MALDI--TOF--MS for Rapid Screening and Typing of β-Globin Variant and β-Thalassemia through Direct Measurements of Intact Globin Chains.

BACKGROUND: Traditional phenotype-based screening for β-globin variant and β-thalassemia using hematological parameters is time-consuming with low-resolution detection. Development of a MALDI--TOF--MS assay using alternative markers is needed. METHODS: We constructed a MALDI--TOF--MS- based approach...

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Publicado en:Clinical Chemistry Vol. 68; no. 12; pp. 1541 - 1552
Autores principales: Qianqian Zhang, Ge Wang, Dehui Sun, Wanying Lin, Tizhen Yan, Yuanjun Wu, Meiying Wu, Jianhong Chen, Shaomin Zou, Wenchun Xie, Yuqiu Zhou, Yuxi Wang, Linlin He, Yanhui Liu, Zhenxiong Qiu, Lingling Hu, Bin Lin, Xiaoguang Zhou, Yan Li, Xiangmin Xu
Formato: Journal Article
Publicado: Oxford University Press / USA Dec2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2022
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        atl: MALDI--TOF--MS for Rapid Screening and Typing of β-Globin Variant and β-Thalassemia through Direct Measurements of Intact Globin Chains.
      aug:
        au:
          Qianqian Zhang
          Ge Wang
          Dehui Sun
          Wanying Lin
          Tizhen Yan
          Yuanjun Wu
          Meiying Wu
          Jianhong Chen
          Shaomin Zou
          Wenchun Xie
          Yuqiu Zhou
          Yuxi Wang
          Linlin He
          Yanhui Liu
          Zhenxiong Qiu
          Lingling Hu
          Bin Lin
          Xiaoguang Zhou
          Yan Li
          Xiangmin Xu
        affil: Department of Medical Genetics, School of Basic Medical Sciences, Southern Medical University, Guangzhou, Guangdong, China
      sug:
      ab: BACKGROUND: Traditional phenotype-based screening for β-globin variant and β-thalassemia using hematological parameters is time-consuming with low-resolution detection. Development of a MALDI--TOF--MS assay using alternative markers is needed. METHODS: We constructed a MALDI--TOF--MS- based approach for identifying various β-globin disorders and classifying thalassemia major (TM) and thalassemia intermedia (TI) patients using 901 training samples with known HBB/HBA genotypes. We then validated the accuracy of population screening and clinical classification in 2 separate cohorts consisting of 16 172 participants and 201 β-thalassemia patients. Traditional methods were used as controls. Genetic tests were considered the gold standard for testing positive specimens. RESULTS: We established a prediction model for identifying different forms of β-globin disorders in a single MALDI--TOF--MS test based on δ- to β-globin, γ- to α-globin, γ- to β-globin ratios, and/or the abnormal globin-chain patterns. Our validation study yielded
      pubtype: Academic Journal
      doctype: Journal Article
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    language: English
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