Glucose-6-phosphate dehydrogenase activity measured by spectrophotometry and associated genetic variants from the Oromiya zone, Ethiopia

Abstract Background The study aimed to gain first data on the prevalence of G6PD enzyme deficiency measured by spectrophotometry and associated genetic variants in Jimma and surroundings, Ethiopia. The area is a Plasmodium vivax endemic region, but 8-aminoquinolines such as primaquine are not recomm...

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Main Authors: Nora Kießling, Joaquin Brintrup, Ahmed Zeynudin, Nuredin Abduselam, Sylvia Götz, Margith Mack, Michael Pritsch, Andreas Wieser, Elisabeth Kohne, Nicole Berens-Riha
Format: Article
Language:English
Published: BMC 2018-10-01
Series:Malaria Journal
Online Access:http://link.springer.com/article/10.1186/s12936-018-2510-3
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author Nora Kießling
Joaquin Brintrup
Ahmed Zeynudin
Nuredin Abduselam
Sylvia Götz
Margith Mack
Michael Pritsch
Andreas Wieser
Elisabeth Kohne
Nicole Berens-Riha
author_facet Nora Kießling
Joaquin Brintrup
Ahmed Zeynudin
Nuredin Abduselam
Sylvia Götz
Margith Mack
Michael Pritsch
Andreas Wieser
Elisabeth Kohne
Nicole Berens-Riha
author_sort Nora Kießling
collection DOAJ
description Abstract Background The study aimed to gain first data on the prevalence of G6PD enzyme deficiency measured by spectrophotometry and associated genetic variants in Jimma and surroundings, Ethiopia. The area is a Plasmodium vivax endemic region, but 8-aminoquinolines such as primaquine are not recommended as G6PD testing is not available. Methods Healthy volunteers were recruited at Jimma University, Ethiopia. Enzyme activity was tested by spectrophotometry at the University of Ulm, Germany. A G6PD RDT (Binax NOW® G6PD, Alere, USA) was additionally performed. The G6PD gene was analysed for polymorphisms in a sub-population. Tests for haemoglobinopathies and the presence of malaria parasites were conducted. Results No severe or moderate (cut-off 60%) G6PD deficiency was found in 206 volunteers. Median male activity was 6.1 U/g Hb. Eleven participants (5.4%) showed activities between 70 and 80%. No haemoglobinopathy was detected. None of the subjects showed asymptomatic parasitaemia. One G6PD-A+ variant (A376G) and one new non-synonymous mutation (G445A) were found. Conclusions As the prevalence of G6PD deficiency seems low in this area, the use of 8-aminoquinolines should be encouraged. However, reliable G6PD testing methods have to be implemented and safe cut-off levels need to be defined.
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spelling doaj.art-995904eeabe94787a0e79a957cc554372022-12-22T01:50:37ZengBMCMalaria Journal1475-28752018-10-0117111010.1186/s12936-018-2510-3Glucose-6-phosphate dehydrogenase activity measured by spectrophotometry and associated genetic variants from the Oromiya zone, EthiopiaNora Kießling0Joaquin Brintrup1Ahmed Zeynudin2Nuredin Abduselam3Sylvia Götz4Margith Mack5Michael Pritsch6Andreas Wieser7Elisabeth Kohne8Nicole Berens-Riha9Division of Infectious Diseases and Tropical Medicine, Medical Center of the University of Munich (LMU)Hemoglobin Laboratory, Department of Pediatrics, University Hospital UlmDepartment of Medical Laboratory Sciences, Jimma UniversityDepartment of Medical Laboratory Sciences, Jimma UniversityHemoglobin Laboratory, Department of Pediatrics, University Hospital UlmHemoglobin Laboratory, Department of Pediatrics, University Hospital UlmDivision of Infectious Diseases and Tropical Medicine, Medical Center of the University of Munich (LMU)Division of Infectious Diseases and Tropical Medicine, Medical Center of the University of Munich (LMU)Hemoglobin Laboratory, Department of Pediatrics, University Hospital UlmDivision of Infectious Diseases and Tropical Medicine, Medical Center of the University of Munich (LMU)Abstract Background The study aimed to gain first data on the prevalence of G6PD enzyme deficiency measured by spectrophotometry and associated genetic variants in Jimma and surroundings, Ethiopia. The area is a Plasmodium vivax endemic region, but 8-aminoquinolines such as primaquine are not recommended as G6PD testing is not available. Methods Healthy volunteers were recruited at Jimma University, Ethiopia. Enzyme activity was tested by spectrophotometry at the University of Ulm, Germany. A G6PD RDT (Binax NOW® G6PD, Alere, USA) was additionally performed. The G6PD gene was analysed for polymorphisms in a sub-population. Tests for haemoglobinopathies and the presence of malaria parasites were conducted. Results No severe or moderate (cut-off 60%) G6PD deficiency was found in 206 volunteers. Median male activity was 6.1 U/g Hb. Eleven participants (5.4%) showed activities between 70 and 80%. No haemoglobinopathy was detected. None of the subjects showed asymptomatic parasitaemia. One G6PD-A+ variant (A376G) and one new non-synonymous mutation (G445A) were found. Conclusions As the prevalence of G6PD deficiency seems low in this area, the use of 8-aminoquinolines should be encouraged. However, reliable G6PD testing methods have to be implemented and safe cut-off levels need to be defined.http://link.springer.com/article/10.1186/s12936-018-2510-3
spellingShingle Nora Kießling
Joaquin Brintrup
Ahmed Zeynudin
Nuredin Abduselam
Sylvia Götz
Margith Mack
Michael Pritsch
Andreas Wieser
Elisabeth Kohne
Nicole Berens-Riha
Glucose-6-phosphate dehydrogenase activity measured by spectrophotometry and associated genetic variants from the Oromiya zone, Ethiopia
Malaria Journal
title Glucose-6-phosphate dehydrogenase activity measured by spectrophotometry and associated genetic variants from the Oromiya zone, Ethiopia
title_full Glucose-6-phosphate dehydrogenase activity measured by spectrophotometry and associated genetic variants from the Oromiya zone, Ethiopia
title_fullStr Glucose-6-phosphate dehydrogenase activity measured by spectrophotometry and associated genetic variants from the Oromiya zone, Ethiopia
title_full_unstemmed Glucose-6-phosphate dehydrogenase activity measured by spectrophotometry and associated genetic variants from the Oromiya zone, Ethiopia
title_short Glucose-6-phosphate dehydrogenase activity measured by spectrophotometry and associated genetic variants from the Oromiya zone, Ethiopia
title_sort glucose 6 phosphate dehydrogenase activity measured by spectrophotometry and associated genetic variants from the oromiya zone ethiopia
url http://link.springer.com/article/10.1186/s12936-018-2510-3
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