Page 38 - IMR Annual Report 2022: Institute for Medical Research
P. 38

IMR Annual
              22
                      Report2022
                              INSTITUTE FOR MEDICAL RESEARCH


                   Molecular Genetic Haematology Laboratory Tests in 2022


                               Type of test                    Test performed             Number of Tests
                     Molecular Test for Beta Globin    Multiplex ARMS PCR                        431
                     Gene/ Cluster                     Multiplex GAP PCR                        1702
                                                       MLPA                                      104
                                                       Sequencing                               2820

                     Molecular Test for Alpha Globin   Multiplex ARMS PCR                       3007
                     Gene/ Cluster                     Multiplex GAP PCR                        2142
                                                       MLPA                                      734
                                                       Sequencing                                978



                       Haemophilia A & B genotyping


                      Haemophilia  is a group of  inherited blood disorders in which there is a life-
                      long defect in the clotting mechanism. It is inherited as an x-linked recessive;
                      therefore, males are affected and females are carriers. The most common types of
                      haemophilia are Haemophilia A (factor VIII deficiency) and Haemophilia B (factor
                      IX deficiency). Our laboratory offers factor VIII and factor IX gene sequencing
                      for index case confirmation and targeted gene sequencing (known mutation)
                      for carrier screening. This test is useful for molecular confirmation of a clinical
                      diagnosis of Haemophilia A and Haemophilia B in the affected male patients
                      and also helps to determine the carrier status for female patients with a positive
                      family history. Identification of the causative alteration in factor VIII and factor IX
                      genes is useful for confirmation of diagnosis, prognostication on clinical severity
                      and risk of inhibitor development and also genetic counselling purposes.


                   Haemophilia A Genotyping Tests in 2022


                                                                                                2022
                      Type of Test                     Test Performed
                                                                                         Samples      Test
                     Haemophilia A     Intron 22 Inversion                                  44        308
                     Genotyping        Intron 1 Inversion                                   18        108
                                       Full F8 Sequencing                                   37        6993
                                       Targeted F8 Sequencing                               21        189
                                       Multiplex Ligation-dependent Probe                    5         20
            Cancer Research  Centre (CaRC)  Haemophilia B Genotyping Tests in 2022
                                       Amplication (MLPA) F8





                      Type of Test                     Test Performed                    Samples      Test
                     Haemophilia B     Full F9 Sequencing                                   13        572
                     Genotyping        Targeted F9 Sequencing                               23        207
                                       Multiplex Ligation-dependent Probe                    2         9
                                       Amplication (MLPA) F9
   33   34   35   36   37   38   39   40   41   42   43