ISSN: 2329-6917
Othman E Soliman, Sohier Yahia, Amany Shouma, Hala K Shafiek, Ashraf E Fouda, Hanan Azzam, Enas F Goda, Nashwa K Abou Samra, Rabab Mahfouz and Solafa A El-Sharawy
Mansoura University, Egypt
Posters & Accepted Abstracts: J Leuk
Background: Ã?²-Thalassemia (Ã?²-thal), the most common genetic disorder in Egypt is widely distributed particularly in Mediterranean and Middle Eastern countries. Ã?²-Globin alleles were studied by different molecular methods which are known to be difficult, time consuming and more liable to contamination. The Ã?²-Globin StripAssay method is reported to be rapid, simple, reproducible and less expensive. Aim: Our study aimed to evaluate the Ã?²-Globin StripAssay method based on reverse hybridization for detection of Ã?²-thal mutations in Egyptian children living in northeast Egypt and to detect possible genotype/phenotype correlation. Subjects & Methods: Forty (40) children with Ã?²-thal major (20 males and 20 females) with mean age of 10.33Ã?±4.75 years were recruited consecutively from outpatient Hematology Clinic of Mansoura University Children's Hospital, Egypt. In addition to full history, clinical and routine laboratory evaluation, mutation analysis was performed by the Ã?²-Globin StripAssay MED (Vienna Lab, Vienna, Austria). Results: The most common genotypes encountered were; homozygous IVS 1.110 (6 patients, 15%) and IVS 1.1 (5 patients, 12.5%) while compound heterozygous genotypes were detected in the remainder mainly IVS 1.110/IVS 1.6 (8 patients, 20%), IVS 1.110/ IVS 1.1 (5 patients, 12.5%). The most frequent mutant alleles detected were; IVS 1.110, IVS 1.1 and IVS 1.6, accounting for 33.75%, 27.5% and 18.75%, respectively; while the least frequent was Codon 39 that represented 2.5% of recovered alleles. The detection rate of the used method in our population was 90% where 8 alleles out of 80 (10%) remained uncharacterized. No genotype/phenotype correlation was demonstrated in studied patients. Conclusion: Ã?²-Globin StripAssay is a fast, easy-to-perform and reliable method for genetic screening of Ã?²-thalassemia patients in Egypt. IVS 1.110, IVS 1.1 and IVS 1.6 are the most frequent mutant alleles with poor phenotype/genotype correlation.