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Clinical Chemistry 44: 740-748, 1998;
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(Clinical Chemistry. 1998;44:740-748.)
© 1998 American Association for Clinical Chemistry, Inc.


Molecular Pathology and Genetics

Prenatal and postnatal diagnoses of thalassemias and hemoglobinopathies by HPLC

Suthat Fucharoen1,a, Pranee Winichagoon1, Raewadee Wisedpanichkij3, Busara Sae-Ngow1, Rungrat Sriphanich1, Warangkana Oncoung1, Wanna Muangsapaya1, Jew Chowthaworn1, Sujin Kanokpongsakdi2, Ahnond Bunyaratvej3, Anong Piankijagum1, and Chris Dewaele4

1 Thalassemia Research Center, Institute of Science and Technology for Research and Development, Division of Hematology, Department of Medicine, Mahidol University, Nakornpathom 73170, Thailand.

2 Department of Obstetrics and Gynecology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand.

3 Department of Pathology, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand.

4 Bio-Rad Laboratories, 9810 Nazarette, Belgium.
a Address correspondence to this author at: Thalassemia Research Center, Institute of Science and Technology for Research and Development, Mahidol University, Salaya Campus, Puttamonthon 4 Rd., Nakornpathom 73170, Thailand. Fax 662-889-2559; e-mail grsfc{at}mahidol.ac.th.

The conventional approach to qualitative and quantitative analyses of hemoglobin (Hb) molecules for the diagnoses of hemoglobinopathies requires a combination of tests. We used an automated HPLC (VARIANT(TM)) system to study {alpha}-thalassemia and ß-thalassemia syndromes in Thailand. The beta-thalassemia short program is applicable to the diagnosis of {alpha}-thalassemia and ß-thalassemia disorders, including Hb H, EA Bart's disease, and EF Bart's disease, in adults, newborns, and fetuses. The system cannot quantify accurately certain Hb molecules, such as Hb H and Hb Bart's. The alpha-thalassemia short program was therefore developed and used to quantify Hb Bart's to detect {alpha}-thalassemia genotypes in cord blood. This automated HPLC system is an alternative approach to the diagnosis of complicated thalassemia syndromes in Thailand and Southeast Asia.




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