首页|2020-2022年1501例地中海贫血疑似病例基因检测结果分析

2020-2022年1501例地中海贫血疑似病例基因检测结果分析

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目的:探讨桂林市临桂区的地贫基因类型和频率分布,为该地区地贫防控工作提供参考.方法:对在桂林医学院第二附属医院进行地中海贫血基因检测的1501例疑似病例的检测结果进行回顾性分析.采用跨越断裂点PCR(gap-PCR)技术检测缺失型α地中海贫血基因,PCR-反向点杂交(PCR-RDB)技术检测非缺失型α地中海贫血基因和β 地中海贫血基因.结果:在1501例被检者中,共检出地贫基因携带者678例,检出率为45.17%,其中α 地贫(包括缺失型α地贫和非缺失型α地贫)379例,检出率为25.25%,以基因型--SEA/αα(227例,15.12%)为主,其次为-α3.7/αα(53例,3.53%);β地贫270例,检出率为17.99%,以基因型βCD41-42/βN(144例,9.59%)为主,其次为βCD17/βN(66例,4.40%);α地贫复合β地贫29例,检出率为1.93%,以基因型--SEA/αα复合βCD41-42/βN(5例,0.33%)最为常见.结论:桂林市临桂区属于地中海贫血高发区,携带者基因型复杂多样,具有遗传异质性.本研究结果为该地区的遗传咨询和产前诊断提供了科学依据.
Analysis of genetic diagnosis results of 1501 suspected Cases of thalassemia patients from 2020 to 2022
Objective:To explore the genotypes and frequency distribution of thalassemia in Lingui District,Guilin City,and provide reference for the prevention and control of thalassemia in this area. Methods:The results of genetic testing for thalassemia in 1501 suspected cases at the Second Affiliated Hospital of Guilin Medical University were analyzed retrospectively. The deletional mutations of α-thalassemia were detected by gap-PCR,the non-deletional mutations of α-thalassemia and β-thalassemia mutations were detected by PCR-reverse dot blot (PCR-RDB). Results:In 1501 samples,a total of 678 cases of thalassemia carriers were detected,with a detection rate of 45.17%. Among them,379 cases were α-thalassemia (including deletional α-thalassemia and non-deletional α-thalassemia),with a detection rate of 25.25%,the most common genotype was--SEA/αα (227 cases,15.12%),followed by-α3.7/αα (53 cases,3.53%). 270 cases of β-thalassemia were detected,with a detction rate of 17.99%,and βCD41-42/βN (144 cases,9.59%) was the main genotypes,followed by βCD17/βN (66 cases,4.40%) . In addition,there were 29 cases of αβ compound thalassemia,accounting for 1.93%,and the most common genotype was--SEA/αα complex βCD41-42/βN (5 cases,0.33%). Conclusion:Lingui District in Guilin City is a high-incidence area of thalassemia,and the genotypes of carriers are complex and diverse,with genetic heterogeneity. The results of this study provide a scientific basis for genetic counseling and prenatal diagnosis in this area.

Lingui District,Guilin citythalassemiagenotypefrequency

杨雪丽、刘珍玉、张俊宁、王广宇、李继明、李春洪、侯显良

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桂林医学院第二附属医院中心实验室,广西慢性病代谢重塑与智能医学工程重点实验室,广西桂林 541199

桂林市临桂区 地中海贫血 基因型 频率

2024

中国实验血液学杂志
中国病理生理学会

中国实验血液学杂志

CSTPCD北大核心
影响因子:0.988
ISSN:1009-2137
年,卷(期):2024.32(6)