The Percentage of Hemoglobin A2 in the Participants with Hemoglobin E
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Abstract
Objective: To quantify the percentage of hemoglobin A2 in the participants with Hb E trait and Hb E disease and to compare them with that of the normal participants. Participants and Methods: This retrospective study was conducted at the Department of Medicine, Maharat Nakhon Ratchasima Hospital recruiting the consecutive healthy participants who were tested for CBC and Hb analysis using the Sebia capillary zone electrophoresis method and the participants would be classified into the normal, Hb E trait and Hb E disease groups. The Hb E traits with Hb concentration < 12 g% for females and < 13 g% for males and Hb E disease with Hb concentration < 10 g% were excluded. The mean Hb A2 concentrations of Hb E disease, Hb E trait and the normal groups were compared and analyzed with the ANOVA and un-paired student-T tests and p value less than 0.05 would be considered statistically significant. Results: From 30 participants with Hb E disease, 30 Hb E traits and 30 normal, mean Hb A2 concentrations were found to be 5.72+0.59% in Hb E diseasewhich was significantly higher than 4.07+0.43 % of Hb E trait (p <0.001) and 2.63+0.27% of the normal group by the ANOVA method. Likewise, mean Hb A2 concentration in Hb E traits was also sigficantly higher than that of the normal (p <0.001) by the un-paired student-T test. Conclusion: The mean Hb A2 concentration in Hb E disease is higher than that of Hb E trait whereas Hb A2 of Hb E trait is higher than that of the normal participants with statistic significance.
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References
Craver RD, Abermanis JG, Warrier RP, Ode DL, Hempe JM. Hemoglobin A levels in healthy persons, sickle cell disease, sickle cell trait, and beta-thalassemia by capillary isoelectric focusing. Am J ClinPathol 1997; 107: 88-91.
Keren DF, Hedstrom D, Gulbranson R, Ou CN, Bak R. Comparison of SebiaCapillarys capillary electrophoresis with the Primus high-pressure liquid chromatography in the evaluation of hemoglobinopathies. Am J Clin Pathol 2008;130: 824-31.
วิชัย เทียนถาวร, จินตนาพัฒ นพงศ์ธร, สมยศ เจริญศักดิ์, รัตน์ติกา แซ่ตั้ง, พิมพ์ลักษณ์ เจริญขวัญ, ต่อพงศ์ สงวนเสริมศรี. Prevalence of thalassemia carriers in Thailand. วารสารโลหิตและเวชศาสตร์บริการโลหิต 2549; 16: 307-12.
Pung-amritt P, Tanphaichitr VS, Tachavanich K, Suwantol L, Glomglao W. Prevalence of HB E from cord blood samples and after one year follow-up. Southeast Asian J Trop Med Public Health 1999; 30 Suppl 2: 97-9.
Tritipsombut J, Sanchaisuriya K, Phollarp P, Bouakhasith D, Sanchaisuriya P, et al. Micromapping of thalassemia and hemoglobinopathies in diferent regions of northeast hailand and Vientiane, Laos People’s Democratic Republic. Hemoglobin 2012; 36: 47-56.
Tachavanich K, Viprakasit V, Chinchang W, Glomglao W, Pung-Amritt P, Tanphaichitr VS. Clinical and hematological phenotype of homozygous hemoglobin E: Revisit of a benign condition with hidden reproductive risk. Southeast Asian J Trop Med Public Health 2009; 40: 306-16.
Mais DD, Gulbranson RD, Keren DF. The range of hemoglobin A(2) in hemoglobin E heterozygotes as determined by capillary electrophoresis. Am J ClinPathol 2009; 132: 34-8.
Alperin JB, Dow PA, Petteway MB. Hemoglobin A2 levels in health and various hematologic disorders. Am J ClinPathol 1977; 67: 219-26.
Keramati MR, Maybodi NT. The effect of Iron Deficiency Anemia (IDA) on the Hb A2 level and comparison of hematologic values between IDA and thalassemia minor. Int J Hematol Oncol 2007; 17: 151-6.
Sae-ung N, Srivorakun H, Fucharoen G, Yamsri S, Sanchaisuriya K, Fucharoen S. Phenotypic expression of hemoglobins A2, E and F in various Hb E related disorders. Blood Cells Mol Dis 2012; 48: 11-6.
Shokrani M, Terrell F, Turner EA, Aguinaga MD. Chromatographic measurements of hemoglobin A2 in blood samples that contain sickle hemoglobin. Ann Clin Lab Sci 2000; 30: 191-4.
Ashley-Koch A, Yang Q, Olney RS. Sickle hemoglobin (Hb S) allele and sickle cell disease: A HuGE review. Am J Epidemiol 2000; 151: 839-45.
Sharma A, Marwah S, Buxi G, Yadav R. Hemoglobin E syndromes: Emerging diagnostic challenge in North India. Indian J Hematol Blood Transfus 2013; 29: 21-5.
Vichinsky E. Hemoglobin E syndromes. Hematology Am SocHematolEduc Program 2007; 2007: 79-83