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The Prevalence and Molecular Spectrum of α- and β-globin Gene Mutations in 14,332 Families of Guangdong Province, China

Abstract

Objective: To reveal the familial prevalence and molecular variation of α- and β-globin gene mutations in Guangdong Province.

Methods: A total of 40,808 blood samples from 14,332 families were obtained and analyzed for both hematological and molecular parameters.

Results: A high prevalence of α- and β-globin gene mutations was found. Overall, 17.70% of pregnant women, 15.94% of their husbands, 16.03% of neonates, and 16.83% of couples (pregnant women and their husbands) were heterozygous carriers of α- or β-thalassemia. The regions with the highest prevalence were the mountainous and western regions, followed by the Pearl River Delta; the region with the lowest prevalence was Chaoshan. The total familial carrier rate (both spouses were α- or β-thalassemia carriers) was 1.87%, and the individual carrier rates of α- and β-thalassemia were 1.68% and 0.20%, respectively. The total rate of moderate-to-severe fetal thalassemia was 12.78% among couples in which both parents were carriers.

Conclusions: There was a high prevalence of α- and β-thalassemia in Guangdong Province. This study will contribute to the development of thalassemia prevention and control strategies in Guangdong Province.

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References
1.
Fucharoen S, Fucharoen G, Sriroongrueng W, Laosombat V, Jetsrisuparb A, Prasatkaew S . Molecular basis of beta-thalassemia in Thailand: analysis of beta-thalassemia mutations using the polymerase chain reaction. Hum Genet. 1989; 84(1):41-6. DOI: 10.1007/BF00210668. View

2.
Liao C, Mo Q, Li J, Li L, Huang Y, Hua L . Carrier screening for alpha- and beta-thalassemia in pregnancy: the results of an 11-year prospective program in Guangzhou Maternal and Neonatal hospital. Prenat Diagn. 2005; 25(2):163-71. DOI: 10.1002/pd.1079. View

3.
Lin M, Wen Y, Wu J, Wang Q, Zheng L, Liu G . Hemoglobinopathy: molecular epidemiological characteristics and health effects on Hakka people in the Meizhou region, southern China. PLoS One. 2013; 8(2):e55024. PMC: 3562339. DOI: 10.1371/journal.pone.0055024. View

4.
Xu X, Zhou Y, Luo G, Liao C, Zhou M, Chen P . The prevalence and spectrum of alpha and beta thalassaemia in Guangdong Province: implications for the future health burden and population screening. J Clin Pathol. 2004; 57(5):517-22. PMC: 1770296. DOI: 10.1136/jcp.2003.014456. View

5.
Xiong F, Sun M, Zhang X, Cai R, Zhou Y, Lou J . Molecular epidemiological survey of haemoglobinopathies in the Guangxi Zhuang Autonomous Region of southern China. Clin Genet. 2010; 78(2):139-48. DOI: 10.1111/j.1399-0004.2010.01430.x. View