Dr. Ahlam Nasser, MD, MMED Globin switch during in utero and post-natal life Normal and Variant Hemoglobin at Birth and in Older Children Methods for Hemoglobinopathy screening and diagnosis 1. Isoelectric focusing 2. HPLC 3. Cellulose Acetate Electrophoresis (Alkaline) 4. Citrate Agar Electrophoresis (Acid) 5. Alkaline Globin Chain Electrophoresis 6. Capillary Zone Electrophoresis 7. Molecular methods 1. Restriction Fragment Length Polymorphism (RFLP), 2. Allelic Discrimination using Real Time PCR end point data, and 3. DNA Sequencing. DNA Concept of Protein Electrophoresis Example of IEF 1 High-performance Liquid Chromatography Hb SS Sickle trait Beta Thalassemia trait Hemoglobin S with Beta thalassemia Beta Thalassemia Major Hb E trait Hb E disease References • https://www.mun.ca/biology/scarr/Hemoglobin_Electrophoresis.html • Patterns of hemoglobinopathies diagnosed by high-performance liquid chromatography in and around Pune (Western Maharashtra, India): A pilot study – by Buch Archana et al. • Hemoglobinopathies: Current Practices for Screening, Confirmation and Follow-up - CDC