Reference ranges for hemoglobin variants by HPLC in african americans

High performance liquid chromatography (HPLC) demonstrated advantages over conventional procedures employed in newborn and adult hemoglobinopathy screening programs for the identification of Hb variants has promoted the need to reassess our knowledge of hemoglobin reference ranges as it relates to H...

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Veröffentlicht in:Annals of clinical and laboratory science 1995-05, Vol.25 (3), p.228-235
Hauptverfasser: ROA, D, TURNER, E. A, DEL PILAR AGUINAGA, M
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DEL PILAR AGUINAGA, M
description High performance liquid chromatography (HPLC) demonstrated advantages over conventional procedures employed in newborn and adult hemoglobinopathy screening programs for the identification of Hb variants has promoted the need to reassess our knowledge of hemoglobin reference ranges as it relates to HPLC quantitation. In this study, the HPLC hemoglobin reference ranges derived from 200 normal African American adults are expressed as follows: Hb A mean 93.6 percent (s.d. 1.3, ranges 89.8 to 95.2), Hb A1 mean 2.0 percent (s.d. 0.6, ranges 0.8 to 5.2), Hb F mean 3.2 percent (s.d. 0.7, ranges 1.7 to 5.3) and Hb A2 mean 1.2 percent (s.d. 0.4, ranges 0.5 to 3.4); while the HPLC results for normal newborns and babies (n = 99) in the African American population fluctuates from Hb F mean 82.0 percent (s.d. 7.7, range 66.6 to 89.9) and Hb A mean 19.0 percent (s.d. 7.7, ranges 10.1 to 33.4) at 4 days to a mean of 15. percent (s.d. 4.8, range 9.3 to 22.8) for Hb F and a mean of 85.0 percent (s.d. 5.1, ranges 76.4 to 90.7) for Hb A at 300 days after birth. In case of the most common hemoglobin variants for this population, it has been shown that the A/S and A/C ratios for adults (Hb AS, Hb AC) and newborns (Hb FAS, and FAC) remained within the 1.5 (range 1.0 to 2.2) limits regardless of age group. Application of these HPLC ranges to confront other abnormalities will prove most useful during blood screening processes.
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In this study, the HPLC hemoglobin reference ranges derived from 200 normal African American adults are expressed as follows: Hb A mean 93.6 percent (s.d. 1.3, ranges 89.8 to 95.2), Hb A1 mean 2.0 percent (s.d. 0.6, ranges 0.8 to 5.2), Hb F mean 3.2 percent (s.d. 0.7, ranges 1.7 to 5.3) and Hb A2 mean 1.2 percent (s.d. 0.4, ranges 0.5 to 3.4); while the HPLC results for normal newborns and babies (n = 99) in the African American population fluctuates from Hb F mean 82.0 percent (s.d. 7.7, range 66.6 to 89.9) and Hb A mean 19.0 percent (s.d. 7.7, ranges 10.1 to 33.4) at 4 days to a mean of 15. percent (s.d. 4.8, range 9.3 to 22.8) for Hb F and a mean of 85.0 percent (s.d. 5.1, ranges 76.4 to 90.7) for Hb A at 300 days after birth. In case of the most common hemoglobin variants for this population, it has been shown that the A/S and A/C ratios for adults (Hb AS, Hb AC) and newborns (Hb FAS, and FAC) remained within the 1.5 (range 1.0 to 2.2) limits regardless of age group. 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In this study, the HPLC hemoglobin reference ranges derived from 200 normal African American adults are expressed as follows: Hb A mean 93.6 percent (s.d. 1.3, ranges 89.8 to 95.2), Hb A1 mean 2.0 percent (s.d. 0.6, ranges 0.8 to 5.2), Hb F mean 3.2 percent (s.d. 0.7, ranges 1.7 to 5.3) and Hb A2 mean 1.2 percent (s.d. 0.4, ranges 0.5 to 3.4); while the HPLC results for normal newborns and babies (n = 99) in the African American population fluctuates from Hb F mean 82.0 percent (s.d. 7.7, range 66.6 to 89.9) and Hb A mean 19.0 percent (s.d. 7.7, ranges 10.1 to 33.4) at 4 days to a mean of 15. percent (s.d. 4.8, range 9.3 to 22.8) for Hb F and a mean of 85.0 percent (s.d. 5.1, ranges 76.4 to 90.7) for Hb A at 300 days after birth. In case of the most common hemoglobin variants for this population, it has been shown that the A/S and A/C ratios for adults (Hb AS, Hb AC) and newborns (Hb FAS, and FAC) remained within the 1.5 (range 1.0 to 2.2) limits regardless of age group. 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Psychology</subject><subject>Hemoglobinopathies</subject><subject>Hemoglobins - analysis</subject><subject>Hemoglobins - classification</subject><subject>Hemoglobins, Abnormal - analysis</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn - blood</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Reference Values</subject><subject>Sickle Cell Trait - blood</subject><subject>Vertebrates: blood, hematopoietic organs, reticuloendothelial system</subject><issn>0091-7370</issn><issn>1550-8080</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1995</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9j1tLw0AUhBdRaq3-BGEfxLfASfb-KKVaoaCIPofN5pw2kkvdbYX-e4MGn2aY-RiYMzbPlYLMgoVzNgdweWaEgUt2ldInQOGkhBmbGQ0qBzlnqzckjNgH5NH3W0ychsh32A3bdqiann_72Pj-kHh14uvXzZKPmafYBD9qh78mXbML8m3Cm0kX7ONx9b5cZ5uXp-flwybbFVodssoWwgnShiwKa51TJAhDXYAuyBn0UiuqQy4QUTlXSSNrLYkKtFpiXYkFu__b3cfh64jpUHZNCti2vsfhmEpjhAVp7QjeTuCx6rAu97HpfDyV0--xv5t6n4JvafwemvSPCSWUtkr8AKKFYWI</recordid><startdate>19950501</startdate><enddate>19950501</enddate><creator>ROA, D</creator><creator>TURNER, E. 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A ; DEL PILAR AGUINAGA, M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-h265t-b82393f67f8e388995f3fecd2062f97ea465fdc13eee599b474d64ff2e864edb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1995</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age Factors</topic><topic>Biological and medical sciences</topic><topic>Black or African American</topic><topic>Black People</topic><topic>Chromatography, High Pressure Liquid</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Hemoglobinopathies</topic><topic>Hemoglobins - analysis</topic><topic>Hemoglobins - classification</topic><topic>Hemoglobins, Abnormal - analysis</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn - blood</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Reference Values</topic><topic>Sickle Cell Trait - blood</topic><topic>Vertebrates: blood, hematopoietic organs, reticuloendothelial system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>ROA, D</creatorcontrib><creatorcontrib>TURNER, E. A</creatorcontrib><creatorcontrib>DEL PILAR AGUINAGA, M</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>MEDLINE - Academic</collection><jtitle>Annals of clinical and laboratory science</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>ROA, D</au><au>TURNER, E. A</au><au>DEL PILAR AGUINAGA, M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Reference ranges for hemoglobin variants by HPLC in african americans</atitle><jtitle>Annals of clinical and laboratory science</jtitle><addtitle>Ann Clin Lab Sci</addtitle><date>1995-05-01</date><risdate>1995</risdate><volume>25</volume><issue>3</issue><spage>228</spage><epage>235</epage><pages>228-235</pages><issn>0091-7370</issn><eissn>1550-8080</eissn><coden>ACLSCP</coden><abstract>High performance liquid chromatography (HPLC) demonstrated advantages over conventional procedures employed in newborn and adult hemoglobinopathy screening programs for the identification of Hb variants has promoted the need to reassess our knowledge of hemoglobin reference ranges as it relates to HPLC quantitation. In this study, the HPLC hemoglobin reference ranges derived from 200 normal African American adults are expressed as follows: Hb A mean 93.6 percent (s.d. 1.3, ranges 89.8 to 95.2), Hb A1 mean 2.0 percent (s.d. 0.6, ranges 0.8 to 5.2), Hb F mean 3.2 percent (s.d. 0.7, ranges 1.7 to 5.3) and Hb A2 mean 1.2 percent (s.d. 0.4, ranges 0.5 to 3.4); while the HPLC results for normal newborns and babies (n = 99) in the African American population fluctuates from Hb F mean 82.0 percent (s.d. 7.7, range 66.6 to 89.9) and Hb A mean 19.0 percent (s.d. 7.7, ranges 10.1 to 33.4) at 4 days to a mean of 15. percent (s.d. 4.8, range 9.3 to 22.8) for Hb F and a mean of 85.0 percent (s.d. 5.1, ranges 76.4 to 90.7) for Hb A at 300 days after birth. In case of the most common hemoglobin variants for this population, it has been shown that the A/S and A/C ratios for adults (Hb AS, Hb AC) and newborns (Hb FAS, and FAC) remained within the 1.5 (range 1.0 to 2.2) limits regardless of age group. Application of these HPLC ranges to confront other abnormalities will prove most useful during blood screening processes.</abstract><cop>Philadelphia, PA</cop><pub>Institute for Clinical Science</pub><pmid>7605104</pmid><tpages>8</tpages></addata></record>
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subjects Adolescent
Adult
Age Factors
Biological and medical sciences
Black or African American
Black People
Chromatography, High Pressure Liquid
Female
Fundamental and applied biological sciences. Psychology
Hemoglobinopathies
Hemoglobins - analysis
Hemoglobins - classification
Hemoglobins, Abnormal - analysis
Humans
Infant
Infant, Newborn - blood
Male
Middle Aged
Reference Values
Sickle Cell Trait - blood
Vertebrates: blood, hematopoietic organs, reticuloendothelial system
title Reference ranges for hemoglobin variants by HPLC in african americans
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