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KMID : 0981820110310030138
Korean Journal of Laboratory Medicine
2011 Volume.31 No. 3 p.138 ~ p.142
Detection of ¥á-thalassemia-1 Southeast Asian and Thai Type Deletions and ¥â-thalassemia 3.5-kb Deletion by Single-tube Multiplex Real-time PCR with SYBR Green1 and High-resolution Melting Analysis
Pornprasert Sakorn

Wiengkum Thanatcha
Srithep Sarinee
Chainoi Isarapong
Singboottra Panthong
Wongwiwatthananukit Sanchai
Abstract
Background: Prevention and control of thalassemia requires simple, rapid, and accurate screening tests for carrier couples who are at risk of conceiving fetuses with severe thalassemia.

Methods: Single-tube multiplex real-time PCR with SYBR Green1 and high-resolution melting (HRM) analysis were used for the identification of ¥á-thalassemia-1 Southeast Asian (SEA) and Thai type deletions and ¥â-thalassemia 3.5-kb gene deletion. The results were compared with those obtained using conventional gap-PCR. DNA samples were derived from 28 normal individuals, 11 individuals with ¥á-thalassemia-1 SEA type deletion, 2 with ¥á-thalassemia-1 Thai type deletion, and 2 with heterozygous ¥â-thalassemia 3.5-kb gene deletion.

Results: HRM analysis indicated that the amplified fragments from ¥á-thalassemia-1 SEA type deletion, ¥á-thalassemia-1 Thai type deletion, ¥â-thalassemia 3.5-kb gene deletion, and the wild-type ¥â-globin gene had specific peak heights at mean melting temperature (Tm) values of 86.89¢ªC, 85.66¢ªC, 77.24¢ªC, and 74.92¢ªC, respectively. The results obtained using single-tube multiplex real-time PCR with SYBR Green1 and HRM analysis showed 100% consistency with those obtained using conventional gap-PCR.

Conclusions: Single-tube multiplex real-time PCR with SYBR Green1 and HRM analysis is a potential alternative for routine clinical screening of the common types of ¥á- and ¥â-thalassemia large gene deletions, since it is simple, cost-effective, and highly accurate.
KEYWORD
Multiplex real-time PCR, SYBR Green1, ¥á-thalassemia-1, ¥â-thalassemia 3.5-kb deletion, High-resolution melting analysis
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