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土耳其爱琴海地区β链异常血红蛋白的分子分析以及土耳其血红蛋白Andrew-Minneapolis和Hb Hinsdale的首次报道。

Molecular analysis of abnormal hemoglobins in beta chain in Aegean region of Turkey and first reports of hemoglobin Andrew-Minneapolis and Hb Hinsdale from Turkey.

作者信息

Aykut Ayça, Onay Hüseyin, Durmaz Asude, Karaca Emin, Vergin Canan, Aydınok Yeşim, Özkınay Ferda

出版信息

Hematology. 2015 Jul;20(6):354-8. doi: 10.1179/1607845414Y.0000000193. Epub 2014 Oct 14.

Abstract

OBJECTIVES

The Agean is one of the regions in Turkey where thalassemias and abnormal hemoglobins (Hbs) are prevalent. Combined heterozygosity of thalassemia mutations with a variety of structural Hb variants lead to an extremely wide spectrum of clinical and hematological phenotypes which is of importance for prenatal diagnosis.

METHODS

One hundred and seventeen patients and carriers diagnosed by hemoglobin electrophoresis (HPLC), at risk for abnormal hemoglobinopathies were screened for mutational analysis of the beta-globin gene. The full coding the 5' UTR, and the 3' UTR sequences of beta-globin gene (GenBank accession no. U01317) were amplified and sequenced.

RESULTS

In this study, a total of 118 (12.24%) structural Hb variant alleles were identified in 1341 mutated beta-chain alleles in Medical Genetics Department of Ege University between January 2006 and November 2013.

DISCUSSION

Here, we report the mutation spectrum of abnormal Hbs associated with the beta-globin gene in Aegean region of Turkey.

CONCLUSION

In the present study, the Hb Hinsdale and Hb Andrew-Minneapolis variants are demonstrated for the first time in the Turkish population.

摘要

目的

爱琴海地区是土耳其地中海贫血和异常血红蛋白(Hb)流行的地区之一。地中海贫血突变与多种结构Hb变体的复合杂合性导致了极为广泛的临床和血液学表型,这对产前诊断很重要。

方法

对117例经血红蛋白电泳(HPLC)诊断为异常血红蛋白病风险的患者和携带者进行β珠蛋白基因突变分析筛查。扩增并测序β珠蛋白基因(GenBank登录号U01317)的完整编码区、5'非翻译区和3'非翻译区序列。

结果

在2006年1月至2013年11月期间,于伊兹密尔大学医学遗传学系的1341个突变β链等位基因中,共鉴定出118个(12.24%)结构Hb变体等位基因。

讨论

在此,我们报告了土耳其爱琴海地区与β珠蛋白基因相关的异常Hb的突变谱。

结论

在本研究中,Hb Hinsdale和Hb Andrew-Minneapolis变体首次在土耳其人群中得到证实。

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