Loop-mediated isothermal amplification (LAMP) colorimetric phenol red assay for rapid identification of α0-thalassemia: Application to population screening and prenatal diagnosis

Identification of α0-thalassemia (SEA and THAI deletions) is essential in preventing and controlling of severe thalassemia diseases. We have developed the LAMP colorimetric assays for the detection of these two thalassemia defects and validated them in population screening and prenatal diagnosis. Th...

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Veröffentlicht in:PloS one 2022, Vol.17 (4), p.e0267832-e0267832
Hauptverfasser: Jomoui, Wittaya, Srivorakun, Hataichanok, Chansai, Siriyakorn, Fucharoen, Supan
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Srivorakun, Hataichanok
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Fucharoen, Supan
description Identification of α0-thalassemia (SEA and THAI deletions) is essential in preventing and controlling of severe thalassemia diseases. We have developed the LAMP colorimetric assays for the detection of these two thalassemia defects and validated them in population screening and prenatal diagnosis. Three LAMP colorimetric assays specific for α0-thalassemia (SEA deletion), α0-thalassemia (THAI deletion) and normal DNA sequence were developed. These assays were validated on 341 subjects who had initial thalassemia screening positive and various thalassemia genotypes. Prenatal diagnosis of α0-thalassemia (SEA deletion) was done on 33 fetuses at risk of having Hb Bart's hydrops fetalis syndrome. The LAMP colorimetric assays for α0-thalassemia (SEA and THAI deletions) could be clearly interpreted by naked eyes. The assay for α0-thalassemia (SEA deletion) showed a 100% (62/62 x 100) sensitivity and 98.2% (274/279 x 100) specificity whereas, that of the α0-thalassemia (THAI deletion) showed 100% (1/1 x 100) sensitivity and 99.7% (339/340 x 100) specificity. We obtained a 100% concordant prenatal diagnosis results using LAMP assays of α0-thalassemia (SEA deletion) in 33 fetuses as compared to the conventional PCR analysis. The LAMP colorimetric assays developed are simple, rapid, and do not require sophisticated equipment. Inclusion of the LAMP tests in the existing screening protocol significantly reduce the screening cost and the molecular analysis workload, which should prove useful in the prevention and control program of hemoglobinopathies in the region.
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subjects alpha-Thalassemia - diagnosis
alpha-Thalassemia - genetics
Assaying
Biology and Life Sciences
Blood diseases
Colorimetry
Cost analysis
Deletion
Deoxyribonucleic acid
Diagnosis
DNA
Edema
Female
Fetuses
Gene amplification
Genetic counseling
Genotypes
Humans
Hydrops fetalis
Laboratories
Medical diagnosis
Medicine and Health Sciences
Molecular Diagnostic Techniques
Nucleic Acid Amplification Techniques
Nucleotide sequence
Phenols
Phenolsulfonphthalein
Pregnancy
Prenatal diagnosis
Prenatal Diagnosis - methods
R&D
Research & development
Research and Analysis Methods
Screening
Sensitivity
Thalassemia
title Loop-mediated isothermal amplification (LAMP) colorimetric phenol red assay for rapid identification of α0-thalassemia: Application to population screening and prenatal diagnosis
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