2012 ©
             Publication
Journal Publication
Title of Article Direct PCR assays without DNA extraction for rapid detection of Hemoglobin Constant Spring and Paksé Genes: application for carrier screening and prenatal diagnosis 
Date of Acceptance 21 August 2021 
Journal
     Title of Journal The Scandinavian Journal of Clinical & Laboratory Investigation 
     Standard SCOPUS 
     Institute of Journal Taylor & Francis 
     ISBN/ISSN
     Volume
     Issue
     Month -
     Year of Publication 2021 
     Page
     Abstract Hemoglobin Constant Spring (Hb CS) and Hb Paksé (PS) are the common non-deletional α+-thalassemia found in Thailand. These two variants can cause severe thalassemia syndromes, especially in fetus and neonate. Molecular diagnosis is the only confirmatory method because Hb CS and Hb PS are usually missed by routine screening and Hb analysis. Therefore, we aimed to develop rapid direct PCR for the diagnosis of Hb CS and PS genes. Multiplex direct PCR assays for identifying the Hb CS and PS genes in whole blood (WB) and amniotic fluid (AF) specimens were developed. The assays were firstly validated on 290 unrelated whole blood specimens. Hb CS and PS carriers were identified in 67 (23.1%) and 6 (2.1%) cases, respectively. A 100% concordant result as compared to routine PCR assay was observed. The direct PCR assays have been applied successfully for prenatal diagnosis in two families. The result showed that the fetuses were affected by homozygous Hb CS and compound heterozygous Hb CS/Hb PS. Accurate prenatal diagnosis of these families was observed using the newly developed assays. These assays should be applicable in routine thalassemia diagnostics as well as in a large-scale screening of Hb CS and PS in the region. 
     Keyword Direct PCR; Rapid Diagnosis; Hb Constant Spring; Hb Paksé, Whole blood, Amniotic fluid  
Author
607090015-7 Mr. PHONGSATHORN WICHIAN [Main Author]
Associated Medical Sciences Doctoral Degree

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