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Rapid and reliable detection of α-globin copy number variations by quantitative real-time PCR.
[alpha-thalassemia]
Alpha-thalassemia
is
the
most
common
human
genetic
disease
worldwide
.
Copy
number
variations
in
the
form
of
deletions
of
α-globin
genes
lead
to
α-thalassemia
while
duplications
of
α-globin
genes
can
cause
a
severe
phenotype
in
β-thalassemia
carriers
due
to
accentuation
of
globin
chain
imbalance
.
It
is
important
to
have
simple
and
reliable
methods
to
identify
unknown
or
rare
deletions
and
duplications
in
cases
in
which
thalassemia
is
suspected
but
can
not
be
confirmed
by
multiplex
gap-
PCR
.
Here
we
describe
a
copy
number
variation
assay
to
detect
deletions
and
duplications
in
the
α-globin
gene
cluster
(
HBA-CNV
)
.
Quantitative
real-time
PCR
was
performed
using
four
TaqMan
®
assays
which
specifically
amplify
target
sequences
representing
both
the
α-globin
genes
,
the
-
α
3
.
7
deletion
and
the
HS
-
40
region
.
The
copy
number
for
each
target
was
determined
by
the
2
-
ΔΔCq
method
.
To
validate
our
method
,
we
compared
the
HBA-CNV
method
with
traditional
gap-
PCR
in
108
samples
from
patients
referred
to
our
laboratory
for
hemoglobinopathy
evaluation
.
To
determine
the
robustness
of
the
four
assays
,
we
analyzed
samples
with
and
without
deletions
diluted
to
obtain
different
DNA
concentrations
.
The
HBA-CNV
method
identified
the
correct
copy
numbers
in
all
108
samples
.
All
four
assays
showed
the
correct
copy
number
within
a
wide
range
of
DNA
concentrations
(
3
.
2
-
100
Â
ng
/
μL
)
,
showing
that
it
is
a
robust
and
reliable
method
.
By
using
the
method
in
routine
diagnostics
of
hemoglobinopathies
we
have
also
identified
several
deletions
and
duplications
that
are
not
detected
with
conventional
gap-
PCR
.
HBA-CNV
is
able
to
detect
all
known
large
deletions
and
duplications
affecting
the
α-globin
genes
,
providing
a
flexible
and
simple
workflow
with
rapid
and
reliable
results
.
Diseases
Validation
Diseases presenting
"wide range"
symptom
22q11.2 deletion syndrome
acute rheumatic fever
adrenomyeloneuropathy
alexander disease
allergic bronchopulmonary aspergillosis
alpha-thalassemia
aromatase deficiency
benign recurrent intrahepatic cholestasis
cadasil
carcinoma of the gallbladder
congenital toxoplasmosis
cowden syndrome
cystinuria
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
erdheim-chester disease
fabry disease
gm1 gangliosidosis
harlequin ichthyosis
homocystinuria without methylmalonic aciduria
hydrocephalus with stenosis of the aqueduct of sylvius
legionellosis
neonatal adrenoleukodystrophy
oral submucous fibrosis
pendred syndrome
phenylketonuria
pleomorphic liposarcoma
primary effusion lymphoma
primary hyperoxaluria type 1
proteus syndrome
pyruvate dehydrogenase deficiency
scrub typhus
systemic capillary leak syndrome
thoracic outlet syndrome
triple a syndrome
trochlear dysplasia
well-differentiated liposarcoma
werner syndrome
x-linked adrenoleukodystrophy
zellweger syndrome
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