title: Cation-exchange HPLC evaluated for presumptive identification of hemoglobin variants.
abstract: A battery of relatively simple tests allows the presumptive identification of hemoglobin (Hb) variants, making unnecessary structural analysis by protein chemistry methods or DNA sequencing. The primary step in this strategy involves the use of a matrix of electrophoretic mobilities obtained under various experimental conditions. This leads to an unambiguous result in approximately 90% of the cases. Additional tests are required to characterize with more confidence the remaining 10%. We describe here the use of cation-exchange HPLC on the Bio-Rad Variant automated analyzer with the "beta Thalassemia Short" program. By comparing the elution time of 125 human Hb mutants, we found that some variants with almost identical pI values or produced by the same type of amino acid substitution displayed different elution times. We present several examples in which use of the HPLC profile helped establish the diagnosis.
authors.affiliation: Department of Biochemistry and INSERM U91, Hôpital Henri Mondor, Créteil, France.
authors.forename: J
authors.initials: J
authors.lastname: Riou
authors.forename: C
authors.initials: C
authors.lastname: Godart
authors.forename: D
authors.initials: D
authors.lastname: Hurtrel
authors.forename: M
authors.initials: M
authors.lastname: Mathis
authors.forename: C
authors.initials: C
authors.lastname: Bimet
authors.forename: J
authors.initials: J
authors.lastname: Bardakdjian-Michau
authors.forename: C
authors.initials: C
authors.lastname: Préhu
authors.forename: H
authors.initials: H
authors.lastname: Wajcman
authors.forename: F
authors.initials: F
authors.lastname: Galactéros
mesh_terms: D002412:Cations; D002851:Chromatography, High Pressure Liquid / Q000379:methods*; D002852:Chromatography, Ion Exchange; D005319:Fetal Hemoglobin / Q000032:analysis; D005914:Globins / Q000737:chemistry / Q000235:genetics; D006443:Hemoglobin A2 / Q000032:analysis; D006444:Hemoglobin C / Q000032:analysis; D006446:Hemoglobin E / Q000032:analysis; D006451:Hemoglobin, Sickle / Q000032:analysis; D006455:Hemoglobins, Abnormal / Q000032:analysis* / Q000737:chemistry / Q000235:genetics; D006801:Humans; D007525:Isoelectric Focusing; D009154:Mutation; D017086:beta-Thalassemia / Q000097:blood
chemical_list: D002412:Cations; D006451:Hemoglobin, Sickle; D006455:Hemoglobins, Abnormal; D005914:Globins; D006444:Hemoglobin C; D006443:Hemoglobin A2; D006446:Hemoglobin E; D005319:Fetal Hemoglobin