Li Dong-Ming, Li Ji-Hui, Chen De-Min, He Sheng
Department of Clinical Laboratory, Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region,Nanning 530003, Guangxi Zhuang Autonomous Region, China.
Department of Clinical Laboratory, Yulin Child Health Hospital of Guangxi Zhuang Autonomous Region, Yulin 537000, Guangxi Zhuang Autonomous Region, China.
Zhongguo Shi Yan Xue Ye Xue Za Zhi. 2020 Dec;28(6):2011-2016. doi: 10.19746/j.cnki.issn.1009-2137.2020.06.035.
To investigate the genotype distribution of thalassemia in the population of childbearing age in Yulin area.
The polymerase reaction (PCR) combined with agargel eletrophoresis and reserve dot bolt hybridization was used to detected the α- and β-thalassemia gene in 31 769 cases of suspected thalassemia population at childbearing-age.
A total of 22 254 cases were identified as thalassemia gene detetion or mutation in 31 769 cases with a detecting rate of 70.05%, and the detecting rate of α-thalassemia, β-thalassemia and α-combining β-thalassemia were 45.86% (14 569/31 769), 19.45% (6 178/31 769) and 4.74% (1 507/31 769) respectively. 28 kinds of α-thalassemia gene mutations were detected, the common mutations were as follows: --/αα (28.18%), -α/αα (6.29%), -α/αα (3.66%), αα/αα (1.93%) and αα/αα (1.89%),and including two rare gene mutations: - and HKαα. 16 kinds of β-thalassemia gene mutations were detected, the common mutations were as follows: β/β (9.41%), β/β (3.05%), β/β (2.86%) and β/β (2.18%). 93 kinds of α combining β-thalassemia gene mutations were detected, the common mutations were as follows: --/αα (1.05%) and -α/αα (0.56%) combining β/βN.
The detection rate of thalassemia gene is high in Yulin caildbearing-age population, and there is diversity in mutation spectrums of thalassemia. The most common genotypes are --/αα in α-thalassemia and β/βN in β-thalassemia. The results are beneficial for the intervention and genetic consultation of thalassemia.
调查玉林地区育龄人群地中海贫血的基因类型分布情况。
采用聚合酶链反应(PCR)结合琼脂糖凝胶电泳及反向点杂交技术,对31769例疑似育龄期地中海贫血人群进行α、β地中海贫血基因检测。
31769例中,共检出22254例地中海贫血基因检测或突变,检出率为70.05%,其中α地中海贫血、β地中海贫血及α合并β地中海贫血的检出率分别为45.86%(14569/31769)、19.45%(6178/31769)和4.74%(1507/31769)。共检测到28种α地中海贫血基因突变,常见突变如下:--/αα(28.18%)、-α/αα(6.29%)、-α/αα(3.66%)、αα/αα(1.93%)和αα/αα(1.89%),还包括两种罕见基因突变:-和HKαα。检测到16种β地中海贫血基因突变,常见突变如下:β/β(9.41%)、β/β(3.05%)、β/β(2.