Simple method for screening of α-thalassaemia 1 carriers

α-Thalassaemia 1 genetic disorder occurs when there is a deletion of two linked α-globin genes. The interaction between these abnormal genes leads to the most severe type of thalassaemia disease, haemoglobin (Hb) Bart’s hydrops fetalis. The identification of α-thalassaemia 1 carriers and genetic cou...

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Veröffentlicht in:International journal of hematology 2009-06, Vol.89 (5), p.559-567
Hauptverfasser: Tayapiwatana, Chatchai, Kuntaruk, Surakit, Tatu, Thanusak, Chiampanichayakul, Sawitree, Munkongdee, Thongperm, Winichagoon, Pranee, Fuchareon, Suthat, Kasinrerk, Watchara
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container_end_page 567
container_issue 5
container_start_page 559
container_title International journal of hematology
container_volume 89
creator Tayapiwatana, Chatchai
Kuntaruk, Surakit
Tatu, Thanusak
Chiampanichayakul, Sawitree
Munkongdee, Thongperm
Winichagoon, Pranee
Fuchareon, Suthat
Kasinrerk, Watchara
description α-Thalassaemia 1 genetic disorder occurs when there is a deletion of two linked α-globin genes. The interaction between these abnormal genes leads to the most severe type of thalassaemia disease, haemoglobin (Hb) Bart’s hydrops fetalis. The identification of α-thalassaemia 1 carriers and genetic counselling are essential for the prevention and control of severe thalassaemia diseases. In this study, we have developed a rapid screening method for identifying α-thalassaemia 1. A sandwich-type immunochromatographic (IC) strip test was developed, using the generated monoclonal anti-Hb Bart’s antibody, to trace the Hb Bart’s in haemolysates. When assayed by our IC strip test, all α-thalassaemia 1, HbH disease, HbH-Constant Spring (H-CS) disease, HbH-CS and heterozygous HbE (CSEA) Bart’s disease, and homozygous α-thalassaemia 2 showed positive results. No false negative results were observed in these blood samples. In α-thalassaemia 2 heterozygotes, 83% of them showed positive reactivity. Among HbE (both homozygotes and heterozygotes), β-thalassaemia (heterozygotes, homozygotes and β-thalassaemia/HbE) and normal subjects, the IC strip test revealed negative reactivity of 100, 85 and 97%, respectively. These results indicate that this novel immunodiagnostic kit, in combination with red blood cell indices, is suitable for screening and ruling out mass populations for the presence of α-thalassaemia 1.
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The interaction between these abnormal genes leads to the most severe type of thalassaemia disease, haemoglobin (Hb) Bart’s hydrops fetalis. The identification of α-thalassaemia 1 carriers and genetic counselling are essential for the prevention and control of severe thalassaemia diseases. In this study, we have developed a rapid screening method for identifying α-thalassaemia 1. A sandwich-type immunochromatographic (IC) strip test was developed, using the generated monoclonal anti-Hb Bart’s antibody, to trace the Hb Bart’s in haemolysates. When assayed by our IC strip test, all α-thalassaemia 1, HbH disease, HbH-Constant Spring (H-CS) disease, HbH-CS and heterozygous HbE (CSEA) Bart’s disease, and homozygous α-thalassaemia 2 showed positive results. No false negative results were observed in these blood samples. In α-thalassaemia 2 heterozygotes, 83% of them showed positive reactivity. 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Hemoglobinopathies</subject><subject>Antibodies, Monoclonal</subject><subject>Biological and medical sciences</subject><subject>Chromatography</subject><subject>Diseases of red blood cells</subject><subject>Hematologic and hematopoietic diseases</subject><subject>Hematology</subject><subject>Hemoglobins, Abnormal - immunology</subject><subject>Heterozygote</subject><subject>Humans</subject><subject>Immunoassay - methods</subject><subject>Immunoassay - standards</subject><subject>Mass Screening - methods</subject><subject>Mass Screening - standards</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Methods</subject><subject>Oncology</subject><subject>Original Article</subject><subject>Reagent Kits, Diagnostic</subject><subject>Sensitivity and Specificity</subject><issn>0925-5710</issn><issn>1865-3774</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kL1OwzAUhS0EoqXwACwoC2wGX8exnREh_qRKDMBsue51myo_xW4GHosX4ZlwlQg2pjPc75wrfYScA7sGxtRNBA66oIyVlOU5UHFApqBlQXOlxCGZspIXtFDAJuQkxg1joJhQx2QCpRBMapiS8rVqtjVmDe7W3TLzXciiC4ht1a6yzmffX3S3trWN0WJT2QwyZ0OoMMRTcuRtHfFszBl5f7h_u3ui85fH57vbOXWCFzsqBAJY67nUhZJKaOVAs9IpuVQSSgSOuBCgfaEXCkuUudcSrNeLFA6W-YxcDbvb0H30GHemqaLDurYtdn00UuWslFwnEAbQhS7GgN5sQ9XY8GmAmb0vM_gyyZfZ-zIidS7G8X7R4PKvMQpKwOUI2Ohs7YNtXRV_OQ5S8fQ9cXzgYjq1Kwxm0_WhTWL--f4DNEWBdA</recordid><startdate>20090601</startdate><enddate>20090601</enddate><creator>Tayapiwatana, Chatchai</creator><creator>Kuntaruk, Surakit</creator><creator>Tatu, Thanusak</creator><creator>Chiampanichayakul, Sawitree</creator><creator>Munkongdee, Thongperm</creator><creator>Winichagoon, Pranee</creator><creator>Fuchareon, Suthat</creator><creator>Kasinrerk, Watchara</creator><general>Springer Japan</general><general>Springer</general><scope>IQODW</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>20090601</creationdate><title>Simple method for screening of α-thalassaemia 1 carriers</title><author>Tayapiwatana, Chatchai ; Kuntaruk, Surakit ; Tatu, Thanusak ; Chiampanichayakul, Sawitree ; Munkongdee, Thongperm ; Winichagoon, Pranee ; Fuchareon, Suthat ; Kasinrerk, Watchara</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c425t-44e11aaf2685767487c1809c76d7619e12eeb418f58b7e9e63f861af8b861c1d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>alpha-Thalassemia - diagnosis</topic><topic>Anemias. Hemoglobinopathies</topic><topic>Antibodies, Monoclonal</topic><topic>Biological and medical sciences</topic><topic>Chromatography</topic><topic>Diseases of red blood cells</topic><topic>Hematologic and hematopoietic diseases</topic><topic>Hematology</topic><topic>Hemoglobins, Abnormal - immunology</topic><topic>Heterozygote</topic><topic>Humans</topic><topic>Immunoassay - methods</topic><topic>Immunoassay - standards</topic><topic>Mass Screening - methods</topic><topic>Mass Screening - standards</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Methods</topic><topic>Oncology</topic><topic>Original Article</topic><topic>Reagent Kits, Diagnostic</topic><topic>Sensitivity and Specificity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tayapiwatana, Chatchai</creatorcontrib><creatorcontrib>Kuntaruk, Surakit</creatorcontrib><creatorcontrib>Tatu, Thanusak</creatorcontrib><creatorcontrib>Chiampanichayakul, Sawitree</creatorcontrib><creatorcontrib>Munkongdee, Thongperm</creatorcontrib><creatorcontrib>Winichagoon, Pranee</creatorcontrib><creatorcontrib>Fuchareon, Suthat</creatorcontrib><creatorcontrib>Kasinrerk, Watchara</creatorcontrib><collection>Pascal-Francis</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 hematology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tayapiwatana, Chatchai</au><au>Kuntaruk, Surakit</au><au>Tatu, Thanusak</au><au>Chiampanichayakul, Sawitree</au><au>Munkongdee, Thongperm</au><au>Winichagoon, Pranee</au><au>Fuchareon, Suthat</au><au>Kasinrerk, Watchara</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Simple method for screening of α-thalassaemia 1 carriers</atitle><jtitle>International journal of hematology</jtitle><stitle>Int J Hematol</stitle><addtitle>Int J Hematol</addtitle><date>2009-06-01</date><risdate>2009</risdate><volume>89</volume><issue>5</issue><spage>559</spage><epage>567</epage><pages>559-567</pages><issn>0925-5710</issn><eissn>1865-3774</eissn><abstract>α-Thalassaemia 1 genetic disorder occurs when there is a deletion of two linked α-globin genes. 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Among HbE (both homozygotes and heterozygotes), β-thalassaemia (heterozygotes, homozygotes and β-thalassaemia/HbE) and normal subjects, the IC strip test revealed negative reactivity of 100, 85 and 97%, respectively. These results indicate that this novel immunodiagnostic kit, in combination with red blood cell indices, is suitable for screening and ruling out mass populations for the presence of α-thalassaemia 1.</abstract><cop>Japan</cop><pub>Springer Japan</pub><pmid>19440681</pmid><doi>10.1007/s12185-009-0331-4</doi><tpages>9</tpages></addata></record>
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subjects alpha-Thalassemia - diagnosis
Anemias. Hemoglobinopathies
Antibodies, Monoclonal
Biological and medical sciences
Chromatography
Diseases of red blood cells
Hematologic and hematopoietic diseases
Hematology
Hemoglobins, Abnormal - immunology
Heterozygote
Humans
Immunoassay - methods
Immunoassay - standards
Mass Screening - methods
Mass Screening - standards
Medical sciences
Medicine
Medicine & Public Health
Methods
Oncology
Original Article
Reagent Kits, Diagnostic
Sensitivity and Specificity
title Simple method for screening of α-thalassaemia 1 carriers
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