Establishment and evaluation of α-thalassemia and β-thalassemia mutation determinations using hetero-tail dual-labeled fluorescent probe hydridization

Autor: Li, Renqiang, Luo, Junfeng, Chen, Yundi
Rok vydání: 2022
Předmět:
Popis: Objective To establish and evaluate a method for determining 3 α-thalassemia non-deletional mutations(αWS,αQS,αCS) and 8 β-thalassemia point mutations [CD26(G>A),CD41/42(-TCTT), nt29(A>G) , IVS-Ⅱ-654(C>T), nt28(A>G) , CD71/72(+A) ,CD17(A>T), CD27/28(+C)] simultaneously using hetero-tail dual-labeled fluorescent probe hydridization. Methods Polymerase chain reaction(PCR) primers and hetero-tail dual-labeled fluorescent probes targeting 11 most common α-thalassemia non-deletional and β-thalassemia point mutations were designed. An optimized multiplex asymmetric PCR and hetero-tail dual-labeled fluorescent probe hydridization were established. Performance specifications(accuracy,specificity and sensitivity) were evaluated by the national reference materials for thalassemia. Totally,200 clinical samples were determined by PCR-reverse dot blot kit and hetero-tail dual-labeled fluorescent probe hydridization concurrently to assess the consistency. Results For 11 mutations within the determination range,hetero-tail dual-labeled fluorescent probe hydridization showed 100% consistency with the national reference materials for thalassemia,and none of the mutations outside the determination range were determined. For different concentrations of Hb CS,CD41/42 and IVS-Ⅱ-654 reference materials ranging from 1.0,2.5,5.0 to 10.0 ng/μL,the results were consistent. The consistency rate between PCR-reverse dot blot kit and hetero-tail dual-labeled fluorescent probe hydridization was 100%. Conclusions Hetero-tail dual-labeled fluorescent probe hydridization enables fast and accurate determination of 11 α-thalassemia non-deletional and β-thalassemia point mutations simultaneously by one-step real-time PCR,which reduces turn-around time and contamination risk and shows potential for future clinical application. ispartof: Laboratory Medicine (Shanghai Journal of Medical Laboratory) / Jianyan Yixue vol:37 issue:10 pages:955-962 status: published
Databáze: OpenAIRE