Journal
HEMOGLOBIN
Volume 44, Issue 3, Pages 153-155Publisher
TAYLOR & FRANCIS LTD
DOI: 10.1080/03630269.2020.1768109
Keywords
alpha(0)-Thalassemia (alpha(0)-thal); Hb H disease; Hb Westmead; mean corpuscular volume (MCV)
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Funding
- Guangzhou Institute of Pediatrics/Guangzhou Women and Children's Medical Center, Guangzhou, Guangdong Province, People's Republic of China [IP-2019-004]
- Guangdong Science and Technology Department, Guangzhou, Guangdong, People's Republic of China [2017A030223003]
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Hb Westmead (alpha 122(H5)His>Gln) (HBA2: c.369C>G) is a common alpha-globin variant causing alpha-thalassemia (alpha-thal) in Mainland China. In this study, we report the hematological characteristics in Hb Westmead carriers in a Chinese population. There were 546 individuals carrying Hb Westmead based on their molecular diagnosis: 514 Hb Westmead heterozygotes and 32 compound heterozygotes for Hb Westmead and alpha(0)-thal. Compared to common deletional alpha(+)-thal, Hb Westmead was associated with higher mean corpuscular hemoglobin (Hb) (MCH) values. Compound heterozygotes for Hb Westmead and alpha(0)-thal showed significantly higher Hb, mean corpuscular volume (MCV) and MCH values than subjects with deletional Hb H disease. When compared to alpha(0)-thal carriers, compound heterozygotes for Hb Westmead and alpha(0)-thal showed similar Hb values, but significantly lower MCV and MCH values. Our results indicate that Hb Westmead is a silent nondeletional alpha(+)-thal, with a deficiency of alpha-globin chain milder than deletional alpha(+)-thal, and compound heterozygotes for Hb Westmead/alpha(0)-thal have a phenotype similar to simple alpha(0)-thal.
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