IDENTIFICATION OF β-GLOBIN MUTATIONS WHICH PRODUCED β-THALASSEMIA BY ARMS-PCR ASSAY AND DIRECT SEQUENCING

Authors

  • Gaza F. Salih Department of Biology, Sciences, University of Sulaimani, Kurdistan Region, Iraq.
  • Hersh Abdul Hamakarim Department of Biology, Sciences, University of Sulaimani, Kurdistan Region, Iraq.

DOI:

https://doi.org/10.17656/jsmc.10096

Keywords:

β-globin, β-thalassemia, ARMS-PCR

Abstract

Background 

Thalassemia is the most common recessive single gene disease in humans which is caused by inheritance of an affected allele from both parents resulting in impaired production of the globin chain.

Objectives

This study was established in order to; 1. Identify β-globin mutations, which produced β-thalassemia by ARMS-PCR assay and direct sequencing and identifying the spectrum of mutations causing β-thal in the KRG. Also to investigate the usefulness of the PCR-ARMS technique followed by DNA sequencing as diagnostic tools that could be applied for carrier detection and prenatal diagnosis; 2. Establishment and present a feasible protocol for molecular diagnosis of β-thalassemia in KRG region.

Methods

Screening for β- thalassemia mutations using PCR-ARMS for frequent mutations in the KRG population followed by DNA sequencing of the unknown alleles could be useful for the implementation of a strategy for carrier detection and preimplantation genetic diagnosis in high risk families.

Results

A total of thirty β-thalassemia patients including 16 males (53.33%) and 14 females (46.66%) were examined by PCR assay using specific primers for each of mutations. The results indicate that these mutations detected in this study were also detected in surrounding countries which occurred with varying frequency.

Conclusion

These results are in line with studies in other parts of the world which have shown that gene flow due to population migration is common. Rapid, accurate genotyping methodologies for specific, causative mutations of the β-globin gene are needed for pre- and postnatal screening and diagnosis of this disease in different ethnic populations.

References

Borgna-pignatti C, Galanello R. Thalassemias and related disorders: quantitative disorders of hemoglobin synthesis. In: Greer JP, Editor. Wintrobe’s Clinical Hematology. 12th ed. USA: Lippincott Williams & Wilkins; 2008.

Tubman VN, Fung EB, Vogiatzi M, Thompson AA, Rogers ZR, Neufeld EJ, et al. Guidelines for the Standard Monitoring of Patients With Thalassemia: Report of the Thalassemia Longitudinal Cohort. Journal of pediatric hematology/oncology. 2015; 37(3):e162-9. DOI: https://doi.org/10.1097/MPH.0000000000000307

Langlois S, Ford JC, Chitayat D, Desilets VA, Farrell SA, Geraghty M, et al. Carrier screening for thalassemia and hemoglobinopathies in Canada. Journal of obstetrics and gynaecology Canada : JOGC = Journal d’obstetrique et gynecologie du Canada : JOGC. 2008; 30(10):950-71. DOI: https://doi.org/10.1016/S1701-2163(16)32975-9

Long J, Ye X, Lao K, Pang W, Weng X, Fu K, et al. Detection of three common alpha-thalassemia in non-deletion types and six common thalassemia in deletion types by QF-PCR. Clinical biochemistry. 2013; 46(18):1860-4. DOI: https://doi.org/10.1016/j.clinbiochem.2013.09.013

Huang SW, Liu XM, Li GF, Su L, Wu X, Wang RL. Spectrum of beta-thalassemia mutations in Guizhou Province, PR China, including first observation of codon 121 (GAA>TAA) in Chinese population. Clinical biochemistry. 2013; 46(18):1865-8. DOI: https://doi.org/10.1016/j.clinbiochem.2013.09.014

Rao S, Saxena R, Deka D, Kabra M. Use of HbA estimation by CE-HPLC for prenatal diagnosis of beta-thalassemia; experience from a tertiary care centre in north India: a brief report. Hematology. 2009; 14(2):122-4. DOI: https://doi.org/10.1179/102453309X385269

Bahadır A, Öztürk O, Atalay A, Atalay EO. Beta globin gene cluster haplotypes of the beta thalassemia mutations observed in the Denizli province of Turkey. Turkish Journal of Hematology. 2009; 26(3): 129-137.

Fauci AS, Kasper DL, Longo DL, Braunwald E, Hauser SL, Jameson J, et al. Harrison principles of internal medicine. 17th ed. United States: The McGraw-Hill Companies; 2008.

Sarookhani MR, Ahmadi MH, Amirizadeh N. Molecular spectrum of beta globin mutations in transfusion-dependent patients with thalassemia in Qazvin Province, Iran. Iranian Journal of Medical Science. 2009; 34(1): 17-24.

Boonyawat B, Monsereenusorn C, Traivaree C. Molecular analysis of beta-globin gene mutations among Thai beta-thalassemia children: results from a single center study. The application of clinical genetics. 2014; 7:253-8. DOI: https://doi.org/10.2147/TACG.S73058

Villegas A, Ropero P, Gonzalez FA, Anguita E, Espinos D. The thalassemia syndromes: molecular characterization in the Spanish population. Hemoglobin. 2001; 25(3):273-83. DOI: https://doi.org/10.1081/HEM-100105220

Abuzenadah AM, Hussein IM, Damanhouri GA, FM AS, Gari MA, Chaudhary AG, et al. Molecular basis of beta-thalassemia in the western province of Saudi Arabia: identification of rare beta-thalassemia mutations. Hemoglobin. 2011; 35(4):346-57. DOI: https://doi.org/10.3109/03630269.2011.588508

Epplen, JE, Lubjuhn T. DNA profiling and DNA fingerprinting. (1999). Berlin: Birhkhauser Verlag; 1999. P. 252. DOI: https://doi.org/10.1007/978-3-0348-7582-0

Mirasena S, Shimbhu D, Sanguansermsri M, Sanguansermsri T. The Spectrum of β-thalassemia Mutations in Phitsanulok Province: Development of Multiplex ARMS for Mutation Detection. Naresuan University Journal. 2007; 15(1): 43-53.

Sirichotiyakul S, Saetung R, Sanguansermsri T. Analysis of beta-thalassemia mutations in northern Thailand using an automated fluorescence DNA sequencing technique. Hemoglobin. 2003; 27(2):89-95. DOI: https://doi.org/10.1081/HEM-120021541

Higgs DR, Engel DE, Stamatoyannopoulas G. Thalassemia. Lancet. 2012; 379: 373-383. DOI: https://doi.org/10.1016/S0140-6736(11)60283-3

Rahimi Z, Muniz A, Parsian A. Detection of responsible mutations for beta thalassemia in the Kermanshah Province of Iran using PCR-based techniques. Molecular biology reports. 2010; 37(1):149-54. DOI: https://doi.org/10.1007/s11033-009-9560-0

Zahed L. The Spectrum of beta-Thalassemia Mutations in the Arab Populations. Journal of biomedicine & biotechnology. 2001; 1(3):129-32. DOI: https://doi.org/10.1155/S1110724301000298

Sadiq MF, Eigel A, Horst J. Spectrum of beta-thalassemia in Jordan: identification of two novel mutations. American journal of hematology. 2001; 68(1):16-22. DOI: https://doi.org/10.1002/ajh.1143

Ghazi O. Tadmouri and A. Nazlõ Bas°ak. Advances in Hemoglobinopathies Research B-Thalassemia In Turkey: A Review of The Clinical, Epidemiological, Molecular, and Evolutionary Aspects. Hemoglobin. 2001; 25(2), 227-239. DOI: https://doi.org/10.1081/HEM-100104031

Al-Ali AK, Al-Ateeq S, Imamwerdi BW, Al-Sowayan S, Al-Madan M, Al-Muhanna F, et al. Molecular bases of beta-thalassemia in the Eastern Province of Saudi Arabia. Journal of biomedicine & biotechnology. 2005; 2005(4):322-5. DOI: https://doi.org/10.1155/JBB.2005.322

Agouti I, Badens C, Abouyoub A, Levy N, Bennani M. Molecular basis of beta-thalassemia in Morocco: possible origins of the molecular heterogeneity. Genetic testing. 2008; 12(4):563-8. DOI: https://doi.org/10.1089/gte.2008.0058

Makhoul NJ, Wells RS, Kaspar H, Shbaklo H, Taher A, Chakar N, et al. Genetic heterogeneity of Beta thalassemia in Lebanon reflects historic and recent population migration. Annals of human genetics. 2005; 69(Pt 1):55-66. DOI: https://doi.org/10.1046/j.1529-8817.2004.00138.x

Galanello R, Eleftheriou A, Trager-Synodinos J, Old J, Petrou M, Angastiniotis M. Prevention of Thalassaemias and Other Haemoglobin Disorders. Thalassaemias international federation. 2003; 1.

Pehlivan S, Okan V, Guler E, Yilmaz M, Sever T, Dikensoy E, Kilincarslan C. et al. Molecular basis of β - thalassemia mutations in an urban area of Gaziantep Turkey. Hematologica. 2008; 93(1): 337.

Jassim N, Al-Arrayed S, Al-Mukharraq H, Merghoub T, Krishnamoorthy RSpectrum of β-thalassemia Mutation in Bahrain. Bahrain Medical Bulletin. 2000; 22(1)

Ngo DA, Steinberg MH. Genomic approaches to identifying targets for treating beta hemoglobinopathies. BMC medical genomics. 2015; 8:44. DOI: https://doi.org/10.1186/s12920-015-0120-2

Gajra B, Chakrabarti S, Sengupta B, De M, Mukherjee S, Talukder G. Prevention of β -Thalassemia Major and E β Thalassemia by Prenatal Diagnosis in Eastern India. International journal of human genetics. 2003; 3(4): 225-235. DOI: https://doi.org/10.1080/09723757.2003.11885857

Derakhshandeh-Peykar P, Hourfar H, Heidari M, Kheirollahi M, Miryounesi M.The Spectrum of β -thalassemia Mutations in Isfahan Province of Iran. Iranian Journal of Public Health . 2008; 37(2):106-111.

Weatherall DJ. Disorders of Globin Synthesis: The Thalassemias. In: Lichtman MA, Kipps K, Kaushansk E, Seligsohn U, Prchal JT, Editors. Williams hematology. 7th ed. United states: McGrow Hill; 2006.

Baig SM, Azhar A, Hassan H, Baig JM, Kiyani A, Hameed U, et al. Spectrum of beta-thalassemia mutations in various regions of Punjab and Islamabad, Pakistan: establishment of prenatal diagnosis. Haematologica. 2006; 91(3):ELT02.

Keser I, Manguolu E, Kayisli Og, Kurt F, Mendilcioglu I, Simsik M, et al. Prenatal Diagnosis of β-Thalassemia in the Antalya Province: clinical investigation. Turkish journal of medical sciences. 2005; 35(2005):251-253.

Olivieri NF. The β-Thalassemias: review article. The new England journal of medicine. 1999; 341: 99-109. DOI: https://doi.org/10.1056/NEJM199907083410207

Larson PJ, Friedman DF, Reilly MP, Kattamis AC, Asakura T, Fortina P, et al. The presurgical management with erythrocytapheresis of a patient with a high-oxygen-affinity, unstable Hb variant (Hb Bryn Mawr). Transfusion. 1997; 37(7):703-7. DOI: https://doi.org/10.1046/j.1537-2995.1997.37797369445.x

Published

2016-12-01

Issue

Section

Articles

How to Cite

1.
Salih G, Hamakarim H. IDENTIFICATION OF β-GLOBIN MUTATIONS WHICH PRODUCED β-THALASSEMIA BY ARMS-PCR ASSAY AND DIRECT SEQUENCING. JSMC [Internet]. 2016 Dec. 1 [cited 2024 Jul. 4];6(2):123-32. Available from: https://jsmc.univsul.edu.iq/index.php/jsmc/article/view/jsmc-10096

Similar Articles

1-10 of 22

You may also start an advanced similarity search for this article.