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Updated: Jun 13, 2025

A Precision Medicine Tool for Measurement and Monitoring of Hemoglobin S in Sickle Cell Disease Patients Receiving Transfusion Therapy
Genetic Profile of Beta-Thalassemia and Sickle Cell Disease in Eastern Uttar Pradesh
Priyanka Aggarwal1, Akhtar Ali2, Vineeta Gupta3
1Division of Pediatric Hematology Oncology, Department of Pediatrics, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India. Correspondence to: Dr Priyanka Aggarwal, Division of Pediatric Hematology Oncology, Department of Pediatrics, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India. tamanna.horizon@gmail.com.
Insights
This study analyzed hemoglobin subunit beta (HBB) gene mutations in children with beta-thalassemia and sickle cell disease (SCD) in India. IVS 1-5 was the most frequent mutation, with novel mutations also identified.
Area of Science:
- Genetics
- Hematology
- Molecular Biology
Background:
- Beta-thalassemia and sickle cell disease (SCD) are significant public health concerns, particularly in certain regions of India.
- Understanding the spectrum of hemoglobin subunit beta (HBB) gene mutations is crucial for genetic counseling and diagnosis.
Purpose of the Study:
- To determine the prevalence of various HBB gene mutations in children diagnosed with beta-thalassemia and SCD.
- To identify common and novel HBB gene mutations in pediatric patients from Uttar Pradesh, Jharkhand, Chhattisgarh, and Bihar.
Main Methods:
- Genotyping of 133 children with beta-thalassemia and 23 children with SCD.
- Analysis of HBB gene mutations using molecular techniques.
Main Results:
- The IVS 1-5 mutation was the most prevalent (n=42).
- Mutations CD41/42 and CD8/9 were observed with equal frequency (n=4 each).
- Novel mutations, including c.47G>A, c.51del, and c.123delT, were identified in the Uttar Pradesh population.
Conclusions:
- The IVS 1-5 mutation is a dominant HBB gene mutation in the studied pediatric population.
- The identification of previously unreported mutations highlights the genetic diversity of hemoglobinopathies in the region.
- This data is vital for regional genetic screening programs and understanding disease burden.
Abstract:
We report the prevalence of different mutations in the hemoglobin subunit beta (HBB) gene of 133 children with beta-thalassemia and 23 children with sickle cell disease (SCD), most of them belonging to the states of Uttar Pradesh (UP), Jharkhand, Chhattisgarh and Bihar. IVS 1-5 was the most common mutation (n = 42) followed by CD41/42 (n = 4) and CD8/9 (n = 4). Notably, some mutations like c.47G>A, c.51del and c.123delT not previously reported from UP were found.
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