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Table 2 Birth incidence and birth prevalence of MLD

From: The natural history and burden of illness of metachromatic leukodystrophy: a systematic literature review

Author(s), year

country

Time period

Birth incidence of MLD

Birth prevalence of MLD

Country/region reported

Number of diagnosed cases of MLD

Total population

Artigalas et al. 2010 [9]

Brazil

2003–2007

Minimum incidence of MLD: 0.67 per 100,000 live births

NR

Rio Grande do Sul, Brazil

5

745,971 live births

Gustavson and Hagberg. 1971 [10]

Sweden

1955–1965

Birth incidence for late-infantile MLD: ~ 1 per 40,000 births (2.5 per 100,000 births)a

NR

Umeh and Uppsala, Sweden

8 late-infantile; 1 juvenile

316,786 total births

Heim et al. 1997 [11]

Germany

1984–1990

Minimal incidence of all MLD subtypes of both sexes: 0.6 per 100,000 live births

NR

Germany

41

NR

Hult et al. 2014 [12]

Sweden

1980–2009

Incidence of MLD: 1.73 diagnoses per 100,000 births, corresponding to 1 per 58,000 births

NR

Sweden

36

2,080,791 births

Koto et al. 2021 [16],b

Japan

1975–2013

Birth incidence of MLD: 0.16 per 100,000c

NR

Japan

83 (estimated number of patients)

NR

NR

NR

1.09 per 100,000

Australia (Meikle et al. 1999) [14]

NR

NR

1.42 per 100,000

Netherlands (Poorthuis et al. 1999) [17]

NR

NR

1.85 per 100,000

Portugal

NR

NR

0.69 per 100,000

Czech Republic

NR

NR

1.43 per 100,000d

Turkey

NR

NR

2.0 per 100,000

USA (Bonkowsky et al. 2018) [123]

NR

NR

Lugowska et al. 2011 [13]

Poland

1975–2004

1960–2009

Estimated incidence: 0.38 per 100,000 live births based on diagnosed cases

Expected birth prevalence (based on carrier rates)e per 100,000 conceived fetuses

• Cohort 1: 4.0 (95% CI: 1.7–9.6), or 1 in 25,000

• Cohort 2: 4.1 (95% CI: 1.4–12.4), or 1 in 24,390

• Pooled estimate: 4.1 (95% CI: 1.8–9.4), or 1 in 24,390 with two pathogenic mutations

Poland

62 (1975–2004)

73 (1960–2009)

16,332,700 (number of births between 1975 and 2004)

26,895,000 (number of births between 1960 and 2009)

Meikle et al. 1999 [14]

Australia

January 1980 to December 1996

Incidence in 1000s:f 121 (1/121,000 = 0.83 per 100,000 births)a

Prevalence in 1000s:f 92 (1/92 000 = 1.09 per 100,000 births)a

Australia

46 (35 postnatal, 11 prenatal)

545 lysosomal storage disease diagnoses

Poorthuis et al. 1999 [17]

The Netherlands

• Late-infantile: 1965–1991g

• Juvenile: 1954–1991g

• Adult:

1927–1970g

• Unspecified: (1957–1992)g

NR

Birth prevalence per 100,000:

•  late-infantile: 0.52

• juvenile: 0.51

• adult: 0.24

• unspecified: 0.15

  all: 1.42

Netherlands

• Late-infantile: 28

• Juvenile: 41

• Adult: 23

• Unspecified: 11

• All: 103

Number of live births:

• Late-infantile: 5,346,384 (1965–1991)

• Juvenile: 7,982,018 (1954–1991)

• Adult: 9,517,068 (1927–1970)

• Unspecified: 7,489,865 (1957–1992)

Stellitano et al. 2016 [15]

UK

1997–2014

Estimated lifetime risk per million UK live births: 5.8g (0.58 per 100,000 live births)a

NR

UK

76

3758 notifications of children meeting criteria for progressive intellectual and neurological deterioration; diagnosed leukodystrophies n = 349

Zlotogora et al. 2016 [94]

Israel

2013–2014

NR

NR

Israel

9 carriersh,i

891 Yemenite Jews

  1. ARSA: arylsulfatase A gene; CI: confidence interval; MLD: metachromatic leukodystrophy; NR: not reported
  2. aConverted for ease of interpretation
  3. bData from the Netherlands and Portugal only included patients with an enzymatic diagnosis, while the report from Turkey included patients younger than 5 years of age. Therefore, the number of patients may be underestimated
  4. cThese data were reported in the original publication as birth prevalence, but because they do not include prenatal data, they have been reported here as birth incidence
  5. dThese data were reported in the original publication as birth incidence, but because they include prenatal data, they have been reported here as birth prevalence
  6. eBased on mutation carrier rates of the ARSA gene for cohort 1: c.459 + 1G > A, p.P426L, and p.I179S among individuals undergoing paternity testing; cohort 2: c.459 + 1G > A and p.I179S in a study population representative of the Polish population; and pooled cohort: c.459 + 1G > A and p.I179S
  7. fIncidence was calculated by dividing the number of postnatal diagnoses by the number of births during the study period
  8. gBorn during the indicated period
  9. hCorrected in 2017 corrigendum[15]
  10. iBy genetic screening of newborn children for the P377L mutation of the ARSA gene