Variantes de hemoglobina en una población con impresión diagnóstica positiva para hemoglobinopatías en Colombia
Background: Oxygen transport is altered in hemoglobinopathies. Aim: To study the distribution of hemoglobinopathies in Andean subjects without African ancestry. Material and Methods: We analyzed blood samples of 1,407 subjects aged 18 to 59 years (58% females), living in the central Andean region of...
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Sociedad Médica de Santiago
2015
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oai:scielo:S0034-988720150010000042015-12-03Variantes de hemoglobina en una población con impresión diagnóstica positiva para hemoglobinopatías en ColombiaRomero-Sánchez,ConsueloGómez Gutiérrez,AlbertoDuarte,YuraniAmazo,ConstanzaManosalva,ClaraChila M,LorenaCasas-Gómez,María ConsueloBriceño Balcázar,Ignacio Hematologic diseases Hemoglobinopathies Electrophoresis, agarose gel Sickle cell trait Background: Oxygen transport is altered in hemoglobinopathies. Aim: To study the distribution of hemoglobinopathies in Andean subjects without African ancestry. Material and Methods: We analyzed blood samples of 1,407 subjects aged 18 to 59 years (58% females), living in the central Andean region of Colombia, referred to discard hemoglobinopathies. The frequency and type of hemoglobinopathy was established by capillary and agarose gel electrophoresis. Results: The frequency of hemoglobinopathies was 34.5% and higher among females. The structural variants found were: AS-heterozygous hemoglobin (8.1%), homozygous SS (3.7%), heterozygous SC (2.2%), AC heterozygotes (0.5%) and heterozygous AE (0.3%). Quantitative variants found were Hb A-Beta thalassemia (13.91%) and Hb H (0.06%), Beta-thalassemia heterozygotes C (0.88%), S-Beta thalassemia heterozygotes (6.07%) and compound heterozygous SC/Beta thalassemia (0.25%), with a persistence of fetal hemoglobin 0. Composite thalassemia was also found in 31%. All techniques showed good correlation and capillary electrophoresis demonstrated a greater detection of hemoglobin variants. Conclusions: The frequency of hemoglobin variants in the analyzed population was high, which is an important public health indicator. The most common hemoglobin variant was HbA/Increased structural Hb A2 and the mos frequent structural hemoglobinopathy was sickle cell trait. Capillary electrophoresis can discern any Hb variants present in the population.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.143 n.10 20152015-10-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872015001000004es10.4067/S0034-98872015001000004 |
institution |
Scielo Chile |
collection |
Scielo Chile |
language |
Spanish / Castilian |
topic |
Hematologic diseases Hemoglobinopathies Electrophoresis, agarose gel Sickle cell trait |
spellingShingle |
Hematologic diseases Hemoglobinopathies Electrophoresis, agarose gel Sickle cell trait Romero-Sánchez,Consuelo Gómez Gutiérrez,Alberto Duarte,Yurani Amazo,Constanza Manosalva,Clara Chila M,Lorena Casas-Gómez,María Consuelo Briceño Balcázar,Ignacio Variantes de hemoglobina en una población con impresión diagnóstica positiva para hemoglobinopatías en Colombia |
description |
Background: Oxygen transport is altered in hemoglobinopathies. Aim: To study the distribution of hemoglobinopathies in Andean subjects without African ancestry. Material and Methods: We analyzed blood samples of 1,407 subjects aged 18 to 59 years (58% females), living in the central Andean region of Colombia, referred to discard hemoglobinopathies. The frequency and type of hemoglobinopathy was established by capillary and agarose gel electrophoresis. Results: The frequency of hemoglobinopathies was 34.5% and higher among females. The structural variants found were: AS-heterozygous hemoglobin (8.1%), homozygous SS (3.7%), heterozygous SC (2.2%), AC heterozygotes (0.5%) and heterozygous AE (0.3%). Quantitative variants found were Hb A-Beta thalassemia (13.91%) and Hb H (0.06%), Beta-thalassemia heterozygotes C (0.88%), S-Beta thalassemia heterozygotes (6.07%) and compound heterozygous SC/Beta thalassemia (0.25%), with a persistence of fetal hemoglobin 0. Composite thalassemia was also found in 31%. All techniques showed good correlation and capillary electrophoresis demonstrated a greater detection of hemoglobin variants. Conclusions: The frequency of hemoglobin variants in the analyzed population was high, which is an important public health indicator. The most common hemoglobin variant was HbA/Increased structural Hb A2 and the mos frequent structural hemoglobinopathy was sickle cell trait. Capillary electrophoresis can discern any Hb variants present in the population. |
author |
Romero-Sánchez,Consuelo Gómez Gutiérrez,Alberto Duarte,Yurani Amazo,Constanza Manosalva,Clara Chila M,Lorena Casas-Gómez,María Consuelo Briceño Balcázar,Ignacio |
author_facet |
Romero-Sánchez,Consuelo Gómez Gutiérrez,Alberto Duarte,Yurani Amazo,Constanza Manosalva,Clara Chila M,Lorena Casas-Gómez,María Consuelo Briceño Balcázar,Ignacio |
author_sort |
Romero-Sánchez,Consuelo |
title |
Variantes de hemoglobina en una población con impresión diagnóstica positiva para hemoglobinopatías en Colombia |
title_short |
Variantes de hemoglobina en una población con impresión diagnóstica positiva para hemoglobinopatías en Colombia |
title_full |
Variantes de hemoglobina en una población con impresión diagnóstica positiva para hemoglobinopatías en Colombia |
title_fullStr |
Variantes de hemoglobina en una población con impresión diagnóstica positiva para hemoglobinopatías en Colombia |
title_full_unstemmed |
Variantes de hemoglobina en una población con impresión diagnóstica positiva para hemoglobinopatías en Colombia |
title_sort |
variantes de hemoglobina en una población con impresión diagnóstica positiva para hemoglobinopatías en colombia |
publisher |
Sociedad Médica de Santiago |
publishDate |
2015 |
url |
http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872015001000004 |
work_keys_str_mv |
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