DNA Today: A Genetics Podcast

#399 How PKU Changed Newborn Screening Forever


Listen Later

What condition helped spark the creation of newborn screening in the United States? It was Phenylketonuria, or PKU, a rare inherited metabolic disorder that forever changed how we identify and treat genetic conditions from the very start of life.

In this in-person episode of DNA Today, we kick off a three-part series on phenylketonuria, better known as PKU, by looking at how one condition became central to a major public health shift. Host Kira Dineen is joined in person by Sarah Chamberlin and Ryan Miller to explore the scientific, clinical, historical, and deeply personal sides of PKU.

We explore the history of newborn screening itself, including the work of Dr. Robert Guthrie and the development of the Guthrie card. Sarah brings a remarkable piece of history to the recording: the original stamp used to create early Guthrie cards.

Ryan, Sarah, and Kira unpack why PKU remains both a newborn screening success story and an ongoing challenge. From treatment access and medical nutrition coverage to state-by-state differences in newborn screening panels and the promise and complexity of newborn sequencing, this episode shows why PKU is still shaping conversations about genetics, public health, and rare disease care.

Thank you to PTC Therapeutics for sponsoring this three-part series on PKU.

Our guests are participating in this podcast to share their experience and opinions only. They are not providing any medical advice. Always check with your healthcare provider for treatment and screening advice.

Episode Discussion Topics
  • Why PKU helped launch newborn screening in the United States
  • What life was like for individuals with PKU before newborn screening
  • How PKU affects the body on a metabolic level
  • The role of phenylalanine hydroxylase deficiency
  • Why elevated phenylalanine levels can impact brain development
  • Dr. Robert Guthrie’s role in developing newborn screening
  • The history and significance of the Guthrie card
  • Sarah’s experience learning her daughter’s newborn screen was flagged for PKU
  • What confirmatory testing and early treatment looked like for Izzy
  • How newborn screening panels vary across states
  • What the Recommended Uniform Screening Panel, or RUSP, is
  • Gaps in access to medical formula and low-protein medical foods
  • Why insurance coverage remains a major challenge for families
  • The promise and concerns around newborn sequencing
  • How clinicians can better support newly diagnosed families
  • Why connecting families with community early can be life-changing
  • The need for more metabolic geneticists, genetic counselors, and dietitians
  • Guest Bios

    Sarah Chamberlin is a parent of a child with PKU and a founder and the Chief Program Officer of flok, a patient advocacy organization supporting individuals and families affected by inherited metabolic disorders.

    Ryan Miller is Senior Director, Field Medical Lead at PTC Therapeutics on the U.S. Medical Affairs Metabolism team, where he supports PKU. He is trained as a genetic counselor.

    Resources
    • PKU / Phenylketonuria
    • Phenylalanine hydroxylase deficiency ACT Sheet
    • The Newborn Screening Information Center (NBSIC)
    • Recommended Uniform Screening Panel, or RUSP
    • RUSP overview for families
    • ACMG Newborn Screening ACT Sheets and Algorithms
    • flok health
    • Baby’s First Test: Newborn Screening Information
    • National PKU Alliance
    • Referenced DNA Today Podcast Episode
      • #394 How Newborn Sequencing Could Transform Pediatric Rare Disease Care in Florida
      • Connect With Us

        Luckily you don’t have to wait long for a brand-new episode of DNA Today, we drop episodes every Friday! Until then, why not dive into our library of over 400 episodes? Binge them all on Apple Podcasts, Spotify, our website, or wherever you love to listen, just search “DNA Today.”

        Prefer watching? We’ve got you covered! The video component of this episode is available on our YouTube channel and website. Some of these episodes were filmed at our home studio, the iconic NBC Universal Stamford Studios. 

        DNA Today is hosted and produced by Kira Dineen, MS, LCGC, CG(ASCP)CM . Our Social Media Lead is Liv Davidson. Our Digital Marketing and Automation Lead is Eric Knaus. And the Graphic Designer of our logo is Ashlyn Enokian, MS, CGC. 

        See what else we are up to on Instagram, X (Twitter), BluSky, Threads, LinkedIn, Facebook, YouTube and our website, DNAToday.com. Questions/inquiries can be sent to [email protected]

        ...more
        View all episodesView all episodes
        Download on the App Store

        DNA Today: A Genetics PodcastBy Kira Dineen, Gene Pool Media

        • 4.7
        • 4.7
        • 4.7
        • 4.7
        • 4.7

        4.7

        153 ratings


        More shows like DNA Today: A Genetics Podcast

        View all
        Hidden Brain by Hidden Brain, Shankar Vedantam

        Hidden Brain

        43,598 Listeners

        This Week in Virology by Vincent Racaniello

        This Week in Virology

        2,055 Listeners

        Nature Podcast by Springer Nature Limited

        Nature Podcast

        766 Listeners

        Big Picture Science by Big Picture Science

        Big Picture Science

        941 Listeners

        This Week in Microbiology by Vincent Racaniello

        This Week in Microbiology

        520 Listeners

        Discovery by BBC World Service

        Discovery

        959 Listeners

        BBC Inside Science by BBC Radio 4

        BBC Inside Science

        416 Listeners

        Science Weekly by The Guardian

        Science Weekly

        413 Listeners

        Science Magazine Podcast by Science Magazine

        Science Magazine Podcast

        821 Listeners

        Science Friday by Science Friday and WNYC Studios

        Science Friday

        6,456 Listeners

        TED Health by TED

        TED Health

        1,418 Listeners

        Science In Action by BBC World Service

        Science In Action

        331 Listeners

        Unexpected Elements by BBC World Service

        Unexpected Elements

        363 Listeners

        The World, the Universe and Us by New Scientist

        The World, the Universe and Us

        116 Listeners

        NEJM AI Grand Rounds by NEJM Group

        NEJM AI Grand Rounds

        58 Listeners