Original Article
Population screening of thalassemia using neonatal heel dried blood spot specimens on filter paper
Zhihua Tu, Yao Lin, Zhi Zhou, Cidan Huang, Xin Chen, Xueli Wu, Wen Lin, Haizhu Xu, Jie Wang
Published 2018-02-11
Cite as Chin J Lab Med, 2018, 41(2): 132-135. DOI: 10.3760/cma.j.issn.1009-9158.2018.02.011
Abstract
ObjectiveTo investigate the neonatal genetic carrier rate and genotype composition of thalassemia in Haikou city, and to evaluate the application of using dried blood spot specimens of neonates for population screening of thalassemia.
MethodsFrom January 2016 to December 2016, 25% to 50% of all dried blood spot specimens of registered neonates were collected randomly by mechanical samping method in 30 hospitals of Haikou city everyday.Total of 6 864 samples were primarily analyzed by hemoglobin electrophoresis, and those with positive results were secondarily recalled for venous blood collection and subsequent genotyping tests.Feasibility of using neonatal dried blood spot specimens for population screening of thalassemia was retrospectively analyzed.
ResultsA total of 6 864 neonatal dried blood spot specimens were analyzed.Out of 604 positive samples primarily screened by Hb electrophoresis, the positive rate was 8.80%, 343 samples carried thalassemia gene mutations secondarily confirmed by genotyping test, the carrying rate was 5%(343/6 864), among which 81.92 % (281/343) were α-thalassemia, 16.62% (57/343) were β-thalassemia and 1.46% (5/343) were both α- and β-thalassemia.In those α-thalassemia, the deleted α-gene types occupied 89.68%(252/281), the major genotype was --SEA /αα; the mutated α-gene types occupied 4.98%(14/281), the major genotype was αQSα/αα. In those β-thalassemia, there were 9 genotypes, the major genotype was CD41-42/N, occupying 61.40%(35/57).
ConclusionsThe neonates have a relatively high carrying rate of thalassemia gene mutations in Haikou city, the genotype composition has geographical characteristics, and the major type is α-thalassemia.The method of using heel dried blood spot specimens on filter paper to screen thalassemia among neonates is advantageous and worthy of advocation.(Chin J Lab Med, 2018, 41: 132-135)
Key words:
Neonates; Dried blood spot; Thalassemia; Screening; Genotype
Contributor Information
Zhihua Tu
Reproductive Medical Center, Maternal and Child Health Care Hospital of Hainan Province, Haikou 570206, China
Yao Lin
Zhi Zhou
Cidan Huang
Xin Chen
Xueli Wu
Wen Lin
Haizhu Xu
Jie Wang