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Haemoglobin A2 measurement using high performance liquid chromatography.

R Deacon-Smith1, I Lord

  • 1Department of Haematology, Poole General Hospital, England, UK.

Medical Laboratory Sciences
|June 1, 1992
PubMed
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High-performance liquid chromatography (HPLC) offers a rapid and reliable method for measuring Haemoglobin A2 levels. This technique shows excellent correlation with the ICSH standard, proving effective for diagnosing beta-thalassaemia trait.

Area of Science:

  • Clinical Chemistry
  • Hematology

Background:

  • Accurate measurement of Haemoglobin A2 is crucial for diagnosing beta-thalassaemia trait.
  • Traditional methods can be time-consuming or require specific protocols.

Purpose of the Study:

  • To evaluate the efficacy of a high-performance liquid chromatography (HPLC) system for Haemoglobin A2 quantification.
  • To determine if the protocol for Haemoglobin A1C measurement could be directly applied to Haemoglobin A2 analysis.

Main Methods:

  • Utilized a modular HPLC system with a protocol optimized for Haemoglobin A1C measurement.
  • Compared HPLC results for Haemoglobin A2 with the International Committee for Standardisation in Haematology (ICSH) microchromatography method.

Main Results:

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  • Demonstrated a strong correlation (r = 0.96; P < 0.001) between the HPLC method and the ICSH recommended technique.
  • Established reference ranges: 2.3-3.2% for normal individuals and 4.0-6.7% for individuals with beta-thalassaemia trait.
  • Confirmed that the HPLC system provides quick and reliable Haemoglobin A2 results without protocol modification.
  • Conclusions:

    • The HPLC system is a reliable, rapid, and efficient method for quantifying Haemoglobin A2.
    • The established protocol for Haemoglobin A1C measurement is directly applicable for Haemoglobin A2 assessment.
    • This HPLC method facilitates accurate diagnosis of beta-thalassaemia trait.