NBS (Newborn Screening)

Overview


The global NGS-based newborn genetic screening market is projected to grow at a robust CAGR of 17.5% from 2022 to 2027, driven by rising parental awareness of chromosomal abnormalities and the increasing prevalence of neonatal disorders. Each year, nearly 7.9 million babies are born with birth defects many undetected at birth and often without any family history. Genetic conditions affect 3-4% of infants, with symptoms frequently appearing later in life when treatment becomes more complex. Early genetic screening empowers timely intervention, reducing the risk of severe and irreversible health complications and ensuring healthier outcomes from the very start.

Newborn screening began in the 1960s with phenylketonuria (PKU) testing a milestone that shaped early preventive care. The 1990s marked a breakthrough with tandem mass spectrometry (MS/MS), enabling simultaneous detection of multiple inherited metabolic disorders (IMDs) and revolutionizing screening efficiency. However, MS/MS is limited to metabolic disorders and cannot detect critical genetic conditions like hereditary deafness or Hemophilia B. NGS-based newborn genetic screening overcomes these gaps by analyzing disease causing genes across a wide spectrum, from IMDs to hearing loss and blood clotting disorders delivering a truly comprehensive view of a newborn’s genetic health and enabling proactive, life saving interventions.

G2M Newborn Screening covers sequencing of all exonic regions for 335 genes associated with metabolic and genetic diseases with a target size of 2.3 Mb. The panel helps in early screening for genetic and metabolic diseases that appear during the initial stages of life, providing key information for disease management and early treatment. Early detection, intervention and management could prove essential for the infant’s overall health and quality of life.

Relevant Clinical Use Cases:


  • Abnormal Screening Results: Neonates or infants showing abnormal findings in routine biochemical tests, MS/MS screening, or failing standard hearing assessments.
  • Abnormal Screening Results: Newborns who appear healthy but have a documented family history of genetic conditions.
  • Abnormal Screening Results: Infants presenting symptoms such as prolonged jaundice, feeding difficulties, vomiting, diarrhea, or unexplained anemia.
  • Abnormal Screening Results: Detection of Microdeletions (as low as 3 MB)
  • Abnormal Screening Results: Parents seeking a complete genetic health profile of their newborn for proactive care and informed decision-making.

Key features and highlights


Globally Trusted Standards

Built on internationally recognized guidelines and best practices to deliver rapid, accurate, and high-quality results.

Flexible Sample Compatibility

Supports both dried blood spots and peripheral blood for seamless and convenient testing.

Comprehensive & Accurate Detection

In-depth sequencing of coding regions to identify SNVs, Indels, and CNVs in a single streamlined analysis, ensuring unmatched precision.

Broad Disease Coverage

Safely screens for over 300 conditions across 335 genes associated with metabolic and genetic disorders.

Lifetime Genomic Insight & Expert Support

Employs advanced NGS-WES technology for secure data archiving, enabling future reanalysis, complemented by end-to-end support, scientific consultation for clinicians and personalized genetic counseling for families.

Conditions Screened by G2M NBS Test

The conditions screened by the G2M NBS test are categorized into key clinical groups. Each category includes examples of specific disorders along with their typical management approaches.

Metabolic Disorders

Disease Group Disorder Signs & Symptoms Care Pathway
Metabolic Amino Acid Metabolic Disorders Poor feeding or vomiting, failure to thrive, developmental delay, locomotor retardation. Special diets, medications, and nutritional supplements.
Organic Acid Metabolic Disorders Vomiting, hypoglycemia, hyperammonemia, seizures, hypotonia, lethargy, coma. Low-protein diet, carnitine supplementation, and additional dietary support.
Fatty Acid β-Oxidation Disorders Hypoketotic hypoglycemia, liver dysfunction, cardiomyopathy in neonates. Avoid fasting, prompt illness management, carnitine if required.
Endocrine Disorders Low energy, feeding difficulties, seizures, jaundice, organ enlargement. Tailored diet, medications, enzyme therapy, intensive care when needed.
Carbohydrate Metabolic Disorders Extreme fatigue, vomiting, weak muscle tone, seizures. Diet modification, supplements, medications, complication management.
Metabolic Epilepsy Diseases Seizures, breathing difficulties, hypotonia, abnormal movements. Phenobarbital first-line therapy; alternatives include levetiracetam or phenytoin.
Other Inborn Errors of Metabolism Weight loss, seizures, developmental delay, unusual urine or sweat odor. Prevent toxic metabolite accumulation, long-term dietary and medical therapy.

Genetic Disorders

Disease Group Disorder Signs & Symptoms Care Pathway
Genetic Deafness Lack of response to sound, delayed speech and language development. Medical intervention, hearing aids, cochlear implants.
Hemophilia B Prolonged bleeding after procedures, excessive bruising. Factor replacement therapy; gene therapy under evaluation.
β-Thalassaemia Fatigue, pallor, jaundice, dark urine, enlarged abdomen. Blood transfusion, iron chelation, stem cell transplant, folic acid.
Noonan Syndrome Distinct facial features, heart defects, growth delay. Growth hormone therapy, speech/behavior therapy, medications, surgery.
Marfan Syndrome Aortic enlargement, heart valve defects, eye and skeletal issues. Cardiac medication, surgery, activity limitation, orthopedic support.

Panel Performance


Features Performance
Coverage uniformity (0.2X) > 99%
Reproducibility (%) 96.1
Sensitivity (%) 97
On Target Ratio (%) > 78

Panel Specifications


Parameter Description
Number of genes: 335
Target Size: 1.5 Mb
Covered Regions: Whole CDS / UTRs
Mutation Types: SNV / InDels / CNV
Sample Type: Blood
Platform Compatibility: Illumina, MGI, Thermo Fisher, Element Biosciences

NBS Workflow


Onepcr workflow

Ordering Information


Commercial Name Cat No. Pack Size Platform
GenomeKundli- New born screening NGS Test Kit G710019-1 24 T Illumina
G710019-2 96 T Illumina
G710019-3 96 T - EZY Illumina - EZY
GenomeKundli- New born screening NGS Test Kit G710019-4 24 T MGI
G710019-5 96 T MGI
G710019-6 96 T - EZY MGI - EZY
GenomeKundli- New born screening NGS Test Kit G710019-7 24 T Aviti
G710019-8 96 T Aviti
G710019-9 96 T - EZY Aviti - EZY
GenomeKundli- New born screening NGS Test Kitstrong G710019-10 24 T Thermo
G710019-11 96 T Thermo
G710019-12 96 T - EZY Thermo - EZY

Resources to get started


Download useful documents and technical information of NBS (Newborn Screening).

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