Skip to main content
Log in

β-Thalassemia mutations in Singapore — a strategy for prenatal diagnosis

  • Original Investigation
  • Published:
Human Genetics Aims and scope Submit manuscript

Abstract

The strategy for early prenatal diagnosis of β-thalassemia in Singapore by direct detection of the mutant β-globin gene requires the spectrum of mutations producing the disorder in this population to be characterized. We analyzed 134 β-thalassemia alleles from Singapore by specific oligonucleotide hybridization after DNA amplification, using a nonradioactive enhanced chemiluminescence detection system. The mutations were identified in 90% of the alleles using five oligonucleotide probes for the following mutations: codons 41/42 (deletion -TCTT), IVS II nt 654 (C→T), codon 17 (A→T), IVS I nt 5 (G→C), and -28 TATA box (A→G). Together with the strategy of direct sequencing, a total of 97% of the mutations were identified. In the Chinese subpopulation, 97% of the mutations were detected by the oligonucleotide probes. Using just four oligonucleotide probes would identify 96% of the mutations, and 76% of the mutations were accounted for by codon 41/42 (-TCTT) and IVS II nt 654 (C→T) mutations. Thus in this subpopulation early prenatal diagnosis would be possible in virtually all the affected families.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Angastiniotis MA, Hadjiminas MG (1981) Prevention of thalassemia in Cyprus. Lancet I:369

    Google Scholar 

  • Cai SP, Zhang JZ, Huang DH, Wang ZX, Kan YW (1988) A simple approach to prenatal diagnosis of β-thalassemia in a geographic area where multiple mutations occur. Blood 71:1357–1360

    Google Scholar 

  • Cao A, Pintus L, Lecca U, Olla G, Cossu P, Rosatelli C, Galanello R (1984) Control of homozygous β-thalassemia by carrier screening and antenatal diagnosis in Sardinians. Clin Genet 26:12

    Google Scholar 

  • Cao A, Piratsu M, Rosatelli C (1986) The prenatal diagnosis of thalassemia. Br J Haematol 63:215–220

    Google Scholar 

  • Cao A, Rosatelli MC, Galanello R (1991) Population-based genetic screening. Curr Opin Genet Develop 1:48–53

    Google Scholar 

  • Chan V, Chan TK, Chehab FF, Todd D (1987) Distribution of β-thalassemia mutations in South China and their association with haplotypes. Am J Hum Genet 41:678–685

    Google Scholar 

  • Fucharoen S, Fucharoen G, Sriroongmeng W, Laosombat V, Jetsrisuparb A, Prasatkaew S, Tanphaichitr VS, Suratte V, Tuchinda S, Fukumaki Y (1989) Molecular basis of β-thalassemia in Thailand: analysis of β-thalassemia mutations using the polymerase chain reaction. Hum Genet 84:41–46

    Google Scholar 

  • Hadji A, Papadakis M, Antsaklis A, Mesoghitis S, Loukopoulos D, Kessas P (1987) Prevention of thalassemia in Greece. 2nd International Conference on Thalassemia and the Hemoglobinopathies 37 (abstract RT7-56)

  • Huisman THJ (1992) The β-and δ-thalassemia repository. Hemoglobin 16:237–250

    Google Scholar 

  • Higuchi R (1989) Perkin Elmer/Cetus Newsletter Amplifications 2:1

    Google Scholar 

  • Kazazian HH Jr, Boehm CD (1988) Molecular basis and prenatal diagnosis of β-thalassemia. Blood 72:1107–1116

    Google Scholar 

  • Laig M, Sanguansermsri T, Wiangnon S, Hundriesci J, Pape M, Flatz G (1989) The spectrum of β-thalassemia mutations in northern and northeastern Thailand. Hum Genet 84:47–50

    Google Scholar 

  • Lie-Injo Le, Cai SP, Wahidijat I, Moeslichan S, Lim ML, Evangelista L, Doherty M, Kan YW (1989) β-Thalassemia mutations in Indonesia and their linkage to β-haplotypes. Am J Hum Genet 45:971–975

    Google Scholar 

  • Saiki RK, Gelfand DH, Stoffel S, Scharf SJ, Higuchi R, Horn GT, Mullis KB, Erlich HA (1988) Primer-directed enzymatic amplification of DNA with a thermostable DNA polymerase. Science 239:487–491

    CAS  PubMed  Google Scholar 

  • Wong HB (1983) Thalassemia as a community health problem in SE Asia. Proceedings of the 4th Indonesian Congress of Hemaology. Yogyakarta, pp 73–83

  • Wong HB (1984) Thalassemia in Singapore. J Singapore Paediatr Soc 26:1–14

    Google Scholar 

  • Zhang JZ, Cai SP, He X, Lin HX, Lin HJ, Huang ZG, Chehab FF, Kan YW (1988) Molecular basis of β-thalassemia in South China: strategy for DNA analysis. Hum Genet 78:37–40

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ng, I.S.L., Ong, J.B.K., Tan, C.L. et al. β-Thalassemia mutations in Singapore — a strategy for prenatal diagnosis. Hum Genet 94, 385–388 (1994). https://doi.org/10.1007/BF00201598

Download citation

  • Received:

  • Revised:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00201598

Keywords

Navigation