Hemolysis and Mediterranean G6PD mutation (c.563 C>T) and c.1311 C>T polymorphism among Palestinians at Gaza Strip
The G6PD c.563 C>T deficient mutation is endemic among Mediterranean populations but its clinical significance is not well delineated. We set up to estimate the proportion of G6PD deficient children presenting with hemolytic anemia at Al Nasser Pediatric Hospital at Gaza Strip, Palestine. We then...
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Published in | Blood cells, molecules, & diseases Vol. 48; no. 4; pp. 203 - 208 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | English |
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Elsevier Inc
15.04.2012
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Abstract | The G6PD c.563 C>T deficient mutation is endemic among Mediterranean populations but its clinical significance is not well delineated. We set up to estimate the proportion of G6PD deficient children presenting with hemolytic anemia at Al Nasser Pediatric Hospital at Gaza Strip, Palestine. We then established the prevalence of c.563T Mediterranean mutation and its linkage to c.1311 C>T polymorphism in this population.
G6PD deficiency was identified in children presenting with hemolytic anemia at Al Nasser Pediatric Hospital by spectrophotometric measurement of G6PD activity. G6PD exon 6 and exon 11 were amplified from genomic DNA and evaluated for c.563T mutation by sequencing and the c.1311T polymorphism by restriction fragment analysis. Seventy X-chromosomes (60 males and 5 females) from G6PD deficient patients and 40 X-chromosomes from a control group known to be not G6PD deficient were tested.
Over 80% of these children presenting with hemolytic anemia were G6PD deficient and 34% of these had the Mediterranean G6PD deficient variant. The allelic frequencies of Mediterranean c.563T and c.1311T polymorphisms among G6PD deficient patients were 0.33 and 0.38 respectively. The c.1311T polymorphism was linked in 95.2% of patients with the Mediterranean mutation, an allele frequency of 0.87, compared to the control non-G6PD deficient group with an allele frequency of 0.18.
We conclude that G6PD deficiency accounts for majority of hemolytic anemia encountered in Gaza children treated at Al Nasser Pediatric Hospital Emergency department. The Mediterranean mutation c.563T, while not accounting for a majority of G6PD deficiency, is common among G6PD deficient Gaza Strip Palestinians and is frequently, but not always, linked to the c.1311T polymorphism. This work provides a foundation for the population screening of Palestinians for G6PD deficiency and for investigations of ancestral origin of the Mediterranean variant in world populations. |
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AbstractList | The G6PD c.563 C>T deficient mutation is endemic among Mediterranean populations but its clinical significance is not well delineated. We set up to estimate the proportion of G6PD deficient children presenting with hemolytic anemia at Al Nasser Pediatric Hospital at Gaza Strip, Palestine. We then established the prevalence of c.563T Mediterranean mutation and its linkage to c.1311 C>T polymorphism in this population.
G6PD deficiency was identified in children presenting with hemolytic anemia at Al Nasser Pediatric Hospital by spectrophotometric measurement of G6PD activity. G6PD exon 6 and exon 11 were amplified from genomic DNA and evaluated for c.563T mutation by sequencing and the c.1311T polymorphism by restriction fragment analysis. Seventy X-chromosomes (60 males and 5 females) from G6PD deficient patients and 40 X-chromosomes from a control group known to be not G6PD deficient were tested.
Over 80% of these children presenting with hemolytic anemia were G6PD deficient and 34% of these had the Mediterranean G6PD deficient variant. The allelic frequencies of Mediterranean c.563T and c.1311T polymorphisms among G6PD deficient patients were 0.33 and 0.38 respectively. The c.1311T polymorphism was linked in 95.2% of patients with the Mediterranean mutation, an allele frequency of 0.87, compared to the control non-G6PD deficient group with an allele frequency of 0.18.
We conclude that G6PD deficiency accounts for majority of hemolytic anemia encountered in Gaza children treated at Al Nasser Pediatric Hospital Emergency department. The Mediterranean mutation c.563T, while not accounting for a majority of G6PD deficiency, is common among G6PD deficient Gaza Strip Palestinians and is frequently, but not always, linked to the c.1311T polymorphism. This work provides a foundation for the population screening of Palestinians for G6PD deficiency and for investigations of ancestral origin of the Mediterranean variant in world populations. BACKGROUNDThe G6PD c.563 C>T deficient mutation is endemic among Mediterranean populations but its clinical significance is not well delineated. We set up to estimate the proportion of G6PD deficient children presenting with hemolytic anemia at Al Nasser Pediatric Hospital at Gaza Strip, Palestine. We then established the prevalence of c.563T Mediterranean mutation and its linkage to c.1311 C>T polymorphism in this population.DESIGN AND METHODSG6PD deficiency was identified in children presenting with hemolytic anemia at Al Nasser Pediatric Hospital by spectrophotometric measurement of G6PD activity. G6PD exon 6 and exon 11 were amplified from genomic DNA and evaluated for c.563T mutation by sequencing and the c.1311T polymorphism by restriction fragment analysis. Seventy X-chromosomes (60 males and 5 females) from G6PD deficient patients and 40 X-chromosomes from a control group known to be not G6PD deficient were tested.RESULTSOver 80% of these children presenting with hemolytic anemia were G6PD deficient and 34% of these had the Mediterranean G6PD deficient variant. The allelic frequencies of Mediterranean c.563T and c.1311T polymorphisms among G6PD deficient patients were 0.33 and 0.38 respectively. The c.1311T polymorphism was linked in 95.2% of patients with the Mediterranean mutation, an allele frequency of 0.87, compared to the control non-G6PD deficient group with an allele frequency of 0.18.CONCLUSIONSWe conclude that G6PD deficiency accounts for majority of hemolytic anemia encountered in Gaza children treated at Al Nasser Pediatric Hospital Emergency department. The Mediterranean mutation c.563T, while not accounting for a majority of G6PD deficiency, is common among G6PD deficient Gaza Strip Palestinians and is frequently, but not always, linked to the c.1311T polymorphism. This work provides a foundation for the population screening of Palestinians for G6PD deficiency and for investigations of ancestral origin of the Mediterranean variant in world populations. |
Author | Shubair, Mohammad Prchal, Josef T. Reading, N. Scott Sirdah, Mahmoud Perkins, Sherrie L. Aboud, Lina |
Author_xml | – sequence: 1 givenname: Mahmoud surname: Sirdah fullname: Sirdah, Mahmoud email: sirdah@alazhar.edu.ps, msirdah@hotmail.com organization: Associated Regional and University Pathologists, Inc., ARUP Laboratories and University of Utah, Salt Lake City, UT, USA – sequence: 2 givenname: N. Scott surname: Reading fullname: Reading, N. Scott organization: Associated Regional and University Pathologists, Inc., ARUP Laboratories and University of Utah, Salt Lake City, UT, USA – sequence: 3 givenname: Sherrie L. surname: Perkins fullname: Perkins, Sherrie L. organization: Associated Regional and University Pathologists, Inc., ARUP Laboratories and University of Utah, Salt Lake City, UT, USA – sequence: 4 givenname: Mohammad surname: Shubair fullname: Shubair, Mohammad organization: Department of Laboratory Medical Sciences, Islamic University-Gaza, Palestine – sequence: 5 givenname: Lina surname: Aboud fullname: Aboud, Lina organization: Al Nasser Pediatric Hospital, Palestinian Ministry of Health, Palestine – sequence: 6 givenname: Josef T. surname: Prchal fullname: Prchal, Josef T. email: josef.prchal@hsc.utah.edu organization: Associated Regional and University Pathologists, Inc., ARUP Laboratories and University of Utah, Salt Lake City, UT, USA |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/22364808$$D View this record in MEDLINE/PubMed |
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Keywords | Mediterranean G6PD mutation c.563T c.1311T G6PD polymorphism Hemolysis and G6PD deficiency Gaza Strip Palestinians genetics G6PD variants |
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Snippet | The G6PD c.563 C>T deficient mutation is endemic among Mediterranean populations but its clinical significance is not well delineated. We set up to estimate... BACKGROUNDThe G6PD c.563 C>T deficient mutation is endemic among Mediterranean populations but its clinical significance is not well delineated. We set up to... |
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SubjectTerms | Anemia, Hemolytic - genetics Arabs - genetics c.1311T G6PD polymorphism Child, Preschool Female G6PD variants Gaza Strip Palestinians genetics Gene Frequency Glucosephosphate Dehydrogenase - genetics Glucosephosphate Dehydrogenase - metabolism Glucosephosphate Dehydrogenase Deficiency - ethnology Glucosephosphate Dehydrogenase Deficiency - genetics Hemolysis and G6PD deficiency Humans Male Mediterranean G6PD mutation c.563T Middle East - epidemiology Mutation Polymorphism, Single Nucleotide Prevalence |
Title | Hemolysis and Mediterranean G6PD mutation (c.563 C>T) and c.1311 C>T polymorphism among Palestinians at Gaza Strip |
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