Mutation Analysis of Beta-thalassaemia in 30 Families of India: A Report

Introduction: The β-thalassaemia is one of the haemoglobinopathies related to genetic disorders. It occurs due to mutation in β-gene of autosome 11. In India, it affects 1-7% of couples annually. Reports are available in few states of India about β-thalassaemia affected families. But much data is no...

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Main Authors: Parth S Shah, Nidhi D Shah, Hari Shankar P Ray, Nikunj B Khatri, Ketan K Vaghasia, Mandava V Rao, Sandip C Shah
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2018-05-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/11463/27646_F(SHU)_PF1(AJ_BT_AP)_PFA(AJ_SL)_PB(BT_SL)_PN(SL).pdf
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author Parth S Shah
Nidhi D Shah
Hari Shankar P Ray
Nikunj B Khatri
Ketan K Vaghasia
Mandava V Rao
Sandip C Shah
author_facet Parth S Shah
Nidhi D Shah
Hari Shankar P Ray
Nikunj B Khatri
Ketan K Vaghasia
Mandava V Rao
Sandip C Shah
author_sort Parth S Shah
collection DOAJ
description Introduction: The β-thalassaemia is one of the haemoglobinopathies related to genetic disorders. It occurs due to mutation in β-gene of autosome 11. In India, it affects 1-7% of couples annually. Reports are available in few states of India about β-thalassaemia affected families. But much data is not reported in families of various states of India. Further, the incidence of case index and mutations in parents and siblings of these families are limited. Aim: To analyse patient case index and mutation analysis of parents and siblings {Children and Chorionic villus sampling/ Amniotic fluid (CVS/AF) cases} of 30 families of India and to develop preventive measures. Materials and Methods: A total of 101 referral cases of 30 families filled consent forms and then blood was drawn in a sterilised tube from each case (71) for the study. The AF/ CVS (30) were also included. The red cell markers like Mean Corpuscular Volume (MCV), Red Cell Distribution Width (RDW) etc., biochemical, case types and molecular analysis were done using respective techniques for red cell indices, Haemoglobin (Hb) types and mutation analysis. Results: We report a number of 30 referral families (101 cases) having parents (60), children (11) and CVS/AF samples (30) for their β-thalassaemia, as these traits also cause β-gene mutations. Out of these 101 cases, 88 (87%) cases were positive for this disease. Only 74 (73%) were detected carriers. The case analysis in present cohort indicated parents (56.5%), CVS/AF (19.8%) and proband (children) (10.9%) were found affected. All children moreover, were affected and did, not have CVS/AF samples. The mutations analysis, indicated c.92+G>C (50/94; 53.19%) was maximum and parents contributed 62% followed by siblings (38%) with CVS/AF (22%) and proband (16%) in present cohort. Thus, in the present study, mutation analysis further pointed out that parents transmit these to the offsprings in the subsequent generation who would be the targets of thalassaemia disease. Conclusion: The present study, points out that mutations transfer from parents to offspring follows the laws of inheritance. Case index study showed parents constituted high percent of cases followed by CVS/AF and children/probands, comparable to mutation analysis in present cohort. Hence, carrier parents must undergo counseling and genetic testing to confirm their genetic disorder to limit the burden of the disease.
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spelling doaj.art-0747a224ff7d45dc892a48ae334fe4262022-12-21T23:49:03ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2018-05-01125GC01GC0610.7860/JCDR/2018/27646.11463Mutation Analysis of Beta-thalassaemia in 30 Families of India: A ReportParth S Shah0Nidhi D Shah1Hari Shankar P Ray2Nikunj B Khatri3Ketan K Vaghasia4Mandava V Rao5Sandip C Shah6Chief Scientific Officer, Molecular Genomics, Department of Molecular, Supratech Micropath Laboratory and Research Institute, Ahmedabad, Gujarat, India.Chief Scientific Officer, Molecular Genomics, Department of Molecular, Supratech Micropath Laboratory and Research Institute, Ahmedabad, Gujarat, India.Research Scientist, Department of Molecular Genetics, Supratech Micropath Laboratory and Research Institute, Ahmedabad, Gujarat, India.Bioinformatician, Department of Molecular Genetics, Supratech Micropath Laboratory and Research Institute, Ahmedabad, Gujarat, India.Senior Scientist, Department of Molecular Genetics, Supratech Micropath Laboratory and Research Institute, Ahmedabad, Gujarat, India.Ex. Director, Department of Zoology and Human Genetics, School of Sciences, Supratech Micropath Laboratory and Research Institute, Ahmedabad, Gujarat, India.Lab Director, Department of Molecular Genetics, Supratech Micropath Laboratory and Research Institute, Ahmedabad, Gujarat, India.Introduction: The β-thalassaemia is one of the haemoglobinopathies related to genetic disorders. It occurs due to mutation in β-gene of autosome 11. In India, it affects 1-7% of couples annually. Reports are available in few states of India about β-thalassaemia affected families. But much data is not reported in families of various states of India. Further, the incidence of case index and mutations in parents and siblings of these families are limited. Aim: To analyse patient case index and mutation analysis of parents and siblings {Children and Chorionic villus sampling/ Amniotic fluid (CVS/AF) cases} of 30 families of India and to develop preventive measures. Materials and Methods: A total of 101 referral cases of 30 families filled consent forms and then blood was drawn in a sterilised tube from each case (71) for the study. The AF/ CVS (30) were also included. The red cell markers like Mean Corpuscular Volume (MCV), Red Cell Distribution Width (RDW) etc., biochemical, case types and molecular analysis were done using respective techniques for red cell indices, Haemoglobin (Hb) types and mutation analysis. Results: We report a number of 30 referral families (101 cases) having parents (60), children (11) and CVS/AF samples (30) for their β-thalassaemia, as these traits also cause β-gene mutations. Out of these 101 cases, 88 (87%) cases were positive for this disease. Only 74 (73%) were detected carriers. The case analysis in present cohort indicated parents (56.5%), CVS/AF (19.8%) and proband (children) (10.9%) were found affected. All children moreover, were affected and did, not have CVS/AF samples. The mutations analysis, indicated c.92+G>C (50/94; 53.19%) was maximum and parents contributed 62% followed by siblings (38%) with CVS/AF (22%) and proband (16%) in present cohort. Thus, in the present study, mutation analysis further pointed out that parents transmit these to the offsprings in the subsequent generation who would be the targets of thalassaemia disease. Conclusion: The present study, points out that mutations transfer from parents to offspring follows the laws of inheritance. Case index study showed parents constituted high percent of cases followed by CVS/AF and children/probands, comparable to mutation analysis in present cohort. Hence, carrier parents must undergo counseling and genetic testing to confirm their genetic disorder to limit the burden of the disease.https://jcdr.net/articles/PDF/11463/27646_F(SHU)_PF1(AJ_BT_AP)_PFA(AJ_SL)_PB(BT_SL)_PN(SL).pdfbeta-thalassaemia traitsred cell markersreferral cases
spellingShingle Parth S Shah
Nidhi D Shah
Hari Shankar P Ray
Nikunj B Khatri
Ketan K Vaghasia
Mandava V Rao
Sandip C Shah
Mutation Analysis of Beta-thalassaemia in 30 Families of India: A Report
Journal of Clinical and Diagnostic Research
beta-thalassaemia traits
red cell markers
referral cases
title Mutation Analysis of Beta-thalassaemia in 30 Families of India: A Report
title_full Mutation Analysis of Beta-thalassaemia in 30 Families of India: A Report
title_fullStr Mutation Analysis of Beta-thalassaemia in 30 Families of India: A Report
title_full_unstemmed Mutation Analysis of Beta-thalassaemia in 30 Families of India: A Report
title_short Mutation Analysis of Beta-thalassaemia in 30 Families of India: A Report
title_sort mutation analysis of beta thalassaemia in 30 families of india a report
topic beta-thalassaemia traits
red cell markers
referral cases
url https://jcdr.net/articles/PDF/11463/27646_F(SHU)_PF1(AJ_BT_AP)_PFA(AJ_SL)_PB(BT_SL)_PN(SL).pdf
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