Department of Medical Genetics the First People's Hospital of Yunnan Province, The Affiliated Hospital of Kunming University of Science and Technology, Kunming, People's Republic of China.
Department of Pediatrics, Yunnan Provincial Key Laboratory for Birth Defects and Genetic Diseases, the First People's Hospital of Yunnan Province, Kunming, People's Republic of China.
Hemoglobin. 2023 Nov;47(2):49-51. doi: 10.1080/03630269.2023.2216890. Epub 2023 May 29.
Deletional α-thalassemia is characterized by reduced hemoglobin A and involves the deletion of a few nucleotides, which is a rare hereditary disease. However, the detection of rare mutations using commonly used genetic tests is highly challenging. In the present study, next-generation sequencing (NGS) was used to identify a novel 7-bp deletion α-thalassemia in one individual from a Chinese family. Hematological parameters of the family members were determined using an automated cell counter, and hemoglobin electrophoresis was performed using a capillary electrophoresis system. Subsequently, NGS was performed on the genomic DNA of the patient and her family members. The 7-bp deletion (named Hb Honghe [: c.401_407delGCACCGT]) of α-thalassemia in the α-globin gene was confirmed using Sanger sequencing. The patient's father was also a heterozygous carrier of : c.401_407delGCACCGT deletion, but not her mother or sister. The application of the combined molecular approach is essential for the accurate diagnosis of rare thalassemia. This study reports a novel case of α- thalassemia. The characterization of the mutation might provide new insights into genetic counseling and accurate diagnosis of thalassemia.
缺失型α-地中海贫血的特征是血红蛋白 A 减少,并涉及少数核苷酸的缺失,是一种罕见的遗传性疾病。然而,使用常用的遗传检测方法来检测罕见突变极具挑战性。在本研究中,使用下一代测序(NGS)在一个来自中国家庭的个体中鉴定出一种新型的 7 个碱基对缺失的α-地中海贫血。使用自动细胞计数器测定家庭成员的血液学参数,并使用毛细管电泳系统进行血红蛋白电泳。随后,对患者及其家庭成员的基因组 DNA 进行 NGS。使用 Sanger 测序证实了 α-珠蛋白基因中的 7 个碱基对缺失(命名为 Hb 红河 [: c.401_407delGCACCGT])。患者的父亲也是 : c.401_407delGCACCGT 缺失的杂合子携带者,但她的母亲和姐姐不是。联合分子方法的应用对于罕见地中海贫血的准确诊断至关重要。本研究报告了一例新型α-地中海贫血。该突变的特征可能为地中海贫血的遗传咨询和准确诊断提供新的见解。