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Genetic heterogeneity of thalassemia major patients in Rembang Regency, Central Java, Indonesia

  • Nyoman Suci Widyastiti ,
  • Ita Margaretha Nainggolan ,
  • Edward Kurnia Setiawan Limijadi ,
  • Meita Hendrianingtyas ,
  • Dwi Retnoningrum ,
  • Ariosta ,
  • Yetty Movieta Nency ,
  • Mayasari Dewi ,
  • Sutamti ,
  • Tri Ratnaningsih ,
  • Usi Sukorini ,

Abstract

Link of Video Abstract: https://www.youtube.com/watch?v=RG95aJkUndg

Background: Thalassemia and hemoglobinopathies are caused by mutations in the globin genes that reduce haemoglobin synthesis. In many Asian countries, including Indonesia, thalassemia is a common inherited disorder. Thalassemia has specific characteristics due to the wide variability of the mutations from various populations. Therefore, screening protocol should be designed on specific populations’ regional gene mutation patterns. This study aims to investigate the mutational diversity of the globin genes in thalassemia major patients in Rembang Regency, Central Java, Indonesia.

Methods: Genetic mutations were carried out in all major thalassemia patients who were recorded and underwent routine blood transfusions at the Rembang District Hospital from 2018 – 2020. Mutation identification was carried out using a PCR- RFLP  (Polymerase Chain Reaction-Restriction Fragment Length Polymorphism) based method, the ACRS (Amplified Created Restriction Site) method, and genome sequencing.

Results: The most common genotypes are double heterozygous HbE and Cd 35 mutation (-C) (42.87%), HbE and IVS1-nt.5 mutations (G> C) (28.57%), HbE and IVS1- nt.2 mutations (T> C), HbE and codon 8/9 (insertion + G), codon 8/9 (insertion + G) and Hb Malay, as well as Hb Adana and Hb Constant Spring (1.74%).

Conclusion: The β-thalassemia and α-thalassemia mutations most commonly found in Rembang Regency are Cd 35 (-C) and non-deletional mutations.

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How to Cite

Widyastiti, N. S., Nainggolan, I. M., Limijadi, E. K. S., Hendrianingtyas, M., Retnoningrum, D., Ariosta, Nency, Y. M., Dewi, M., Sutamti, Ratnaningsih, T., & Sukorini, U. (2023). Genetic heterogeneity of thalassemia major patients in Rembang Regency, Central Java, Indonesia. Bali Medical Journal, 12(2), 1633–1639. https://doi.org/10.15562/bmj.v12i2.4482

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Nyoman Suci Widyastiti
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Ita Margaretha Nainggolan
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Edward Kurnia Setiawan Limijadi
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Meita Hendrianingtyas
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Dwi Retnoningrum
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Ariosta
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Yetty Movieta Nency
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Mayasari Dewi
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Sutamti
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Tri Ratnaningsih
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Usi Sukorini
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