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Clinical Chemistry 43: 34-39, 1997;
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(Clinical Chemistry. 1997;43:34-39.)
© 1997 American Association for Clinical Chemistry, Inc.

Articles

Cation-exchange HPLC evaluated for presumptive identification of hemoglobin variants

Jean Riou, Christian Godart, Didier Hurtrel, Mireille Mathis, Catherine Bimet, Josiane Bardakdjian-Michau, Claude Préhu, Henri Wajcmana and Frédéric Galactéros

Department of Biochemistry and INSERM U91, Hôpital Henri Mondor, 94010 Créteil, France.
a Author for correspondence. Fax (33-1) 49 81 28 95; e-mail wajcman{at}im3.inserm.fr

A battery of relatively simple tests allows the presumptive identification of hemoglobin (Hb) variants, making unnecessary structural analysis by protein chemistry methods or DNA sequencing. The primary step in this strategy involves the use of a matrix of electrophoretic mobilities obtained under various experimental conditions. This leads to an unambiguous result in ~90% of the cases. Additional tests are required to characterize with more confidence the remaining 10%. We describe here the use of cation-exchange HPLC on the Bio-Rad Variant automated analyzer with the "ß Thalassemia Short" program. By comparing the elution time of 125 human Hb mutants, we found that some variants with almost identical pI values or produced by the same type of amino acid substitution displayed different elution times. We present several examples in which use of the HPLC profile helped establish the diagnosis.


Key Words: indexing terms: sickle cell disease • thalassemia • electrophoresis • isoelectric focusing • globin chains




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T Lahousen, R E Roller, R W Lipp, and W J Schnedl
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D. K. Rai, W. J. Griffiths, G. Alvelius, and B. Landin
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G. M. Clarke and T. N. Higgins
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J. W. Eastman, F. Lorey, J. Arnopp, R. J. Currier, J. Sherwin, and G. Cunningham
Distribution of Hemoglobin F, A, S, C, E, and D Quantities in 4 Million Newborn Screening Specimens
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N. Mario, B. Baudin, A. Bruneel, J. Janssens, and M. Vaubourdolle
Capillary Zone Electrophoresis for the Diagnosis of Congenital Hemoglobinopathies
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Copyright © 1997 by the American Association for Clinical Chemistry.