中国优生与遗传杂志2024,Vol.32Issue(2) :393-396.

佛山地区HKαα地中海贫血的基因诊断与临床表型分析

Genetic diagnosis and clinical phenotype analysis of Hong Kong thalassemia in Foshan

高维鸿 黄广强 钟沛沛 杨发达 梁丽笙
中国优生与遗传杂志2024,Vol.32Issue(2) :393-396.

佛山地区HKαα地中海贫血的基因诊断与临床表型分析

Genetic diagnosis and clinical phenotype analysis of Hong Kong thalassemia in Foshan

高维鸿 1黄广强 1钟沛沛 1杨发达 1梁丽笙2
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作者信息

  • 1. 佛山市南海区妇幼保健院检验科,广东佛山 528200
  • 2. 佛山市南海区妇幼保健院产前诊断中心,广东佛山 528200
  • 折叠

摘要

目的 对佛山地区HKαα地中海贫血病例进行基因诊断,分析HKαα病例基因型及临床表型,为遗传咨询和产前诊断提供指导依据.方法 分析2020-2023年在佛山市南海区妇幼保健院进行地贫基因诊断的患者16711例,选取琼脂糖凝胶电泳扩增产物显示3.7弱条带及出现3条带(3.7弱条带、正常α2条带和SEA条带)的标本,进行血常规及HKαα基因诊断,分析病例的基因型及临床表型.结果 共检测到29例HKαα病例,其中HKαα/αα,β14-15/βN有1 例;HKαα/αα β-28/βN有 1 例;HKαα/αα ββE/βN有 1 例;HKαα/αα,β41-42/βN有 4 例;HKαα/αα βN/βN有 13 例;HKαα/--SEA,βN/βN有7例;HKαα/αwsα,β41,42/βN有1例;HKαα/αcsα,βN/βN有 1例.结论 HKαα地中海贫血的基因诊断可以减少病例的漏诊或误诊,更加精准地为遗传咨询提供指导.

Abstract

Objective To genetic diagnosis of HKαα thalassemia cases in Foshan,and analyse the genotype and clinical phenotype of HKαα cases,to provide guidance for genetic counseling and prenatal diagnosis.Methods 16711 patients were received thalassemia gene diagnosis in Nanhai District Maternal and Child Health Hospital of Foshan City from 2020 to 2023.Among the patients,the samples with showing 3.7 weak band and with three bands(-α3.7 weak band,normal α2 alleles and--SEA band)appearing in agarose gel electrophoresis were selected,then the samples of blood routine and HKαα gene diagnosis were performed.Last,the genotype and clinical phenotype of the cases were analyzed.Results A total of 29 HKαα cases were detected,including 1 case of HKαα/αα,β14-15/βN;1 caseof HKαα/αα,β-28/βN;1 case of HKαα/αα,ββE/βN;4 cases of HKαα/αα,β41-42/βN;13 cases of HKαα/αα,βN/βN;7 cases of HKαα/--SEA,βN/βN;1 case of HKαα/αwsα,β41-42/βN;1 case of HKαα/αcsα,βN/βN Conclusion The genetic diagnosis of HKαα thalassemia can reduce the missed diagnosis or misdiagnosis of cases,and provide more accurate guidance for genetic counseling.

关键词

地中海贫血/基因诊断/HKαα

Key words

thalassemia/genediagnosis/HKαα

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基金项目

佛山市自筹经费类科技创新项目(医学类科技攻关类)(2022)(2220001004756)

出版年

2024
中国优生与遗传杂志
中国优生科学协会

中国优生与遗传杂志

CSTPCD
影响因子:0.527
ISSN:1006-9534
参考文献量17
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