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α-Globin gene mutations in Isfahan Province, Iran.
[alpha-thalassemia]
α-
Thalassemia
(
α-thal
)
encompasses
a
spectrum
of
mutations
including
deletion
and
point
mutations
on
the
α-globin
chains
that
is
characterized
by
a
reduction
or
complete
absence
of
α-globin
genes
.
Most
of
the
α-thal
cases
are
deletions
involving
one
(
α
(
+
)
)
or
both
(
α
(
0
)
)
α-globin
genes
,
although
point
mutations
(
α
(
T
)
α
or
αα
(
T
)
)
are
found
as
well
.
In
this
study
,
314
individuals
with
low
hematological
values
,
normal
Hb
A
2
who
were
not
affected
with
β-thal
or
iron
deficiency
,
were
investigated
for
the
presence
of
α-thal
mutations
.
The
most
common
deletion
was
-
α
(
3
.
7
)
(
rightward
)
with
a
frequency
of
70
.
7
%
,
followed
by
α
(
-
5
nt
)
(
-
TGAGG
)
(
8
.
7
%
)
,
-
α
(
4
.
2
)
(
leftward
)
(
4
.
7
%
)
,
the
polyadenylation
signal
(
polyA
2
)
site
(
AATAAA
 
>
 
AATGAA
)
(
4
.
2
%
)
,
-
(
α
)
(
20
.
5
)
(
3
.
8
%
)
,
Hb
Constant
Spring
[
Hb
CS
,
α
142
,
Stop
→
Gln
;
HBA
2
:
c
.
427
T
 
>
 
C
]
(
2
.
9
%
)
,
polyA
1
(
AATAAA
 
>
 
AATAAG
)
and
α
(
codon
19
)
(
GCG
 
>
 
GC
-
,
α
2
)
(
16
%
)
,
and
-
 
-
(
MED
)
(
0
.
9
%
)
.
The
results
of
this
study
may
be
valuable
for
designing
a
plan
for
carrier
screening
,
premarital
genetic
counseling
,
prenatal
diagnosis
(
PND
)
and
reducing
excessive
health
care
costs
to
an
affordable
level
in
Isfahan
Province
,
Iran
.
Diseases
Validation
Diseases presenting
"absence of α-globin genes"
symptom
alpha-thalassemia
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