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Molecular Study of Deletional and Nondeletional Mutations on the α-Globin Locus in the Azeri Population of Northwestern Iran

The aim of this study was to determine the molecular spectrum and frequency of deletional and nondeletional α-thalassemia (α-thal) mutations and the genotype-phenotype correlation in common mutations in the Azeri population of Northwestern Iran. A total of 1256 potential carriers with microcytic and...

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Published in:Hemoglobin 2016-09, Vol.40 (5), p.319-322
Main Authors: Derakhshan, Sima M., Khaniani, Mahmoud S., Afkhami, Fateme, PourFeizi, Abbasali H.
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Khaniani, Mahmoud S.
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description The aim of this study was to determine the molecular spectrum and frequency of deletional and nondeletional α-thalassemia (α-thal) mutations and the genotype-phenotype correlation in common mutations in the Azeri population of Northwestern Iran. A total of 1256 potential carriers with microcytic and hypochromic anemia and normal Hb A 2 levels (AATGAA); HBA2: c.*96G>A] with frequencies of 1.08% and 0.92%, respectively. Meanwhile, 7.71% of individuals with a proven β-thalassemia (β-thal) mutation were found to also carry an α-thal mutation. Persons having two functional α-globin genes showed lower mean corpuscular volume (MCV) and mean corpuscular hemoglobin (Hb) (MCH) values compared to those with one mutated α-globin gene, provided that they had normal β-globin genes. Overall, the incidence of α-thal was 2.7% in the Azeri population in Northwestern Iran. Our results showed that the variability of α-thal mutations are high in the Azeri population and that α-thal mutations are highly heterogeneous in both deletional and nondeletional genotype aspects.
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A total of 1256 potential carriers with microcytic and hypochromic anemia and normal Hb A 2 levels (&lt;3.5%) and without iron deficiency anemia plus three fetuses were identified. Multiplex gap-polymerase chain reaction (gap-PCR) and sequencing for α-thal mutations were carried out. In 606 individuals, the α-globin gene was normal, but in 650 persons (51.6%) and three fetuses, 10 different mutations were detected. The most frequent deletional genotypes were as follows: αα/-α 3.7 (61.7%), -α 3.7 /-α 3.7 (11.9%), αα/-α 4.2 (4.6%), αα/- - MED (4.3%) and αα/-(α) 20.5 (3.8%). The most frequent nondeletional genotypes were αα/α IVS-I (-5 nt) α (HBA2: c.95+2_95+6delTGAGG) and αα/α Poly A2 α [polyadenylation signal (polyA2) (AATAAA&gt;AATGAA); HBA2: c.*96G&gt;A] with frequencies of 1.08% and 0.92%, respectively. Meanwhile, 7.71% of individuals with a proven β-thalassemia (β-thal) mutation were found to also carry an α-thal mutation. Persons having two functional α-globin genes showed lower mean corpuscular volume (MCV) and mean corpuscular hemoglobin (Hb) (MCH) values compared to those with one mutated α-globin gene, provided that they had normal β-globin genes. Overall, the incidence of α-thal was 2.7% in the Azeri population in Northwestern Iran. 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A total of 1256 potential carriers with microcytic and hypochromic anemia and normal Hb A 2 levels (&lt;3.5%) and without iron deficiency anemia plus three fetuses were identified. Multiplex gap-polymerase chain reaction (gap-PCR) and sequencing for α-thal mutations were carried out. In 606 individuals, the α-globin gene was normal, but in 650 persons (51.6%) and three fetuses, 10 different mutations were detected. The most frequent deletional genotypes were as follows: αα/-α 3.7 (61.7%), -α 3.7 /-α 3.7 (11.9%), αα/-α 4.2 (4.6%), αα/- - MED (4.3%) and αα/-(α) 20.5 (3.8%). The most frequent nondeletional genotypes were αα/α IVS-I (-5 nt) α (HBA2: c.95+2_95+6delTGAGG) and αα/α Poly A2 α [polyadenylation signal (polyA2) (AATAAA&gt;AATGAA); HBA2: c.*96G&gt;A] with frequencies of 1.08% and 0.92%, respectively. Meanwhile, 7.71% of individuals with a proven β-thalassemia (β-thal) mutation were found to also carry an α-thal mutation. Persons having two functional α-globin genes showed lower mean corpuscular volume (MCV) and mean corpuscular hemoglobin (Hb) (MCH) values compared to those with one mutated α-globin gene, provided that they had normal β-globin genes. Overall, the incidence of α-thal was 2.7% in the Azeri population in Northwestern Iran. 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Persons having two functional α-globin genes showed lower mean corpuscular volume (MCV) and mean corpuscular hemoglobin (Hb) (MCH) values compared to those with one mutated α-globin gene, provided that they had normal β-globin genes. Overall, the incidence of α-thal was 2.7% in the Azeri population in Northwestern Iran. Our results showed that the variability of α-thal mutations are high in the Azeri population and that α-thal mutations are highly heterogeneous in both deletional and nondeletional genotype aspects.</abstract><cop>England</cop><pub>Taylor &amp; Francis</pub><pmid>27690152</pmid><doi>10.1080/03630269.2016.1240688</doi><tpages>4</tpages></addata></record>
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subjects alpha-Globins - genetics
alpha-Thalassemia - epidemiology
alpha-Thalassemia - genetics
Azeri population
Female
Gene Frequency
Genetic Association Studies
Genotype
Heterozygote
Humans
Iran
Iran - epidemiology
Male
multiplex gap-polymerase chain reaction (gap-PCR)
Mutation
Pregnancy
Sequence Deletion - genetics
α-Thalassemia (α-thal)
title Molecular Study of Deletional and Nondeletional Mutations on the α-Globin Locus in the Azeri Population of Northwestern Iran
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