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Combined Gap-Polymerase Chain Reaction and Targeted Next-Generation Sequencing Improve α- and β-Thalassemia Carrier Screening in Pregnant Women in Vietnam.
- Source :
-
Hemoglobin [Hemoglobin] 2022 Jul; Vol. 46 (4), pp. 233-239. Date of Electronic Publication: 2022 Aug 22. - Publication Year :
- 2022
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Abstract
- Vietnam has a high thalassemia burden. We collected blood samples from 5880 pregnant Vietnamese women during prenatal health checks to assess thalassemia carrier frequency using combined gap-polymerase chain reaction (gap-PCR) and targeted next-generation sequencing (NGS). Thalassemia carriers were identified with prevalence of 13.13% (772), including 7.82% (460) carriers of α-thalassemia (α-thal), 5.31% (312) carriers of β-thalassemia (β-thal), and 0.63% (37) concurrent α-/β-thal carriers. Deletional mutations (368) accounted for 80.0% of α-thal carriers, of which, -- <superscript>SEA</superscript> (Southeast Asian) ( n = 254; 55.0%) was most prevalent, followed by the -α <superscript>3.7</superscript> (rightward) ( n = 66; 14.0%) and -α <superscript>4.2</superscript> (leftward) ( n = 45; 9.8%) deletions. Hb Westmead ( HBA2 : c.369C>G) ( n = 53) and Hb Constant Spring (Hb CS or HBA2 : c.427T>C) (in 28) are the two most common nondeletional α-globin variants, accounting for 11.5 and 6.0% of α-thal carriers. We detected 11 different β-thal genotypes. Hb E ( HBB : c.79G>A) (in 211) accounted for 67.6% of β-thal carriers. The most common β-thal genotypes were associated with mutations at codon 17 (A>T) ( HBB : c.52A>T), codons 41/42 (-TTCT) ( HBB : c.126&#95;129delCTTT), and codon 71/72 (+A) ( HBB : c.217&#95;218insA) (prevalence 0.70%, 0.68%, and 0.2%, respectively). Based on mutation frequencies calculated in this study, estimates of 5021 babies in Vietnam are affected with clinically severe thalassemia annually. Our data suggest a higher thalassemia carrier frequency in Vietnam than previously reported. We established that combining NGS with gap-PCR creates an effective large-scale thalassemia screening method that can detect a broad range of mutations.
- Subjects :
- Female
Humans
Pregnancy
beta-Globins genetics
Pregnant Women
Vietnam epidemiology
Gene Frequency
Polymerase Chain Reaction
Mutation
Codon
Genotype
High-Throughput Nucleotide Sequencing
beta-Thalassemia diagnosis
beta-Thalassemia epidemiology
beta-Thalassemia genetics
alpha-Thalassemia diagnosis
alpha-Thalassemia epidemiology
alpha-Thalassemia genetics
Subjects
Details
- Language :
- English
- ISSN :
- 1532-432X
- Volume :
- 46
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Hemoglobin
- Publication Type :
- Academic Journal
- Accession number :
- 35993587
- Full Text :
- https://doi.org/10.1080/03630269.2022.2096461