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pubmed-article:20567827pubmed:abstractTextNon-deletional ?(+)-thalassaemia is associated with a higher degree of morbidity and mortality than deletional forms of ?(+)-thalassaemia. Screening for the common deletional forms of ?-thalassaemia by Gap-PCR is widely practiced; however, the detection of non-deletional ?-thalassaemia mutations is technically more labour-intensive and expensive, as it requires DNA sequencing. In addition, the presence of four very closely homologous alpha globin genes and the frequent co-existence of deletional forms of ?-thalassaemia present another layer of complexity in the detection of these mutations. With growing evidence that non-deletional ?-thalassaemia is relatively common in the UK, there is a demand for technologies which can quickly and accurately screen for these mutations. We describe a method utilising pyrosequencing for detecting the ten most common clinically significant non-deletional ?-thalassaemia mutations in the UK. We tested 105 patients with non-deletional ?-thalassaemia and found 100% concordance with known genotype as identified by Sanger sequencing. We found pyrosequencing to be simpler, more robust, quicker, and cheaper than conventional sequencing, making it a good choice for rapid and cost-effective diagnosis of patients with suspected non-deletional ?-thalassaemia. The technique is also likely to help expedite prenatal diagnosis of pregnancies at risk of ?-thalassaemia major.lld:pubmed
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pubmed-article:20567827pubmed:articleTitleScreening for clinically significant non-deletional alpha thalassaemia mutations by pyrosequencing.lld:pubmed
pubmed-article:20567827pubmed:affiliationNational Haemoglobinopathy Reference Laboratory, Molecular Haematology, Haemophilia Centre, Churchill Hospital, Oxford Radcliffe NHS Trust, Oxford, UK OX3 7LJ. anna.haywood@orh.nhs.uklld:pubmed
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