Newborn screening and the screening laboratory: past, present and future

Thyroid hormone (TH) is essential for brain development in utero and during the first 2 to 3 years of life. The negative effects of TH deficiency on brain development are irreversible. Early detection of TH deficiency in neonates (congenital hypothyroidism (CH) through newborn screening (NBS)) allow...

Full description

Saved in:
Bibliographic Details
Main Authors: Anita Boelen, Annemieke C Heijboer
Format: Article
Language:English
Published: Bioscientifica 2025-02-01
Series:European Thyroid Journal
Subjects:
Online Access:https://etj.bioscientifica.com/view/journals/etj/14/1/ETJ-24-0325.xml
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1823858244298211328
author Anita Boelen
Annemieke C Heijboer
author_facet Anita Boelen
Annemieke C Heijboer
author_sort Anita Boelen
collection DOAJ
description Thyroid hormone (TH) is essential for brain development in utero and during the first 2 to 3 years of life. The negative effects of TH deficiency on brain development are irreversible. Early detection of TH deficiency in neonates (congenital hypothyroidism (CH) through newborn screening (NBS)) allows for early treatment, thereby preventing brain damage. Screening for CH began in 1973 with the measurement of total thyroxine (T4) in dried blood spots. The enhanced sensitivity of thyroid-stimulating hormone (TSH) measurement has prompted a shift in the approach to NBS for CH. Currently, worldwide, the majority of NBS programs for CH employ TSH as the primary screening marker. However, a select few programs still utilize T4 as the primary marker, enabling the detection of both primary and central CH. This review provides an overview of the laboratory aspects of the screening on CH from the start of screening to the present.
format Article
id doaj-art-11bce538b4d74dbfb6b8171750d9a161
institution Kabale University
issn 2235-0802
language English
publishDate 2025-02-01
publisher Bioscientifica
record_format Article
series European Thyroid Journal
spelling doaj-art-11bce538b4d74dbfb6b8171750d9a1612025-02-11T12:32:30ZengBioscientificaEuropean Thyroid Journal2235-08022025-02-0114110.1530/ETJ-24-03251Newborn screening and the screening laboratory: past, present and futureAnita Boelen0Annemieke C Heijboer1Endocrine Laboratory, Department of Laboratory Medicine, Amsterdam UMC, location University of Amsterdam, Amsterdam, The NetherlandsEndocrine Laboratory, Department of Laboratory Medicine, Amsterdam UMC, location University of Amsterdam, Amsterdam, The NetherlandsThyroid hormone (TH) is essential for brain development in utero and during the first 2 to 3 years of life. The negative effects of TH deficiency on brain development are irreversible. Early detection of TH deficiency in neonates (congenital hypothyroidism (CH) through newborn screening (NBS)) allows for early treatment, thereby preventing brain damage. Screening for CH began in 1973 with the measurement of total thyroxine (T4) in dried blood spots. The enhanced sensitivity of thyroid-stimulating hormone (TSH) measurement has prompted a shift in the approach to NBS for CH. Currently, worldwide, the majority of NBS programs for CH employ TSH as the primary screening marker. However, a select few programs still utilize T4 as the primary marker, enabling the detection of both primary and central CH. This review provides an overview of the laboratory aspects of the screening on CH from the start of screening to the present.https://etj.bioscientifica.com/view/journals/etj/14/1/ETJ-24-0325.xmlneonatal screeningcongenital hypothyroidismtsht4
spellingShingle Anita Boelen
Annemieke C Heijboer
Newborn screening and the screening laboratory: past, present and future
European Thyroid Journal
neonatal screening
congenital hypothyroidism
tsh
t4
title Newborn screening and the screening laboratory: past, present and future
title_full Newborn screening and the screening laboratory: past, present and future
title_fullStr Newborn screening and the screening laboratory: past, present and future
title_full_unstemmed Newborn screening and the screening laboratory: past, present and future
title_short Newborn screening and the screening laboratory: past, present and future
title_sort newborn screening and the screening laboratory past present and future
topic neonatal screening
congenital hypothyroidism
tsh
t4
url https://etj.bioscientifica.com/view/journals/etj/14/1/ETJ-24-0325.xml
work_keys_str_mv AT anitaboelen newbornscreeningandthescreeninglaboratorypastpresentandfuture
AT annemiekecheijboer newbornscreeningandthescreeninglaboratorypastpresentandfuture