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β-globin gene cluster haplotypes in sickle cell patients from Panamá
Iryna Rusanova1, Gladys Cossio, Bélgica Moreno
1Departamento de Biomédica, Universidad Especializada de las Américas, Panamá, República de Panamá.
Insights
The Bantu haplotype is most common in Panamanian sickle cell disease (SCD) patients. Haplotype distribution in Panama aligns with Colombian findings, indicating African origins for SCD in the region.
Area of Science:
- Genetics
- Hematology
- Molecular Biology
Background:
- Sickle cell disease (SCD) is a genetic blood disorder.
- Understanding β-globin gene cluster haplotypes is crucial for SCD research.
- Haplotype analysis provides insights into disease origins and population genetics.
Purpose of the Study:
- To determine the frequency of β-globin gene cluster haplotypes in Panamanian SCD patients.
- To investigate the genetic origins of SCD in Panama.
- To compare haplotype distribution with other regions.
Main Methods:
- Polymerase chain reaction (PCR) and restriction digestion were used.
- Five polymorphic sites in the β-globin gene cluster were analyzed.
- 100 SCD patients (95 HbS homozygotes, 5 HbSC disease) were studied.
Main Results:
- The Bantu haplotype was predominant (51%), followed by Benin (30%), Senegal (8.5%), and Cameroon (4%).
- SEN/SEN patients showed significantly higher HbF levels than BEN/BEN patients.
- High reticulocyte counts in BEN/BEN and CAR/CAR genotypes correlated with a poorer prognosis.
Conclusions:
- Common β(S) haplotypes of African origin are present in Panama.
- The haplotype distribution in Panama is similar to that found in Colombia.
- This study contributes to understanding SCD's genetic landscape in Latin America.
Objective:
To analyze the frequency of the haplotypes of β-globin gene cluster in randomly selected patients with sickle cell disease (SCD), attended in the Children's Hospital of Panama.
Methods:
Five polymorphic sites in the β-globin gene cluster were analyzed by polymerase chain reaction (PCR) followed by restriction digestion and agarose gel electrophoresis in a total of 100 patients, including 95 homozygous for HbS (sickle cell anemia) and 5 compound heterozygotes for HbS and HbC genes (HbSC disease).
Results:
The Bantu haplotype was predominant with a frequency of 51%, followed by the Benin (30%), Senegal (8.5%), and Cameroon (4%); other haplotypes were also identified. Genotype was CAR/CAR in 39 patients, BEN/BEN in 22, SEN/SEN in 6, CAM/CAM in 4, ARB/ARB in 1, CAR/BEN in 15, CAR/SEN in 5, CAR/Hp5 in 3, CAR/Hp1 in 1, BEN/Hp11 in 1, Atp Hp1/Hp1 in 2, and Atp Hp5/Hp5 in 1 individual. Hemoglobin concentrations, hematocrit, and mean corpuscular hemoglobin concentration values did not differ among homozygous forms of haplotypes. The mean HbF in all patients was 15.39 ± 1.21, whereas SEN/SEN patients had higher HbF than BEN/BEN patients (24.26 ± 4.18 vs. 13.17 ± 2.39, respectively, P < 0.05). The percentage of reticulocytes was highest in BEN/BEN and CAR/CAR, and it was associated with worst prognosis.
Conclusion:
The results show the presence of common β(S) haplotypes in Panama; the prevalence of African origin, and the similarity in the Panamanian and Colombian distribution of haplotypes.
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