2018
DOI: 10.4081/hr.2018.7530
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The shortcut strategy for beta thalassemia prevention

Abstract: We propose antenatal blood tests using high-resolution DNA melting (HRM) analysis for beta thalassemia mutation detection after hemoglobin A2 estimation as a modified strategy for the identification of beta thalassemia at-risk couples. Antenatal blood samples of 1,115 couples were transferred from the antenatal care clinic. Hemoglobin A2 was quantified, and proportions ≥3.5% were further assessed for beta thalassemia mutation using HRM analysis. Twelve types of beta thalassemia mutations, including hemoglobin … Show more

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Cited by 3 publications
(2 citation statements)
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“…In the routine screening program, RDB is used widely to detect the 17 common β-thal variants [18]. However, there exists the possibility of missing rare and novel variants; this is especially crucial when one person is confirmed to be afflicted with thalassemia, and their partner is a suspected carrier [19]. Therefore, NGS should be applied to screen for β-globin gene variants for improved sensitivity and specificity.…”
Section: Discussionmentioning
confidence: 99%
“…In the routine screening program, RDB is used widely to detect the 17 common β-thal variants [18]. However, there exists the possibility of missing rare and novel variants; this is especially crucial when one person is confirmed to be afflicted with thalassemia, and their partner is a suspected carrier [19]. Therefore, NGS should be applied to screen for β-globin gene variants for improved sensitivity and specificity.…”
Section: Discussionmentioning
confidence: 99%
“…If both were positive, a standard method of applying a confirmation test for thalassaemia was implemented. Yet, 20 years after launching the nationwide control programme for severe thalassaemia, still, only an approximately 50% coverage of preventative screening for pregnant women had been achieved because many women attended the antenatal care clinic late [22,46].…”
Section: Category Bmentioning
confidence: 99%