Incidence and molecular characterization of Glucose-6-Phosphate Dehydrogenase deficiency among neonates for newborn screening in Chaozhou, China

Summary Introduction Glucose‐6‐phosphate dehydrogenase (G6PD) deficiency is highly prevalent in southern China. The aim of this study is to assess the extent of this disease in Chinese neonates and determine its molecular characteristics using a novel molecular screening method. Methods A total of 2...

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Veröffentlicht in:International journal of laboratory hematology 2015-06, Vol.37 (3), p.410-419
Hauptverfasser: Yang, H., Wang, Q., Zheng, L., Zhan, X.-F., Lin, M., Lin, F., Tong, X., Luo, Z.-Y., Huang, Y., Yang, L.-Y.
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container_end_page 419
container_issue 3
container_start_page 410
container_title International journal of laboratory hematology
container_volume 37
creator Yang, H.
Wang, Q.
Zheng, L.
Zhan, X.-F.
Lin, M.
Lin, F.
Tong, X.
Luo, Z.-Y.
Huang, Y.
Yang, L.-Y.
description Summary Introduction Glucose‐6‐phosphate dehydrogenase (G6PD) deficiency is highly prevalent in southern China. The aim of this study is to assess the extent of this disease in Chinese neonates and determine its molecular characteristics using a novel molecular screening method. Methods A total of 2500 neonates were routinely screened for G6PD deficiency using a modified fluorescent spot test (FST). PCR‐high‐resolution melting (HRM) analysis was then used for the molecular assay. Results The overall incidence of G6PD deficiency was 2.68% in our study cohort. Frequency in male population was 3.22% (44 neonates of 1365 male neonates), and in female population was 2.03% (23 neonates of 1135 female neonates). Of the 67 newborns suspected to be G6PD deficient based on FST (44 males, 23 females), 58 of 67 (87%) were detected with gene alterations. Seven kinds of mutations [c.95A>G, c.392G>T, c.493A>G, c.871G>A, c.1360C>T, c.1376G>T, and c.1388G>A] were identified by HRM analysis. Conclusion Routine newborn screening in Chaozhou, China with a relatively high prevalence of G6PD deficiency is justified and meets the World Health Organization recommendation. The usage of molecular diagnosis can favor the detection of heterozygotes which can be a supplement to regular newborn screening and useful for premarital and prenatal diagnosis for G6PD deficiency.
doi_str_mv 10.1111/ijlh.12303
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The aim of this study is to assess the extent of this disease in Chinese neonates and determine its molecular characteristics using a novel molecular screening method. Methods A total of 2500 neonates were routinely screened for G6PD deficiency using a modified fluorescent spot test (FST). PCR‐high‐resolution melting (HRM) analysis was then used for the molecular assay. Results The overall incidence of G6PD deficiency was 2.68% in our study cohort. Frequency in male population was 3.22% (44 neonates of 1365 male neonates), and in female population was 2.03% (23 neonates of 1135 female neonates). Of the 67 newborns suspected to be G6PD deficient based on FST (44 males, 23 females), 58 of 67 (87%) were detected with gene alterations. Seven kinds of mutations [c.95A&gt;G, c.392G&gt;T, c.493A&gt;G, c.871G&gt;A, c.1360C&gt;T, c.1376G&gt;T, and c.1388G&gt;A] were identified by HRM analysis. Conclusion Routine newborn screening in Chaozhou, China with a relatively high prevalence of G6PD deficiency is justified and meets the World Health Organization recommendation. The usage of molecular diagnosis can favor the detection of heterozygotes which can be a supplement to regular newborn screening and useful for premarital and prenatal diagnosis for G6PD deficiency.</description><identifier>ISSN: 1751-5521</identifier><identifier>EISSN: 1751-553X</identifier><identifier>DOI: 10.1111/ijlh.12303</identifier><identifier>PMID: 25440321</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Alleles ; China - epidemiology ; DNA Mutational Analysis ; Exons ; Female ; G6PD deficiency ; gene mutation ; Genetic Testing ; Genotype ; Glucosephosphate Dehydrogenase - genetics ; Glucosephosphate Dehydrogenase Deficiency - diagnosis ; Glucosephosphate Dehydrogenase Deficiency - epidemiology ; Glucosephosphate Dehydrogenase Deficiency - genetics ; high resolution melting analysis ; Humans ; Incidence ; Infant ; Infant, Newborn ; Male ; Mutation ; Neonatal Screening ; newborn screening ; Polymerase Chain Reaction - methods</subject><ispartof>International journal of laboratory hematology, 2015-06, Vol.37 (3), p.410-419</ispartof><rights>2014 John Wiley &amp; Sons Ltd</rights><rights>2014 John Wiley &amp; Sons Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4373-f4f8abb2eb1a8bb6b2210eba9bd267f7a0a521fad2d8610c12d29689cd9adca63</citedby><cites>FETCH-LOGICAL-c4373-f4f8abb2eb1a8bb6b2210eba9bd267f7a0a521fad2d8610c12d29689cd9adca63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fijlh.12303$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fijlh.12303$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,778,782,1414,27907,27908,45557,45558</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25440321$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yang, H.</creatorcontrib><creatorcontrib>Wang, Q.</creatorcontrib><creatorcontrib>Zheng, L.</creatorcontrib><creatorcontrib>Zhan, X.-F.</creatorcontrib><creatorcontrib>Lin, M.</creatorcontrib><creatorcontrib>Lin, F.</creatorcontrib><creatorcontrib>Tong, X.</creatorcontrib><creatorcontrib>Luo, Z.-Y.</creatorcontrib><creatorcontrib>Huang, Y.</creatorcontrib><creatorcontrib>Yang, L.-Y.</creatorcontrib><title>Incidence and molecular characterization of Glucose-6-Phosphate Dehydrogenase deficiency among neonates for newborn screening in Chaozhou, China</title><title>International journal of laboratory hematology</title><addtitle>Int. Jnl. Lab. Hem</addtitle><description>Summary Introduction Glucose‐6‐phosphate dehydrogenase (G6PD) deficiency is highly prevalent in southern China. The aim of this study is to assess the extent of this disease in Chinese neonates and determine its molecular characteristics using a novel molecular screening method. Methods A total of 2500 neonates were routinely screened for G6PD deficiency using a modified fluorescent spot test (FST). PCR‐high‐resolution melting (HRM) analysis was then used for the molecular assay. Results The overall incidence of G6PD deficiency was 2.68% in our study cohort. Frequency in male population was 3.22% (44 neonates of 1365 male neonates), and in female population was 2.03% (23 neonates of 1135 female neonates). Of the 67 newborns suspected to be G6PD deficient based on FST (44 males, 23 females), 58 of 67 (87%) were detected with gene alterations. Seven kinds of mutations [c.95A&gt;G, c.392G&gt;T, c.493A&gt;G, c.871G&gt;A, c.1360C&gt;T, c.1376G&gt;T, and c.1388G&gt;A] were identified by HRM analysis. Conclusion Routine newborn screening in Chaozhou, China with a relatively high prevalence of G6PD deficiency is justified and meets the World Health Organization recommendation. The usage of molecular diagnosis can favor the detection of heterozygotes which can be a supplement to regular newborn screening and useful for premarital and prenatal diagnosis for G6PD deficiency.</description><subject>Alleles</subject><subject>China - epidemiology</subject><subject>DNA Mutational Analysis</subject><subject>Exons</subject><subject>Female</subject><subject>G6PD deficiency</subject><subject>gene mutation</subject><subject>Genetic Testing</subject><subject>Genotype</subject><subject>Glucosephosphate Dehydrogenase - genetics</subject><subject>Glucosephosphate Dehydrogenase Deficiency - diagnosis</subject><subject>Glucosephosphate Dehydrogenase Deficiency - epidemiology</subject><subject>Glucosephosphate Dehydrogenase Deficiency - genetics</subject><subject>high resolution melting analysis</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Mutation</subject><subject>Neonatal Screening</subject><subject>newborn screening</subject><subject>Polymerase Chain Reaction - methods</subject><issn>1751-5521</issn><issn>1751-553X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kcFu1DAQhiMEoqVw4QGQjwiRYjuJkxzRQrcLK-BQBOJije1J45LYi52o3T5FHxkv2-4RXzyWv_k09p9lLxk9ZWm9s1dDf8p4QYtH2TGrK5ZXVfHz8aHm7Ch7FuMVpVVd0vZpdsSrsqQFZ8fZ3cppa9BpJOAMGf2Aeh4gEN1DAD1hsLcwWe-I78hymLWPmIv8W-_jpocJyQfstyb4S3QQkRjsrLZJtyUwendJHHqXsEg6H9LhWvngSNQB0dl0bR1Z9OBvez-_TZV18Dx70sEQ8cX9fpJ9P_t4sTjP11-Xq8X7da7Loi7yruwaUIqjYtAoJRTnjKKCVhku6q4GCundHRhuGsGoZtzwVjStNi0YDaI4yV7vvZvg_8wYJznaqHEYII08R8lELQQtudihb_aoDj7GgJ3cBDtC2EpG5S4BuUtA_ksgwa_uvbMa0RzQhy9PANsD13bA7X9UcvVpff4gzfc9Nk54c-iB8FuKuqgr-ePLUrasuSh-fV7Ls-Iv94Cjlw</recordid><startdate>201506</startdate><enddate>201506</enddate><creator>Yang, H.</creator><creator>Wang, Q.</creator><creator>Zheng, L.</creator><creator>Zhan, X.-F.</creator><creator>Lin, M.</creator><creator>Lin, F.</creator><creator>Tong, X.</creator><creator>Luo, Z.-Y.</creator><creator>Huang, Y.</creator><creator>Yang, L.-Y.</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201506</creationdate><title>Incidence and molecular characterization of Glucose-6-Phosphate Dehydrogenase deficiency among neonates for newborn screening in Chaozhou, China</title><author>Yang, H. ; Wang, Q. ; Zheng, L. ; Zhan, X.-F. ; Lin, M. ; Lin, F. ; Tong, X. ; Luo, Z.-Y. ; Huang, Y. ; Yang, L.-Y.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4373-f4f8abb2eb1a8bb6b2210eba9bd267f7a0a521fad2d8610c12d29689cd9adca63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Alleles</topic><topic>China - epidemiology</topic><topic>DNA Mutational Analysis</topic><topic>Exons</topic><topic>Female</topic><topic>G6PD deficiency</topic><topic>gene mutation</topic><topic>Genetic Testing</topic><topic>Genotype</topic><topic>Glucosephosphate Dehydrogenase - genetics</topic><topic>Glucosephosphate Dehydrogenase Deficiency - diagnosis</topic><topic>Glucosephosphate Dehydrogenase Deficiency - epidemiology</topic><topic>Glucosephosphate Dehydrogenase Deficiency - genetics</topic><topic>high resolution melting analysis</topic><topic>Humans</topic><topic>Incidence</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Male</topic><topic>Mutation</topic><topic>Neonatal Screening</topic><topic>newborn screening</topic><topic>Polymerase Chain Reaction - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yang, H.</creatorcontrib><creatorcontrib>Wang, Q.</creatorcontrib><creatorcontrib>Zheng, L.</creatorcontrib><creatorcontrib>Zhan, X.-F.</creatorcontrib><creatorcontrib>Lin, M.</creatorcontrib><creatorcontrib>Lin, F.</creatorcontrib><creatorcontrib>Tong, X.</creatorcontrib><creatorcontrib>Luo, Z.-Y.</creatorcontrib><creatorcontrib>Huang, Y.</creatorcontrib><creatorcontrib>Yang, L.-Y.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of laboratory hematology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yang, H.</au><au>Wang, Q.</au><au>Zheng, L.</au><au>Zhan, X.-F.</au><au>Lin, M.</au><au>Lin, F.</au><au>Tong, X.</au><au>Luo, Z.-Y.</au><au>Huang, Y.</au><au>Yang, L.-Y.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Incidence and molecular characterization of Glucose-6-Phosphate Dehydrogenase deficiency among neonates for newborn screening in Chaozhou, China</atitle><jtitle>International journal of laboratory hematology</jtitle><addtitle>Int. Jnl. Lab. Hem</addtitle><date>2015-06</date><risdate>2015</risdate><volume>37</volume><issue>3</issue><spage>410</spage><epage>419</epage><pages>410-419</pages><issn>1751-5521</issn><eissn>1751-553X</eissn><abstract>Summary Introduction Glucose‐6‐phosphate dehydrogenase (G6PD) deficiency is highly prevalent in southern China. The aim of this study is to assess the extent of this disease in Chinese neonates and determine its molecular characteristics using a novel molecular screening method. Methods A total of 2500 neonates were routinely screened for G6PD deficiency using a modified fluorescent spot test (FST). PCR‐high‐resolution melting (HRM) analysis was then used for the molecular assay. Results The overall incidence of G6PD deficiency was 2.68% in our study cohort. Frequency in male population was 3.22% (44 neonates of 1365 male neonates), and in female population was 2.03% (23 neonates of 1135 female neonates). Of the 67 newborns suspected to be G6PD deficient based on FST (44 males, 23 females), 58 of 67 (87%) were detected with gene alterations. Seven kinds of mutations [c.95A&gt;G, c.392G&gt;T, c.493A&gt;G, c.871G&gt;A, c.1360C&gt;T, c.1376G&gt;T, and c.1388G&gt;A] were identified by HRM analysis. Conclusion Routine newborn screening in Chaozhou, China with a relatively high prevalence of G6PD deficiency is justified and meets the World Health Organization recommendation. The usage of molecular diagnosis can favor the detection of heterozygotes which can be a supplement to regular newborn screening and useful for premarital and prenatal diagnosis for G6PD deficiency.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>25440321</pmid><doi>10.1111/ijlh.12303</doi><tpages>10</tpages></addata></record>
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subjects Alleles
China - epidemiology
DNA Mutational Analysis
Exons
Female
G6PD deficiency
gene mutation
Genetic Testing
Genotype
Glucosephosphate Dehydrogenase - genetics
Glucosephosphate Dehydrogenase Deficiency - diagnosis
Glucosephosphate Dehydrogenase Deficiency - epidemiology
Glucosephosphate Dehydrogenase Deficiency - genetics
high resolution melting analysis
Humans
Incidence
Infant
Infant, Newborn
Male
Mutation
Neonatal Screening
newborn screening
Polymerase Chain Reaction - methods
title Incidence and molecular characterization of Glucose-6-Phosphate Dehydrogenase deficiency among neonates for newborn screening in Chaozhou, China
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