Molecular characterization of alpha globin and beta globin genes in patients with hemoglobinopathies in Central Vietnam

Quynh Le Phan Tuong, Thi Ha Thi Minh, Nga Tran Thi Nhu, Triet Le Phan Minh, Tri Ton That Minh, Sang Dong Si, Hoa Phan Thi Thuy, Linh Le Tuan
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Abstract

Background: Hemoglobinopathy is the most common monogenic disease worldwide. The aims of the current study were: (1) to investigate some hematological characteristics of patients with hemoglobinopathies; and (2) to detect the mutation of α-globin and β-globin genes, as well as the association between genotype and degree of anemia. Materials and method: 251 patients with hemoglobinopathies were examined for the α-globin or β-globin gene mutations. Results: 51% were the carriers, and 49% were thalassemia intermedia or thalassemia major. Hematological characteristics were suitable for α-thalassemia or β-thalassemia. Elevenβ-globin gene mutations were observed. The β0/βA, βE/βA, βE/βE, βE/β+, β+/β+ genotypes were only found in β-thalassemia intermedia individuals; the β0/β0 genotype was limited to β-thalassemia major patients; the β+/β0 and βE/β0 genotypes were seen in both types. Four α-globin gene mutations were observed. All α-thalassemia patients were intermedia, the most common genotype was --SEA/-α3.7. Conclusion: There were differences in anemia degree between β-globin genotypes Key words: hemoglobinopathies, α-globin, β-globin.
越南中部血红蛋白病患者α -珠蛋白和β -珠蛋白基因的分子特征
背景:血红蛋白病是世界上最常见的单基因疾病。本研究的目的是:(1)探讨血红蛋白病患者的一些血液学特征;(2)检测α-珠蛋白和β-珠蛋白基因的突变,以及基因型与贫血程度的关系。材料与方法:对251例血红蛋白病患者进行α-珠蛋白或β-珠蛋白基因突变检测。结果:51%为携带者,49%为中度或重度地中海贫血。血液学特征符合α-地中海贫血或β-地中海贫血。观察到11个β-珠蛋白基因突变。β0/β a、β e /β a、β e /β e、β e /β+、β+/β+基因型仅存在于β-地中海贫血中间个体中;β0/β0基因型仅限于β-地中海贫血重症患者;两种类型均存在β+/β0和β e /β0基因型。观察到4个α-珠蛋白基因突变。α-地中海贫血患者均为中间型,最常见的基因型为—SEA/-α3.7。结论:β-珠蛋白基因型患者贫血程度存在差异。关键词:血红蛋白病,α-珠蛋白,β-珠蛋白。
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