10. Rapid Detection of Fetal Mendelian Disorders: Thalassemia and Sickle Cell Syndromes
| Abstract |
|
|
The inherited disorders of hemoglobin synthesis constitute themost commonmonogenic diseases worldwide. The clinical severity
of β-thalassemia major and the sickle cell syndromes targets themas priority genetic diseases for prevention programs,which
incorpo- rates population screening to identify heterozygotes,with the option of prenatal diagnosis for carrier couples. Rapid
genotype characterization is fundamental in the diagnostic laboratory, especially when offering prenatal diagnosis. The application
of real-time polymerase chain reaction (PCR) provides a means for rapid and potentially high-throughput assays, without compromising
accuracy. It has several advantages over endpoint PCR analysis, including the elimination of post-PCR processing steps and
a wide dynamic range of detection with a high degree of sensitivity. Although there are >180 mutations associated with the
β- thalassemia and sickle cell syndromes, the relatively small size of the β-globin gene (<2,000 base pairs) and the proximity
of most mutations facilitates the design of a minimal number of real-time PCR assays by using the LightCycler system (Roche
Diagnostics [Hellas] A.E., Athens, Greece), which are capable of detecting the majority of most common β-gene mutations worldwide.
These assays are highly appropriate for rapid genotyping of parental and fetal DNA samples with respect to β-thalassemia and
sickle cell syndromes.
Affiliation(s): (4) Department of Medical Genetics, National and Kapodistiran University of Athens, St. Sophia′s Children′s Hospital, Athens, Greece
(5) Athens University Research Institute for Prevention and Treatment of Genetic and Malignat Diseases of Childhood, St. Sophia′s Children′S Hospital, Athens, Greece
(5) Athens University Research Institute for Prevention and Treatment of Genetic and Malignat Diseases of Childhood, St. Sophia′s Children′S Hospital, Athens, Greece
Book Title: Prenatal Diagnosis
Series: Methods in Molecular Biology | Volume: 444 | Pub. Date: May-09-2008 | Page Range: 133-145 | DOI: 10.1007/978-1-59745-066-9_10
Subject: Molecular Medicine
Key Words: Prenatal diagnosis - β-thalassemia and sickle cell syndromes - real-time polymerase chain reaction (PCR)
Comments (Loading...) |
||
Loading... |






















