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贵州省黔西南州布依族人群地中海贫血基因分析

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目的 了解贵州省黔西南布依族苗族自治州(简称黔西南州)布依族人群地中海贫血基因分型特征,为该地区地中海贫血防控策略制定提供基础参考资料.方法 选取2019年至2022年就诊于兴义市人民医院的3323例地贫初筛阳性[平均红细胞体积(mean corpuscular volume,MCV)<80fL 和/或平均红细胞血红蛋白含量(mean corpuscular hemoglobin,MCH<27pg]人群作为研究对象,采用PCR-导流杂交法进行地中海贫血基因检测.结果 3323例研究对象中共检出地中海贫血基因携带者968例,其中布依族人群地贫基因携带者445例.在布依族人群地贫基因携带者中,α-地中海贫血基因携带者257例(占比57.75%),其中检出比例最高的型别为--SEA/αα(31.52%),其次为-α3.7/αα(21.4%);β-地中海贫血基因携带者158例(占比35.51%),检出比例最高的型别为βCD17/βN(49.37%),其次为βCD41-42/βN(39.87%);αβ-复合型地中海贫血基因携带者共计30例(占比6.74%),其中检出比例最高的型别为-α3 7/βCD17(30.00%).结论 贵州省黔西南州布依族人群α-地中海贫血显著高于β-地中海贫血及αβ-复合型地中海贫血;其中α-地中海贫血以--SEA/αα、-α3.7/aa基因突变为主,β-地中海贫血则以βCD17/βN、βCD41-42/βN基因分型多见,而aβ-复合型地中海贫血以-a37/βCD17基因突变为主.
A Gene Analysis of Thalassemia in Bouyei Population in Qianxinan Prefecture,Guizhou Province
Objective To investigate the genotyping characteristics of thalassemia in Buyi and Miao Autonomous Prefecture in Southwest Guizhou of Guizhou Province,and to provide general and practical references for the development of thalassemia prevention and control strategies in this area.Methods A total of 3323 thalassemia primary screening positive patients(MCV<80fL and/or MCH<27pg)in Xingyi People's Hospital from 2019 to 2022 were selected as the study subjects.The thalassemia gene was detected by PCR-flow-through hybridization,and the results were analyzed statistically.Results A total of 968 cases of thalassemia gene carriers were identified among these 3 323 subjects,and 445 thalassemia gene carriers in Buyi nationality were detected.There were 257 cases(57.75%)with α-thalassemia,158 cases(35.51%)with β-thalassemia,and 30 cases(6.74%)withαβ complex thalassemia.Among the thalassemia gene carriers in Buyi nationality,α-thalassemia accounted for 57.75%,of which--SEA/αα(31.52%)was the most common type,followed by-α37/αα(21.4%).β-thalassemia accounted for 35.51%of the total cases,and the most common type ofβ-thalassemia wereβCD17/βN(49.37%)and βCD41-42/βN(39.87%).In addition,30 cases of αβ complex thalassemia carrier(6.74%)were detected,of which the highest proportion was α37/β CD17(30.00%).Conclusion The detection rate of α-thalassemia genotype is higher than that of β-thalassemia in Buyi population of Qianxinan Prefecture of Guizhou Province.The missing αα thalassemia mutant gene are the most common type in--SEA/αα and-α3.7/αα,and the most common genetic mutations of theβ thalassemia gene are βCD41-42/βN and βCD17/βN,while the most common genetic mutations of the aβ complex thalassemia gene is βCD41-42/βN.

ThalassemiaMutation typeBouyei ethnic minority

吴海婴、左林、何玲、韦入翠、范林、朱丽、陈凤敏、马思雨、郭玲

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兴义市人民医院医学检验科,黔西南布依族苗族自治州,贵州兴义 562400

地中海贫血 基因分型 布依族

贵州省卫生健康委科学技术基金项目

gzwjkj2019-1-200

2024

标记免疫分析与临床
中国同辐股份有限公司

标记免疫分析与临床

CSTPCD
影响因子:0.978
ISSN:1006-1703
年,卷(期):2024.31(2)
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