В. Забненкова, Nina Ryadninskaya, Sergey I. Kutsev, С. В. Морданов, Т. А. Баирова, Tatiana N. Kekeeva
article en

Abstract

Since 2023, the Russian Federation (RF) has implemented an expanded newborn screening (NBS) program for 36 hereditary disorders, which now includes 5q spinal muscular atrophy (5q SMA). As a result of newborn screening for 5q SMA conducted in the RF during 2023-2024, 288 newborns with a homozygous deletion of exon 7 in the <i>SMN1</i> gene were identified by molecular genetic methods. The overall observed incidence of 5q SMA was 1 in 8439 newborns, which does not significantly differ from the expected incidence of 1 in 7953 newborns, established by previous pilot screening projects (<i>p</i> > 0.05). A comparison of the genotypes of patients identified through selective and newborn screening showed statistically significant differences in the proportions of patients carrying two, three, and four or more copies of the <i>SMN2</i> gene. These findings demonstrate that the NBS program is effective in detecting both individuals with more severe phenotypes, as expected, and those with milder forms of the disease.

International Journal of Molecular SciencesVol. 26(16)
Rostov State Medical University (RU), Center for Children (US), Saint-Petersburg Medico-Social Institute (RU), Tomsk National Research Medical Center (RU), Scientific Center of Family Health Problems and Human Reproduction (RU), Research Centre for Medical Genetics (RU), National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I.Kulakov of the Ministry of Healthcare of the Russian Federation (RU), City Clinical Hospital No. 2 (RU), Institute of Child and Mother Health (BD)
Openalex Percentile: Top 71%
Neurogenetic and Muscular Disorders Research
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