Hb E Screening Test
Keywords:
Hemoglobin E, Screening testAbstract
Abstract : Hb E screening test was modified from the microcolumn DEAE Sephadex A 50 chromatography method. It has been used for screening of Hb E cases by applying a 40 Mil. blood sample dissolved in 5 miliitres of working buffer pH 8.5 into a pasteur pipette containing DEAE Sephadex A50 of 5 centrimetres high. Hemoglobin is adsorbed on the column when the blood sample moves through. An aliquot of 5 millitres of working buffer pH 8.5 is applied in order to fix the hemobin. Then Hb E is eluted with 10 millitres of working buffer pH 8.2 and red colour along the column is noticed whereas Hb A, Hb F. Hb H and Hb Bart's remain on the upper part of the column. The white color of DEAE Sephadex A50 at the lower part of the column indicates no Hb E in the blood
sample.
The results obtained from the study on Hb E screening test are as follows :
1. Five hundred blood samples from pregnant women were tested along with cellulose acetate Hb electrophoresis method, 50 corresponding Hb E cases were shown by both methods.
2. Five hundred and five Hb cases out of 4,922 pregnant women were found, je. 10.2% incidence was shown.
3. Upon determination of Hb E proportion in 323 Hb E positive cases by Hb E screening test, the Hb proportion ranging from 11.5-94.0% of total hemoglobin can be read.
4.Only 68% of those 323 Hb E trait cases were found to be positive when determining by 2 min OF method.
5.alpha-thal.1 trait in positive Hb E cases reported by Hb E screening test was mostly found in cases of Hb E proportion ranging between 15-20%.
Hb E screening test is a simple and accurate method for Hb E screening. It can be applied in searching for Hb E carriers which are useful for the control and prevention of Hb E/Bthalassemia.
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References
Flatz G, Pik C, Sringam S. Hemoglobin E and B-thalassemia: their distribution in Thailand. Ann Hum Genet 1965;29:151-79.
Yongvanit P, Sriboonlue P, Mularlee N, et al. DNA haplotypes and frameworks linkcd to the B-globin. Locus in an Austro-Asiatic population with a high prevalence of hemoblobin E. Hum Genet 198983:171-
Fucharoen S, Winichagoon P, Wisedpanichkij R, et al. Prenatal and postnatal diagnoses of thalassemia an hemoglobinopathies by HPLC. Clin Chem. 1998;44:740-8.
Huisman THJ, Jonxis JHP. The Hemoglobinopathies. Techniques of Identification. New York and Basel : Marcel Dekker Inc. 1997;105-15.
Chamrasratanakorn T, Sanguansermsri T, Punyakeaw A. A Modified Microcolimn Chromatography for Hb A Determination. Bull Chiamg Mai Assoc Med Sci. 1998;31:32-5.
Chamrasratanakorn T, Sanguansermsri T, Punyakeaw A. Two minutes Osmotic Fragility Test (2 MIN OF) and Severe Thalassemia Trait Screening. Bull Chiang Mai Assoc Med Sci. 1998;31:28-31.
Chang JG, Lee LS, Lin CP, Chen PH, Chen CP. Rapid diagnosis of Ot-thalassemia-1 of Southeast Asia and hydrops fetalis by polymerase chain reaction. Blood 1991;78:853-4.
Kitsisakul B. Steger HF, Sanguansernsermsn Frequency of or-thalassemia-1 of the southeast asian-type among pregnant women in northern Thailand determined by PCR technique. Southeast Asian J Trop Med Public Health. 1996;35:362-3.
นพรัตน์ แซ่อือ, รุ่งฤดี ใบสูงเนิน, กุลนภา ฟูเจริญ และคณะ. พาหะฮีโมโกลบินอีที่มียืนแฝงอัลฟา-ธาลัสซีเมีย1 บทคัดย่อการประชุมวิชาการเรื่องการควบคุมและการป้องกันโรคธาสัสซีเมีย ครั้งที่ 3 คณะแพทยศาสตร์ มหาวิทยาลัยเชียงใหม่ 2538 หน้า P1.
Kulapongs P, Sanguansermsri T, Merty G, Tawarat S. Dichlorophenol-indophenol (DCIP) precipitation test a new screening test of HbE and H. Paediatr soc Thailand 1976;15:1-7
ยุพิน โจ้แปง, กุลนภา ฟูเจริญ, เกรียงไกร กิจเจริญ และคณะ. การทดสอบทางห้องปฏิบัติการแบบง่ายเพื่อตรวจกรองธาลัสชีเมียและฮีโมโกลบินผิดปกติ. วารสารการอนามัยและสิ่งแวดล้อม 2536;16:45-57.
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