PCR Detection of ?-thalassemia 1 (Southeast Asian Type) Carriers in the South Northern Thailand

Authors

  • Chonnanit Choopayaka Department of Biochemistry, Faculty of Medical Science, Naresuan University, Phitsanulok65000, Thailand.
  • Apinun Limmongkon Department of Biochemistry, Faculty of Medical Science, Naresuan University, Phitsanulok65000, Thailand.
  • Urasri Suyasunanont Department of Biology, Faculty of Science, Naresuan University, Phitsanulok 65000,Thailand.
  • Supak Poungbangpho Department of Biochemistry, Faculty of Medical Science, Naresuan University, Phitsanulok65000, Thailand.

Keywords:

α-thalassemia 1, Southeast Asian type (---SEA), PCR

Abstract

The alpha thalassemia is the inherited disorder commonly found in Thailand and is characterized by a decrease or lack of synthesis of the α globin chain.  One of the severe form of α-thalassemia is α-thalassemia 1 (α-thal 1,--) which is caused by the deletion of both duplicated alpha globin genes.  The most common mutation of α-thal 1 found in Thai population is the Southeast Asian type gene deletion (---SEA), which is caused by the deletion of 17.5 kb α globin gene. The objective of this study was to survey the α-thal 1 carriers (SEA type) in people who lived in the south northern Thailand. One hundred pregnancies attending Antenatal Clinic unit (ANC) during 16-25 August 1999 at Buddhachinaraj Hospital, Phitsanulok, were studied using the polymerase chain reaction (PCR) technique. Three primers were used, one (A1B) was in the deletion area of α-thal 1, the other two (A4 and A9) were adjacent to the 5’ and 3’ breakpoint of deletion.  PCR products were 570 bp and 194 bp DNA fragment. The 570 bp PCR product was specific to the α-thal 1 determinant and the 194 bp fragment  was amplified from either α-thal 2 (-α) or normal alpha globin (αα) determinants. The results showed that 95 samples obtained the 194 bp DNA fragment where 5 samples out of 100 samples obtained both 194 bp and 570 bp DNA fragment. The study demonstrated five percentage of α-thal 1 carriers (SEA type) found in the pregnancies attending ANC unit at Buddhachinaraj Hospital.

References

Bowden, D.K., Vickers, M.A. and Higgs, D.R. 1992. A PCR-based strategy to detect the common severe determinants of α thalassemia. Br J Hematol, Vol.81, pp. 104-108.

Beutler, E., Lichtman, M.A., Coller, B.S. and Kipps, T.J. 1995. Hematology.

th ed. New York, pp. 581-615.

Eisenstein, B.I. 1990. The polymerase chain reaction. A new method for using moleculargenetics for medical diagnosis. N Engl Med, Vol.322, pp. 178-183.

Fucharoen, G., Fucharoen. S., Wanhakit, C. and Srithong, W. 1995. Molecular basis of alpha (0)-thalassemia in northeast of Thailand. Southeast Asian J Trop med Public Health, Vol.26 suppl 1, pp. 249-251.

Fucharoen, S. and Winichagoon, P. 1992. Thalassemia in Southeast Asia :

problems and strategy for prevention and control (review). Southeast Asian J Trop Med Public Health, Vol.23(4), pp. 647-655.

Fucharoen, S., Winichagoon, P., Thonglairoam, V., Siriboon, W. and Sae-Ngow, B. 1989. Laboratory diagnosis for thalassemia. Ann Acad Med Singapore, Vol.18(4), pp.424-430.

Fucharoen, S., Winichagoon, P., Thonglairoam, V., Siriboon, W., Siritanaratkul, N., Kanokpongsakdi, S. and Wantanasiri, C. 1991. Prenatal diagnosis of thalassemia and hemoglobinopathies in Thailand : Experience from 100 pregnancies (review). Southeast Asian J Trop Med Public Health, Vol.22(1), pp. 16-29.

Galanello, R., Sollaino, C., Paglietti, E., Barella, S., Perra, C., Doneddu, I. and Pirroni, M.G. 1998. Alpha-thalassemia carrier identification by DNA analysis in the screening for thalassemia. Am J Hematol, Vol.59(4), pp. 273-278.

Karlinsey, J., Stamatoyannopoulos, G. and Enver, T. 1989. Simultaneous purification of DNA and RNA from small numbers of eukaryotic cells. Anal Biochem, Vol.180(2), pp. 303-306.

Kitsirisakul, B., Steger, H.F. and Sanguamsri, T. 1996. Frequency of alpha-thal 1 of the Southeast Asian-type among pregnant women in northern Thailand determined by PCR technique. Southeast Asian J Trop Med Public Health, Vol.27(2), pp. 362-363.

Lemmens-Zygulska, M., Eigel, A., Helbig, B., Sanguansermsri, T., Horst, J.

and Flatz, G. 1996. Prevalence of alpha-thalassemias in northern Thailand. Hum Genet, Vol.98(3), pp. 345-347.

Pravatmuang, P., Tiloklurs, M., Suannum, M. and Chaipat, C. 1995. Phitsanulok population : The highest incidence of hemoglobin E in the northern provinces of Thailand and PND counseling. Southeast Asian J Trop Med Public Health, Vol.26 suppl 1, pp. 266-270.

Rodger, G.P. 1998. Clinical Haematology. London: Bailliere Tindall, pp. 51-90.

Sriroongrueng, W., Pornpatkul, M., Panich, V. and Fuchaoen, S. 1997. Alpha-thalassemia incidence in southern Thailand by restriction endonuclease analysis of globin DNA from placental blood at Songklanagarind Hospital. Southeast Asian J Trop Med Public Health, Vol.28 Suppl 3, pp. 93-96.

Winichagoon, P., Fucharoen, S. and Wasi, P. 1992. The molecular basis of α-thalassemia in Thailand. Southeast Asian J Trop Med Public Health, Vol.23 suppl 2, pp. 7-13.

Winichagoon, P., Fucharoen, S., Kanokpongsakdi, S. and Fukumaki, Y. 1995. Detection of α-thalassemia-1 (Southeast Asian type) and its application for prenatal diagnosis. Clin Genet, Vol.473, pp. 318-320.

Downloads

Published

2013-08-01

Issue

Section

Research Articles