Cap +1 mutation; an unsuspected cause of beta thalassaemia transmission in Pakistan

Objective: Thalassemia is one of the most common genetic disorders worldwide. Cap +1 mutation which causes ‘silent beta thalassemia’ is present around all ethnic groups of Pakistan. This study was designed to detect the frequency of Cap+1 mutation in Pakistani Population.Materials and Methods: Molec...

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Main Authors: Sadia Usman Babar, Moinuddin Moinuddin, Muhammad Usman Abdul Karim
Format: Article
Language:English
Published: Galenos Publishing House 2009-12-01
Series:Turkish Journal of Hematology
Subjects:
Online Access:http://www.journalagent.com/z4/download_fulltext.asp?pdir=tjh&plng=eng&un=TJH-25338
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author Sadia Usman Babar
Moinuddin Moinuddin
Muhammad Usman Abdul Karim
author_facet Sadia Usman Babar
Moinuddin Moinuddin
Muhammad Usman Abdul Karim
author_sort Sadia Usman Babar
collection DOAJ
description Objective: Thalassemia is one of the most common genetic disorders worldwide. Cap +1 mutation which causes ‘silent beta thalassemia’ is present around all ethnic groups of Pakistan. This study was designed to detect the frequency of Cap+1 mutation in Pakistani Population.Materials and Methods: Molecular genetic for Cap+1 beta thalassemic mutation was done by extracting DNA from whole blood by using Genomic DNA Purification Kit (Gentra system USA). Amplification Refractory Mutation System (ARMS) primers were designed for detection of normal and mutant DNA.Basic hematological parameters were performed by using automated analyzer (Sysmex KX-21). Cellulose acetate hemoglobin electrophoresis was done by using semi-automated technique (INTERLAB Roma Microtech Series Electrophoresis system 4.23). Results: The frequency of Cap+1 mutation was observed 5% (10/200) in targeted thalassemic families (having patients with beta-thalassemia intermedia) while its frequency was observed 2% (12/600) in total thalassemic genes in Pakistani population. Conclusion: Cap+1 (A-C) is a silent mutation and it has very minimum effect on beta globin synthesis because of which it produces very less clinical severity and certain important laboratory diagnostic tests like basic hematological parameters and Hb A2 levels are also remain in normal range. Therefore individuals with Cap+1 mutation may produce children with beta-thalassemia intermedia if they marry an individual with beta-thalassemia minor. Cap+1 (A-C) mutation is an unsuspected cause of beta thalassemia transmission in Pakistani population. This mutation can identify at molecular level. As this molecular defect is difficult to diagnose in Laboratory with routine laboratory tests because of that it has become a serious hindrance for thalassemia prevention program in Pakistan.
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spelling doaj.art-d76a64d34eab4cd787f9b8c82e085fea2023-02-15T16:19:32ZengGalenos Publishing HouseTurkish Journal of Hematology1300-77771308-52632009-12-012604167170Cap +1 mutation; an unsuspected cause of beta thalassaemia transmission in PakistanSadia Usman BabarMoinuddin MoinuddinMuhammad Usman Abdul KarimObjective: Thalassemia is one of the most common genetic disorders worldwide. Cap +1 mutation which causes ‘silent beta thalassemia’ is present around all ethnic groups of Pakistan. This study was designed to detect the frequency of Cap+1 mutation in Pakistani Population.Materials and Methods: Molecular genetic for Cap+1 beta thalassemic mutation was done by extracting DNA from whole blood by using Genomic DNA Purification Kit (Gentra system USA). Amplification Refractory Mutation System (ARMS) primers were designed for detection of normal and mutant DNA.Basic hematological parameters were performed by using automated analyzer (Sysmex KX-21). Cellulose acetate hemoglobin electrophoresis was done by using semi-automated technique (INTERLAB Roma Microtech Series Electrophoresis system 4.23). Results: The frequency of Cap+1 mutation was observed 5% (10/200) in targeted thalassemic families (having patients with beta-thalassemia intermedia) while its frequency was observed 2% (12/600) in total thalassemic genes in Pakistani population. Conclusion: Cap+1 (A-C) is a silent mutation and it has very minimum effect on beta globin synthesis because of which it produces very less clinical severity and certain important laboratory diagnostic tests like basic hematological parameters and Hb A2 levels are also remain in normal range. Therefore individuals with Cap+1 mutation may produce children with beta-thalassemia intermedia if they marry an individual with beta-thalassemia minor. Cap+1 (A-C) mutation is an unsuspected cause of beta thalassemia transmission in Pakistani population. This mutation can identify at molecular level. As this molecular defect is difficult to diagnose in Laboratory with routine laboratory tests because of that it has become a serious hindrance for thalassemia prevention program in Pakistan.http://www.journalagent.com/z4/download_fulltext.asp?pdir=tjh&plng=eng&un=TJH-25338Cap+1(A-C) mutationSilent beta thalassaemiaPolymerase chain reaction (PCR)
spellingShingle Sadia Usman Babar
Moinuddin Moinuddin
Muhammad Usman Abdul Karim
Cap +1 mutation; an unsuspected cause of beta thalassaemia transmission in Pakistan
Turkish Journal of Hematology
Cap+1(A-C) mutation
Silent beta thalassaemia
Polymerase chain reaction (PCR)
title Cap +1 mutation; an unsuspected cause of beta thalassaemia transmission in Pakistan
title_full Cap +1 mutation; an unsuspected cause of beta thalassaemia transmission in Pakistan
title_fullStr Cap +1 mutation; an unsuspected cause of beta thalassaemia transmission in Pakistan
title_full_unstemmed Cap +1 mutation; an unsuspected cause of beta thalassaemia transmission in Pakistan
title_short Cap +1 mutation; an unsuspected cause of beta thalassaemia transmission in Pakistan
title_sort cap 1 mutation an unsuspected cause of beta thalassaemia transmission in pakistan
topic Cap+1(A-C) mutation
Silent beta thalassaemia
Polymerase chain reaction (PCR)
url http://www.journalagent.com/z4/download_fulltext.asp?pdir=tjh&plng=eng&un=TJH-25338
work_keys_str_mv AT sadiausmanbabar cap1mutationanunsuspectedcauseofbetathalassaemiatransmissioninpakistan
AT moinuddinmoinuddin cap1mutationanunsuspectedcauseofbetathalassaemiatransmissioninpakistan
AT muhammadusmanabdulkarim cap1mutationanunsuspectedcauseofbetathalassaemiatransmissioninpakistan