title: Thermogravimetric analysis coupled with chemometrics as a powerful predictive tool for ß-thalassemia screening.
abstract: β-Thalassemia is a hemoglobin genetic disorder characterized by the absence or reduced β-globin chain synthesis, one of the constituents of the adult hemoglobin tetramer. In this study the possibility of using thermogravimetric analysis (TGA) followed by chemometrics as a new approach for β-thalassemia detection is proposed. Blood samples from patients with β-thalassemia were analyzed by the TG7 thermobalance and the resulting curves were compared to those typical of healthy individuals. Principal Component Analysis (PCA) was used to evaluate the correlation between the hematological parameters and the thermogravimetric results. The thermogravimetric profiles of blood samples from β-thalassemia patients were clearly distinct from those of healthy individuals as result of the different quantities of water content and corpuscular fraction. The hematological overview showed significant decreases in the values of red blood cell indices and an increase in red cell distribution width value in thalassemia subjects when compared with those of healthy subjects. The implementation of a predictive model based on Partial Least Square Discriminant Analysis (PLS-DA) for β-thalassemia diagnosis, was performed and validated. This model permitted the discrimination of anemic patients and healthy individuals and was able to detect thalassemia in clinically heterogeneous patients as in the presence of δβ-thalassemia and β-thalassemia combined with Hb Lepore. TGA and Chemometrics are capable of predicting ß-thalassemia syndromes using only a few microliters of blood without any pretreatment and with an hour of analysis time. A fast, rapid and cost-effective diagnostic tool for the β-thalassemia screening is proposed.
authors.affiliation: Department of Chemistry, Sapienza - University of Rome, Rome, Italy. Electronic address: roberta.risoluti@uniroma1.it.
authors.forename: Roberta
authors.initials: R
authors.lastname: Risoluti
authors.affiliation: Department of Chemistry, Sapienza - University of Rome, Rome, Italy.
authors.forename: Stefano
authors.initials: S
authors.lastname: Materazzi
authors.affiliation: Thalassemia Unit, S. Eugenio Hospital, Rome, Italy.
authors.forename: Francesco
authors.initials: F
authors.lastname: Sorrentino
authors.affiliation: Thalassemia Unit, S. Eugenio Hospital, Rome, Italy.
authors.forename: Laura
authors.initials: L
authors.lastname: Maffei
authors.affiliation: Department of Hematology, Oncology and Molecular Medicine, Istituto Superiore di Sanità, Rome, Italy.
authors.forename: Patrizia
authors.initials: P
authors.lastname: Caprari
mesh_terms: D004909:Erythrocyte Indices; D006403:Hematologic Tests / Q000191:economics / Q000379:methods* / Q000592:standards; D006801:Humans; D008403:Mass Screening; D008954:Models, Biological; D013818:Thermogravimetry; D017086:beta-Thalassemia / Q000097:blood / Q000175:diagnosis*
keywords: Blood; Chemometrics; Class-modeling; Screening; Thalassemia; Thermogravimetric analysis