-
摘要: 异常血红蛋白(Hb)病是由于珠蛋白基因缺陷、珠蛋白一级结构发生变化而产生新的分子结构改变的Hb变异体引起的一组遗传性疾病,与地中海贫血统称为Hb病,是世界上最常见的出生缺陷之一,全球发病率位于第3位,是中国南方地区最常见的遗传性疾病之一。相较于地中海贫血,大多数异常Hb病在临床上无临床症状,发病率较低,使得对该病的认识度不够广泛,因此目前还没有成熟独立的筛查诊断程序,异常Hb病往往是伴随地中海贫血筛查被发现,再通过基因测序检测才能明确诊断。Abstract: Abnormal hemoglobin(Hb) disease is a group of hereditary diseases caused by Hb variants that produce new molecular structural changes due to globin defects and changes in the primary structure of globin. Together with thalassemia, it is collectively known as Hb disease, that is one of the most common birth defects in the world, with the global incidence ranking third, is one of the most common genetic disease in southern China. Compared with Mediterranean anemia, most unusual Hb diseases are clinically asymptomatic, with low incidence and no enough wide understanding of the disease degree, so there is no mature independent screening diagnosis program. Abnormal Hb disease is often detected during thalassaemia screening and then confirmed by genetic sequencing.
-
Key words:
- abnormal Hb disease /
- Hb electrophoresis /
- gene sequencing method
-
[1] 李友琼, 田矛. 血红蛋白病对糖化血红蛋白测定结果的影响[J]. 中国临床新医学, 2022, 15(8): 773-776. doi: 10.3969/j.issn.1674-3806.2022.08.23
[2] 王也飞, 吴蓓颖, 夏文权, 等. 异常血红蛋白病患者血液学表型和基因型分析[J]. 中国实验血液学杂志, 2021, 29(4): 1280-1288. https://www.cnki.com.cn/Article/CJFDTOTAL-XYSY202104044.htm
[3] 彭政, 肖芳. 血液分析仪过筛作用在血液病诊断中的临床应用评价[J]. 临床血液学杂志, 2020, 33(2): 130-133. https://www.cnki.com.cn/Article/CJFDTOTAL-LCXZ202002015.htm
[4] 徐珊珊, 顾恒, 李铭臻. 地中海贫血筛查指标平均红细胞血红蛋白含量可靠性的分析[J]. 山西医药杂志, 2021, 50(9): 1442-1444. doi: 10.3969/j.issn.0253-9926.2021.09.012
[5] 黄志卓, 高云, 巢薇, 等. 广西柳州地区地中海贫血筛查及基因分型结果研究[J]. 临床血液学杂志, 2022, 35(6): 414-418. https://www.cnki.com.cn/Article/CJFDTOTAL-LCXZ202206006.htm
[6] Kumar R, Derbigny WA. Cellulose Acetate Electrophoresis of Hemoglobin[J]. Methods Mol Biol, 2019, 1855: 81-85.
[7] Adu P, Simpong NL, Kontor K, et al. Misleading presentation of haemoglobin electrophoresis data[J]. Ghana Med J, 2017, 51(1): 36-38. doi: 10.4314/gmj.v51i1.7
[8] 薄秀梅. 核酸染色剂对DNA在琼脂糖凝胶电泳中迁移速度的影响[J]. 安徽农业科学, 2020, 48(3): 1-3, 10. doi: 10.3969/j.issn.0517-6611.2020.03.001
[9] Schaefer BA, Kiyaga C, Howard TA, et al. Hemoglobin variants identified in the Uganda Sickle Surveillance Study[J]. Blood Adv, 2016, 1(1): 93-100. doi: 10.1182/bloodadvances.2016000950
[10] Baig MA, Swamy KB, Baksh AD, et al. Evaluation of role of HPLC(Merits & Pitfalls), in the diagnosis of various hemoglobinopathies & thalassemic syndromes[J]. Indian J Pathol Microbiol, 2021, 64(3): 518-523. doi: 10.4103/IJPM.IJPM_709_20
[11] Polprasert C, Wongprachar P, Suksusut A, et al. Comprehensive screening for coexisting heterozygous α0-thalassemia in hemoglobin E trait[J]. Hematology, 2020, 25(1): 276-279. doi: 10.1080/16078454.2020.1786972
[12] 王也飞, 吴蓓颖, 夏文权, 等. 高效液相色谱技术联合红细胞参数在血红蛋白病筛查中的应用[J]. 诊断学理论与实践, 2021, 20(3): 271-278. https://www.cnki.com.cn/Article/CJFDTOTAL-ZDLS202103009.htm
[13] 屈艳霞, 左连东, 陈桂兰, 等. 血液学指标联合HPLC方法在育龄人群地中海贫血筛查中的价值[J]. 中国妇幼保健, 2020, 35(8): 1476-1479. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFYB202008038.htm
[14] 许伟华, 刘冬霞, 龙辉, 等. 全自动毛细管电泳仪在异常血红蛋白筛查中的应用[J]. 实验与检验医学, 2018, 36(2): 178-181. https://www.cnki.com.cn/Article/CJFDTOTAL-JXJL201802016.htm
[15] Li Y, Tian M, Qin T, et al. Capillary Electrophoresis Resolves Inconclusive HPLC Analysis for Hemoglobin Variants: a Study of Two Cases[J]. Clin Lab, 2018, 64(7): 1305-1309.
[16] 姚靖, 刘恩赐, 李肖妹, 等. 干血片毛细血管电泳技术在新生儿α-地贫筛查中的应用[J]. 数理医药学杂志, 2021, 34(2): 228-230. https://www.cnki.com.cn/Article/CJFDTOTAL-SLYY202102032.htm
[17] 余朝文. 基于质谱技术的临床重要疾病代谢相关标志物的鉴定及应用研究[D]. 重庆: 重庆医科大学, 2018.
[18] Wiesinger T, Mechtler T, Schwarz M, et al. Investigating the suitability of high-resolution mass spectrometry for newborn screening: identification of hemoglobinopathies and β-thalassemias in dried blood spots[J]. Clin Chem Lab Med, 2020, 58(5): 810-816.
[19] Lee YK, Kim HJ, Lee K, et al. Recent progress in laboratory diagnosis of thalassemia and hemoglobinopathy: a study by the Korean Red Blood Cell Disorder Working Party of the Korean Society of Hematology[J]. Blood Res, 2019, 54(1): 17-22.
[20] Rets A, Clayton AL, Christensen RD, et al. Molecular diagnostic update in hereditary hemolytic anemia and neonatal hyperbilirubinemia[J]. Int J Lab Hematol, 2019, 41(Suppl 1): 95-101.
[21] Jamwal M, Sharma P, Das R. Laboratory Approach to Hemolytic Anemia[J]. Indian J Pediatr, 2020, 87(1): 66-74.
[22] Salk JJ, Schmitt MW, Loeb LA. Enhancing the accuracy of next-generation sequencing for detecting rare and subclonal mutations[J]. Nat Rev Genet, 2018, 19(5): 269-285.
[23] 竺晓凡. 二代测序技术在先天性骨髓衰竭综合征诊断中的合理应用与结果分析[J]. 临床血液学杂志, 2020, 33(11): 746-748. https://www.cnki.com.cn/Article/CJFDTOTAL-LCXZ202011003.htm
[24] 普嘉杰. 二代测序诊断一例HBB外显子自发显性突变导致异常血红蛋白[D]. 广州: 南方医科大学, 2018.
[25] 赵婷婷. 罕见血红蛋白病突变类型临床血液学特征的研究[D]. 昆明: 昆明理工大学, 2020.
[26] Chen P, Yu X, Huang H, et al. Evaluation of Ion Torrent next-generation sequencing for thalassemia diagnosis[J]. J Int Med Res, 2020, 48(12): 300060520967778.
[27] 陆国荣. 高通量测序技术在湖南汝城县地中海贫血基因突变类型分析中的应用[D]. 衡阳: 南华大学, 2021.
[28] 任天凤. 广东信宜地区育龄人群异常血红蛋白病筛查分析[J]. 中国现代药物应用, 2021, 15(6): 240-242. https://www.cnki.com.cn/Article/CJFDTOTAL-ZWYY202106105.htm
[29] Huang H, Xu L, Chen M, et al. Molecular characterization of thalassemia and hemoglobinopathy in Southeastern China[J]. Sci Rep, 2019, 9(1): 3493.
计量
- 文章访问数: 949
- PDF下载数: 396
- 施引文献: 0