HbA2:c.96-2A > G 突变:中国 7 例病例报告。

IF 2 4区 医学 Q3 HEMATOLOGY Hematology Pub Date : 2024-12-01 Epub Date: 2024-11-12 DOI:10.1080/16078454.2024.2426829
Xiao-Hua Yu, Yi-Yuan Ge, Xiao-Min Ma, Guang-Kuan Zeng, Yu-Wei Liao, Li-Li Liu, Yan-Bin Cao, Jian-Lian Liang, Bai-Ru Lai, Yan-Qing Zeng, Yu-Chan Huang, Li-Ye Yang
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引用次数: 0

摘要

目的分析 HbA2:c.96-2A > G 携带者的血液表型和基因型:方法:对罕见病例的血常规指标和血红蛋白电泳进行分析,并通过 PCR 结合反向点印迹(RBD-PCR)、GAP-PCR 和 DNA 测序进行鉴定:结果:7 名患者中,1 名成人患者血红蛋白水平正常,但平均血球容积(MCV)和平均血球血红蛋白(MCH)略有下降。血红蛋白电泳发现 6 名新生儿存在 Hb Bart's 带,其中 1 名新生儿的 Hb Bart's 带含量为 15.80%,其他 5 名新生儿的 Hb Bart's 带含量为 0.30%-0.90%。基因分析结果显示,7 名患者均存在 HbA2:c.96-2A > G(IVS-I-116A > G)基因突变,其中 1 例合并有 - SEA 缺失:结论:HbA2:c.96-2A > G 突变携带者表现为α-地中海贫血表型,当 HbA2:c.96-2A > G 突变与 - SEA 缺失合并时,会产生贫血的中间表型。
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HbA2:c.96-2A > G mutation: report of 7 cases in China.

Objective: To analyze the hematological phenotype and genotype of HbA2: c.96-2A > G carriers.

Methods: The blood routine parameters and hemoglobin electrophoresis of rare cases were analyzed and identified by PCR combined with reverse dot blot (RBD-PCR), GAP-PCR and DNA sequencing.

Results: Among the 7 patients, one adult patient had normal hemoglobin levels, with slightly decreased mean corpuscular volume (MCV) and mean corpuscular hemoglobin (MCH). Hb Bart's band was found in 6 neonates by hemoglobin electrophoresis, of which the content of Hb Bart's band in 1 neonate was 15.80%, and the content of Hb Bart's band in the other 5 neonates was 0.30%-0.90%. The results of genetic analysis showed that all the 7 patients had HbA2: c.96-2A > G (IVS-I-116A > G) mutation, in which 1 case was compounded with - SEA deletion.

Conclusion: HbA2: c.96-2A > G mutation carriers exhibit the phenotype of α-thalassemia, and when the HbA2:c.96-2A > G mutation is combined with - SEA deletion, an intermediate phenotype of anemia is produced.

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来源期刊
Hematology
Hematology 医学-血液学
CiteScore
2.60
自引率
5.30%
发文量
140
审稿时长
3 months
期刊介绍: Hematology is an international journal publishing original and review articles in the field of general hematology, including oncology, pathology, biology, clinical research and epidemiology. Of the fixed sections, annotations are accepted on any general or scientific field: technical annotations covering current laboratory practice in general hematology, blood transfusion and clinical trials, and current clinical practice reviews the consensus driven areas of care and management.
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