• 中国科学论文统计源期刊
  • 中国科技核心期刊
  • 美国化学文摘(CA)来源期刊
  • 日本科学技术振兴机构数据库(JST)

临床输血与检验 ›› 2019, Vol. 21 ›› Issue (5): 465-467.DOI: 10.3969/j.issn.1671-2587.2019.05.005

• 临床输血 • 上一篇    下一篇

广东地区中国型Gγ+Aγδβ)0地中海贫血的基因鉴定及分析

黄革, 黎卓辉, 郑有为, 吴际, 刘胜男   

  1. 510080 广东省医学科学院 广东省人民医院病理医学部检验科(黄革,郑有为,吴际,刘胜男);
    云浮市中医院检验科(黎卓辉)
  • 收稿日期:2018-09-25 出版日期:2019-10-20 发布日期:2019-10-29
  • 作者简介:黄革(1967-),女,广东人,主任技师,硕士,主要从事地中海贫血及临床分子生物学检验工作,(Tel)13922730393( E-mail)hwangge@163.com。

Gene Identification and Analysis of Chinese Gγ+Aγδβ)0 -Thalassemia in Guangdong Area

HUANG Ge, LI Zhuo-hui, ZHENG You-wei, et al   

  1. Department of Clinical Laboratory,Guangdong Academy of Medical Sciences,Guangdong Provincial People's Hospital,Guangzhou 510080
  • Received:2018-09-25 Online:2019-10-20 Published:2019-10-29

摘要: 目的 对22例中国型Gγ+Aγδβ)0地中海贫血进行基因检测,分析临床特征并探讨其检测意义。方法 分析血液学参数、血红蛋白电泳结果及常规α地贫基因和β地贫基因检测结果等,找到126例疑似中国型Gγ+Aγδβ)0地贫携带者,利用gap-PCR检测中国型Gγ+Aγδβ)0地贫基因。结果 126例疑似地贫携带者中检测出20例中国型Gγ+Aγδβ)0地贫携带者,其胎儿血红蛋白(HbF)为 7.31%~19.31%,血红蛋白(Hb)为94~141 g/L 、红细胞平均体积(MCV)为58 ~77.6 fL、红细胞平均血红蛋白(MCH)为18.2~25.7pg。另检测到2例患者为中国型Gγ+Aγδβ)0地贫合并其他常见β地贫,其在临床上表现为中重型地贫。结论 在Hb F(>2.5%)偏高的人群中,中国型Gγ+Aγδβ)0地贫检出比例不低,其中国型Gγ+Aγδβ)0地贫杂合子表现为无贫血或者轻度贫血症状,而中国型Gγ+Aγδβ)0地贫合并其他β地贫时则表现为中重型贫血,临床应注意进行产前诊断以降低此类患儿比率。

关键词: 中国型Gγ+Aγδβ)0地中海贫血, gap-PCR, 临床特征

Abstract: Objective To detect the genotype and analysis the clinical features of deletional Chinese Gγ+Aγδβ)0-thalassemia.Methods According to the data of hematology parameters,hemoglobin electrophoresis analysis and conventional α-thalassemia gene and β-thalassemia gene detection results,126 suspected ChineseGγ+Aγδβ)0-thalassemia carriers were found,and Gap PCR was used to detect the globin gene mutations. Result20 cases were identified to be heterozygote of deletional Chinese Gγ+Aγδβ)0-thalassemia. The value of HbF was 7.31%~19.31%, Hb was 94 g/L~141 g/L,MCV was 58 fL~77.6 fL,and MCH was 18.2 pg~25.7 pg . The other 2 cases were Chinese Gγ+Aγδβ)0-thalassemia accompanied by the common βthalassemia, hemoglobin analysis showed medium or severe anemia .Conclusion Among the high Hb F population,the proportion of Chinese Gγ+Aγδβ)0-thalassemia was not low,and the Chinese Gγ+Aγδβ)0-thalassemia heterozygotes showed normal or mild anemia,but when Chinese Gγ+Aγδβ)0-thalassemia combined with other common β-thalassemia,it showed medium or severe anaemia.

Key words: Chinese Gγ+Aγδβ)0-thalassemia, Gap-PCR, Clinical features

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