Abstract

HOPPERS, J F; MARX, G Μ  and  JANSE VAN RENSBURG, W J. Intron 22 inversion real-time polymerase chain reaction detection in haemophilia A families from central South Africa. SAMJ, S. Afr. med. j. [online]. 2019, vol.109, n.11, pp.876-879. ISSN 2078-5135.  http://dx.doi.org/107196/samj.2019.v109i11.13979.

BACKGROUND. Intron 22 inversion (inv22) may account for 45% of all cases of severe haemophilia A. Haemophilia A is underdiagnosed in South Africa (SA), and owing to limited resources the genotypes of most haemophilia A patients are unknown.OBJECTIVES. To screen the haemophilia A population in central SA for inv22 using two novel detection methods.METHODS. We recruited 62 participants from 27 families affected by haemophilia A in Free State and Northern Cape provinces. We screened for inv22 with our previously reported conventional polymerase chain reaction (PCR) method, as well as with a newly developed real-time PCR method. Sanger sequencing was performed to confirm the PCR results.RESULTS. With the real-time PCR method, 10 of the severe haemophilia A patients and 3 carriers tested inv22-positive. The conventional PCR method and real-time PCR results were comparable in all but one case, where the discrepancy was attributed to sample-specific degradation. Inv22 was found in 29.4% of the severe haemophilia A population and 22.2% of the potential carriers. The inv22 status of most SA haemophilia A patients is currently unknown. The 29.4% of haemophilia A patients who were positive for inv22 was lower than the expected 45%, which could indicate a more prominent mutation than inv22 in the SA population.CONCLUSIONS. The above finding needs to be confirmed by performing comprehensive factor VIII gene (F8) genotyping on the remainder of the haemophilia A patients in SA. The study contributes to genetic research in haemophilia A and lays a foundation for future research in haemophilia A genetics in SA.

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