Genotype-phenotype correlation in Iranian patients with Hb H disease.

Abstract:

:Thalassemia is the most common genetic disorder in Iran. Some α-globin genotypes leading to Hb H disease may cause severe anemia and dependence on regular blood transfusions. In this study, 40 patients were analyzed for the molecular basis and the genotype-phenotype correlation of Hb H disease in Iran. α-Globin molecular analysis was performed by polymerase chain reaction (PCR) followed by agarose gel electrophoresis, reverse hybridization test strips or DNA sequencing. The most frequently observed α-globin genotypes were -α(3.7)/- -(MED) in 10 patients (25%), - -(20.5)/α(-5nt)α in six patients (15%) and - -(20.5)/-α(3.7) in four patients (10%). A subset of the identified Hb H genotypes, including - -(MED)/α(CS)α, - -(MED)/α(PolyA2)α and α(CS)α/α(CS)α, was associated with a need for regular or irregular blood transfusions. Our findings provide a basis for predicting phenotype severity by identifying the Hb H genotype and making more selective decisions for prenatal diagnosis.

journal_name

Hemoglobin

journal_title

Hemoglobin

authors

Ebrahimkhani S,Azarkeivan A,Bayat N,Houry-Parvin M,Jalil-Nejad S,Zand S,Golkar Z,Hadavi V,Imanian H,Oberkanins C,Najmabadi H

doi

10.3109/03630269.2010.546314

subject

Has Abstract

pub_date

2011-01-01 00:00:00

pages

40-6

issue

1

eissn

0363-0269

issn

1532-432X

journal_volume

35

pub_type

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