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Screening and genetic diagnosis of infant thalassemia in Shandong province
Received:May 12, 2020  Revised:July 24, 2020  Click here to download the full text
Citation of this paper:LIU Rui,ZHU Na,LUO Meng,ZHAO Dan,CHU Zhong-hua.Screening and genetic diagnosis of infant thalassemia in Shandong province[J].Chinese Journal of Clinical Medicine,2020,27(6):1043-1045
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Author NameAffiliationE-mail
LIU Rui Shandong Cord Blood Bank, Jinan 250102, Shandong, China 38318921@qq.com 
ZHU Na Shandong Cord Blood Bank, Jinan 250102, Shandong, China  
LUO Meng Shandong Cord Blood Bank, Jinan 250102, Shandong, China  
ZHAO Dan Shandong Cord Blood Bank, Jinan 250102, Shandong, China  
CHU Zhong-hua Department of Hematology, Qilu Hospital, Shandong University, Jinan 250102, Shandong, China  
Abstract:Objective:To explore on the result of thalassemia screening and genetic diagnosis for infants from Shandong region.Methods:Between July 2016 and December 2017, 16 098 cases of neonatal cord blood from the allogeneic bank were selected as subjects. Helena hemoglobin electrophoresis was used to determine hemoglobin in all cord blood. Genetic analysis was performed for cases with positive results for thalassemia.Results:Among the 16 098 cord blood samples, a total of 105 cases with abnormal hemoglobin were detected, with a positive screening rate of 0.65%. Genetic test results showed that 50 cases were diagnosed as α-thalassemia, 5 cases were diagnosed as β-thalassemia. The coincidence rates of α-thalassemia and β-thalassemia were 81.97% and 25%, respectively. In the genetic makeup of α-thalassemia, --SEA/αα, -α3.7/αα, and -α4.2/αα accounted for the most, 0.10%, 0.16%, and 0.03%, respectively. In addition, --Thai/αα, αCSα/αCSα, αQSα/αQSα were detected in one case each. Five cases of β -thalassemia were detected, all of which were βCD26N. Conclusions:Compared with the southern region, the incidence of thalassemia in Shandong is lower, and the types of thalassemia have certain regional characteristics.
keywords:cord blood  thalassemia  hemoglobin electrophoresis  genetic testing
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