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Prevalence of deletional alpha thalassemia and sickle gene in a tribal dominated malaria endemic area of eastern India.
[alpha-thalassemia]
Inherited
hemoglobin
disorders
like
alpha
thalassemia
and
sickle
gene
are
common
in
the
Indian
subcontinent
.
These
disorders
in
the
heterozygous
state
act
as
malaria
resistance
genes
and
influence
the
susceptibility
to
Plasmodium
falciparum
malaria
.
There
is
inadequate
knowledge
about
the
epidemiology
of
these
malaria
resistance
genes
in
the
tribal
dominated
malaria
endemic
region
of
the
state
of
Odisha
in
eastern
India
.
A
cross
sectional
prevalence
study
was
undertaken
in
594
subjects
in
five
tribal
populations
in
this
region
,
namely
,
Sahara
(
42
.
4
%
)
,
Kutia
Kandha
(
30
.
0
%
)
,
Kuda
(
15
.
8
%
)
,
Gond
(
9
.
8
%
)
,
and
Oraon
(
2
.
0
%
)
.
Sickling
test
,
Hb
electrophoresis
,
HPLC
,
and
molecular
studies
were
undertaken
to
diagnose
the
prevalence
of
sickle
allele
,
β
-
thalassemia
allele
,
and
deletional
alpha
thalassemia
.
Sickle
and
β
thalassemia
alleles
were
found
in
13
.
1
%
and
3
.
4
%
of
subjects
,
respectively
.
Sickle
allele
was
found
both
in
heterozygous
(
10
.
1
%
)
and
homozygous
state
(
3
.
03
%
)
.
The
prevalence
of
alpha
thalassemia
was
50
.
84
%
with
an
allelic
frequency
of
0
.
37
.
Both
α
(
-
3
.
7
)
and
α
(
-
4
.
2
)
alpha
thalassemia
were
detected
with
an
allele
frequency
of
0
.
33
and
0
.
04
,
respectively
.
The
high
prevalence
of
alpha
thalassemia
and
sickle
gene
in
this
population
is
probably
due
to
selection
pressure
of
endemic
malaria
in
this
part
of
India
.
Diseases
Validation
Diseases presenting
"high prevalence"
symptom
22q11.2 deletion syndrome
acute rheumatic fever
adrenal incidentaloma
allergic bronchopulmonary aspergillosis
alpha-thalassemia
cholangiocarcinoma
classical phenylketonuria
congenital adrenal hyperplasia
congenital toxoplasmosis
cowden syndrome
cutaneous mastocytosis
cystinuria
dracunculiasis
dystrophic epidermolysis bullosa
erdheim-chester disease
erythropoietic protoporphyria
fabry disease
familial hypocalciuric hypercalcemia
familial mediterranean fever
gm1 gangliosidosis
heparin-induced thrombocytopenia
homocystinuria without methylmalonic aciduria
junctional epidermolysis bullosa
kabuki syndrome
legionellosis
lymphangioleiomyomatosis
neuralgic amyotrophy
oculocutaneous albinism
oligodontia
oral submucous fibrosis
papillon-lefèvre syndrome
pendred syndrome
phenylketonuria
primary hyperoxaluria type 1
pyomyositis
scrub typhus
sneddon syndrome
trochlear dysplasia
waldenström macroglobulinemia
wiskott-aldrich syndrome
zellweger syndrome
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