The population dynamics of haemoglobins A, A2, F and S in the context of the haemoglobinopathies HbS and α+thalassaemia in Kenyan infants

Few studies have described the dynamics of haemoglobin production in African populations with a high prevalence of haemoglobinopathies. We have used the BioRad Variant ClassicTM HPLC method to document the production patterns of the common haemoglobin variants HbA, HbA2, HbF and HbS, stratified by a...

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Main Authors: Macharia, A, Uyoga, S, Ndila, C, Nyutu, G, Makale, J, Tendwa, M, Nyatichi, E, Ojal, J, Atkinson, S, Williams, T
Format: Journal article
Language:English
Published: Ferrata Storti Foundation 2018
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author Macharia, A
Uyoga, S
Ndila, C
Nyutu, G
Makale, J
Tendwa, M
Nyatichi, E
Ojal, J
Atkinson, S
Williams, T
author_facet Macharia, A
Uyoga, S
Ndila, C
Nyutu, G
Makale, J
Tendwa, M
Nyatichi, E
Ojal, J
Atkinson, S
Williams, T
author_sort Macharia, A
collection OXFORD
description Few studies have described the dynamics of haemoglobin production in African populations with a high prevalence of haemoglobinopathies. We have used the BioRad Variant ClassicTM HPLC method to document the production patterns of the common haemoglobin variants HbA, HbA2, HbF and HbS, stratified by a+thalassaemia genotype, among 15,301 infants recruited to a study on the Coast of Kenya. Notably, we confirm that HbA2 measurements determined using this instrument are unreliable in HbAS and HbSS subjects. Further, we showed that HbA2 exceeded 4.0%, a level consistent with the presence of a-thalassaemia, in 0.8% of infants of HbAA phenotype who participated in our study. a-thalassaemia, has not been widely reported in the East Africa region and, as such, this finding merits further study.
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spelling oxford-uuid:244f456d-6658-4d4d-b833-0accabf66da52022-03-26T11:49:21ZThe population dynamics of haemoglobins A, A2, F and S in the context of the haemoglobinopathies HbS and α+thalassaemia in Kenyan infantsJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:244f456d-6658-4d4d-b833-0accabf66da5EnglishSymplectic Elements at OxfordFerrata Storti Foundation2018Macharia, AUyoga, SNdila, CNyutu, GMakale, JTendwa, MNyatichi, EOjal, JAtkinson, SWilliams, TFew studies have described the dynamics of haemoglobin production in African populations with a high prevalence of haemoglobinopathies. We have used the BioRad Variant ClassicTM HPLC method to document the production patterns of the common haemoglobin variants HbA, HbA2, HbF and HbS, stratified by a+thalassaemia genotype, among 15,301 infants recruited to a study on the Coast of Kenya. Notably, we confirm that HbA2 measurements determined using this instrument are unreliable in HbAS and HbSS subjects. Further, we showed that HbA2 exceeded 4.0%, a level consistent with the presence of a-thalassaemia, in 0.8% of infants of HbAA phenotype who participated in our study. a-thalassaemia, has not been widely reported in the East Africa region and, as such, this finding merits further study.
spellingShingle Macharia, A
Uyoga, S
Ndila, C
Nyutu, G
Makale, J
Tendwa, M
Nyatichi, E
Ojal, J
Atkinson, S
Williams, T
The population dynamics of haemoglobins A, A2, F and S in the context of the haemoglobinopathies HbS and α+thalassaemia in Kenyan infants
title The population dynamics of haemoglobins A, A2, F and S in the context of the haemoglobinopathies HbS and α+thalassaemia in Kenyan infants
title_full The population dynamics of haemoglobins A, A2, F and S in the context of the haemoglobinopathies HbS and α+thalassaemia in Kenyan infants
title_fullStr The population dynamics of haemoglobins A, A2, F and S in the context of the haemoglobinopathies HbS and α+thalassaemia in Kenyan infants
title_full_unstemmed The population dynamics of haemoglobins A, A2, F and S in the context of the haemoglobinopathies HbS and α+thalassaemia in Kenyan infants
title_short The population dynamics of haemoglobins A, A2, F and S in the context of the haemoglobinopathies HbS and α+thalassaemia in Kenyan infants
title_sort population dynamics of haemoglobins a a2 f and s in the context of the haemoglobinopathies hbs and α thalassaemia in kenyan infants
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