Articles

Prenatal Diagnosis of Different Polymorphisms of β-globin Gene in Ahvaz

Abstract

Background: Hemoglobinopathy and thalassemia are prevalent genetic disorders throughout the world. Beta thalassemia is one of these disorders with high prevalence in Iran, especially in Khuzestan province. In this study, the rate of different mutations in β-globin gene for prenatal diagnosis in fetal samples was evaluated.
Materials and methods: In this experimental pilot study, 316 fetal samples (chorionic villus or amniotic fluid) suspicious to hemoglobin disorders were enrolled. Afterwards, DNA was extracted and PCR and DNA sequencing were used for evaluation of different mutations in β-globin gene.
Results: Amongst 316 samples evaluated for prenatal diagnosis, 180 cases (56.8%) were carrying at least one mutated gene of β-thalassemia. In addition, results showed that CD 36-37 (- T) and IVS II-1 (G>A) polymorphisms are the most prevalent polymorphisms of β-thalassemia in Ahvaz city with 13.9% and 10.1% rates, respectively.
Conclusion: Using molecular tests for prenatal diagnosis is considered an efficient approach for reducing the birth of children with hemoglobinopathy and identification of prevalent mutations in each region.

Farshdousti Hagh M, Dehghani Fard A, Saki N, Shahjahani M, Kaviani S. Molecular Mechanisms of Hemoglobin F Induction. IJHOSCR. 2011; 5(4):5-9.

Zandiankh, Kiekhaie B, Pedram M. Prenatal diagnosis and determination of a, ß thalassemia, S, D, and C hemoglobinopathies globin gene mutations among Ahvazi volunteers. Scientific Medical Journal Ahwaz Jundishapur of Medical Sciences.2006; 5: 508.

Habibzadeh F, Yadollahi M, Merat A, Haghshanas M. Thalassemia in Iran an overview. Archives of Iranian Medicine. 1998; 1: 27-33

Najmabadi H, Kariminejad R, Sahebjam S, Pourfarzd F, TeimourianSh, Sahebjam F, et al. The beta thalassemia mutation spectrum in the Iranian population .Hemoglobin.2001; 25: 285-96.

Karimi M, Alavianghavanini A, Kadivar M. Regional mapping of the gene frequency of beta thalassemia in Fars province, Iran during 1997-1998 Iran H. Med Sci 2000; 25: 34 -7.

Galanello R, Origa R. Beta-thalassemia. Orphanet Journal of Rare Diseases. 2010; 5(1):11.

Cao A, Galanello R, Rosatelli MC: Prenatal diagnosis and screening of the hemoglobinopathies. BaillieresClinHaematol 1998, 11:215-238.

Mavrou A, Kouvidi E, Antsaklis A, Souka A, KitsiouTzeli S, Kolialexi A: Identification of nucleated red blood cells in maternal circulation: a second step in screening for fetal aneuploidies and pregnancy complications. PrenatDiagn 2007, 27:150-153.

Lo YM: Recent advances in fetal nucleic acids in maternal plasma. J HistochemCytochem 2005, 53:293-296.

Longo F, Zecchina G, Sbaiz L, Fischer R, Piga A, Camaschella C: The influence of hemochromatosis mutations on iron overload of thalassemia major. Haematologica 1999, 84:799-803.

Perrotta S, Cappellini MD, Bertoldo F, Servedio V, Iolascon G, D'Agruma L, Gasparini P, Siciliani MC, Iolascon A: Osteoporosis in ß-thalassemia major patients: analysis of the genetic background. Br J Haematol 2000, 111:461-466.

Dresner Pollack R, Rachmilewitz E, Blumenfeld A, Idelson M, Goldfarb AW: Bone mineral metabolism in adults with ß-thalassemia major and intermedia. Br J Haematol 2000, 111:902-907.

Origa R, Satta S, Matta G, Galanello R: Glutathione S-transferase gene polymorphism and cardiac iron overload in thalassemia major. Br J Haematol 2008, 142:143-145.

Sollaino MC, Paglietti ME, Perseu L, Giagu N, Loi D, Galanello R: Association of alpha globin gene quadruplication and heterozygous beta thalassemia in patients with thalassemia intermedia. Haematologica 2009, 94:1445-1448.

Rajabi A, Arab A, Karimipoor M, Kaviani S, ArjmandiKh, Zeinali S. Analysis of _ globin gene mutations and GγXmnI polymorphism in thalassemia intermedia patients referred to Ali-Asghar Hospital, Tehran. Sci J Iran Blood Transfus Org 2011; 8(1): 20-31

Rahim F, Keikhaei B, Aberumand M. Prenatal Diagnosis (PND) of ß Thalassemia in the Khuzestan Province, Iran Journal of Clinical and Diagnostic Research 2007, 6:4549.

Zandian Kh, Keikhaie B, Peeram M, KianpoorGhahfarokhi F.Prenatal Diagnosis and Frequency Determination of alpha and beta Thalassemia, S, D, C, and H Hemoglobinopathies; Globin Mutational Genes Analysis among Voluntary Couples from Ahvaz. IJBC 2007; 1: 95-98.

Cao A, Rosatelli MC, Monni G, Galanello R. Screening for thalassemia: a model of success. ObstetGynecolClin North Am 2002; 29:305-28.

Mitchell JJ, Capua A, Clow C, Scriver RC. Twentyyear outcome analysis of genetic screening programs for Tay-Sachs and β-thalassemia disease carriers in high schools. Am J Hum Genet 1996; 59:793-8.

Modell B, Kuliev A. The history of community genetics. The contribution of the hemoglobindisorders. Community Genet 1998; 1:3-11.

Modell B, Harris R, Lane B, Khan M, Darlison M, Petrou M, Old J, Layton M, Varnavides L. Informed choice in genetic screening for thalassemia during pregnancy: audit from a national confidential inquiry. Br Med J 2000; 320:337-41.

Loutradi-Anagnostou A. Report of thalassemia preventive program in Greece. In: Bayik M, Canatan D, Politis C, Rossi U, eds. Transfusion treatment of thalassemia and other chronic diseases. Proceedings of the ESTM/ITSS, Antalya (Turkey), 20-25 April 2004; pp.119-25.

Weatherall DJ, Clegg JB, Gibbons R, Higgs DR, Old JM, Olivieri NF, et al. The Thalassemia Syndromes. 4th ed. Oxford: Blackwell Science; 2001.

Najmabadi H, Karimi-Nejad R, Sahebjam S, Pourfarzad F, Teimourian S, Sahebjam F, et al. The β-thalassemia mutation spectrum in the Iranian population. Hemoglobin 2001; 25(3): 285-96.

Yavarian M, Harteveld CL, Batelaan D, Bernini LF, Giordano PC. Molecular spectrum of beta-thalassemia in the Iranian province of Hormozgan. Hemoglobin 2001; 25(1): 35-43.

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IssueVol 7, No 2 (2013) QRcode
SectionArticles
Keywords
Hemoglobinopathy Polymorphism Prenatal diagnosis β-thalassemia

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How to Cite
1.
Dehghanifard A, Shahjahani M, Galehdari H, Rahim F, Hamid F, Jaseb K, Asnafi AA, Jalalifar MA, Saki N. Prenatal Diagnosis of Different Polymorphisms of β-globin Gene in Ahvaz. Int J Hematol Oncol Stem Cell Res. 1;7(2):17-22.