Evidence map›Paper›PMID 41489826›Full record

ArticleHuman genetics2026

Profiling structural variations of the α-globin gene cluster by the single molecule real-time sequencing: remarkable diversity of the spectrum with rare and novel variants identified in a large Chinese cohort.

Dan Wei, Zifeng Cheng, Wei Wei, Chunrong Gui, Juliang Liu, Hongfei Chen, Yunting Ma, XianWei Peng, Dan Yu, Yan Huang and 2 more

Abstract read
In one paragraph

Article in Human genetics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

12 authors.

Dan Wei *Center for Medical Genetics and Genomics, The Second Affiliated Hospital of Guangxi Medical University, Nanning, China.
Zifeng Cheng *The Second School of Medicine, Guangxi Medical University, Nanning, China.
Wei WeiCenter for Medical Genetics and Genomics, The Second Affiliated Hospital of Guangxi Medical University, Nanning, China.
Chunrong GuiCenter for Medical Genetics and Genomics, The Second Affiliated Hospital of Guangxi Medical University, Nanning, China.
Juliang LiuCenter for Medical Genetics and Genomics, The Second Affiliated Hospital of Guangxi Medical University, Nanning, China.
Hongfei ChenThe Second School of Medicine, Guangxi Medical University, Nanning, China.
Yunting MaThe Second School of Medicine, Guangxi Medical University, Nanning, China.
XianWei PengDepartment of Hematology, The Second Affiliated Hospital of Guangxi Medical University, Nanning, China.
Dan YuDepartment of Hematology, The Second Affiliated Hospital of Guangxi Medical University, Nanning, China.
Yan HuangDepartment of Obstetrics, The Second Affiliated Hospital of Guangxi Medical University, Nanning, China. huangyanHY2020@163.com.
Yinghui LaiDepartment of Hematology, The Second Affiliated Hospital of Guangxi Medical University, Nanning, China. yinghuilai@sina.com.
Baoheng GuiCenter for Medical Genetics and Genomics, The Second Affiliated Hospital of Guangxi Medical University, Nanning, China. BaohengGui@yeah.net.

Funding

the Guangxi Major Research Programme AB22035013the Guangxi Medical University Training Program for Distinguished Young Scholars Nonethe Initial Scientific Research Fund for Advanced Talents from the Second Affiliated Hospital of Guangxi Medical University 2019112the Joint Project on Regional High-Incidence Diseases Research of Guangxi Natural Science Foundation 2023GXNSFBA026124the National High-Level Hospital Clinical Research Funding 2022-PUMCH-C-033the Science Foundation for Young Scholars of Guangxi Medical University GXMUYSF202115the Special Scientific Research Fund of Guangxi Ten-Hundred-Thousand Talents Project 2021186
6 · The paper itself

Abstract

α-thalassemia is an inherited monogenic disorder that exhibits a notably high prevalence in the Guangxi region of China. Subjects in this study were recruited from the Second Affiliated Hospital of Guangxi Medical University between October 2021 and December 2024. Hematological phenotypes were evaluated, followed by structural variations profiling using SMRT sequencing. Novel structural variants were validated using multiplex ligation-dependent probe amplification (MLPA) and Sanger sequencing, while hematological phenotypic analysis was performed on the corresponding pedigrees. In this cohort of 1,430 subjects, 381 subjects (26.64%, 381/1430) exhibited structural variations in the α-globin gene cluster. Of the 381 subjects with α-globin structural variants, 355 were heterozygotes, 23 were compound heterozygotes, and 3 were homozygotes, collectively accounting for 407 alleles. SMRT analysis identified fourteen distinct structural variants, with the --SEA deletion representing the predominant variant at a frequency of 60.44% (246/407), followed by the -α3.7 (23.34%, 95/407) and -α4.2 (10.07%, 41/407) deletions. Furthermore, eleven rare variants were detected at an aggregate frequency of 6.14% (25/407), including --THAI, -α2.4, -α21.9, --11.1, HKαα, --120 (chr16:85493–205576 del), --35.2 (chr16:150825–186025 del), αααanti3.7, αααanti4.2, αααα3.7, and (αα)Fusion. Notably, two novel α0-thalassemia deletions (--120 and --35.2) associated with microcytic hypochromic anemia were identified, representing previously unreported rare deletions. The structural variation of the α-globin gene cluster is remarkably diverse. The novel variants identified in this study expand the variant spectrum in thalassemia. These findings provide support for thalassemia genetic counseling, diagnosis, and disease management. SMRT sequencing demonstrates superior capability in variant detection and significant potential for clinical diagnostic applications.

Indexed as

alpha-Globinsalpha-ThalassemiaEast Asian PeopleMultigene FamilyAdultAllelesChildChinaCohort StudiesFemaleGenetic VariationHeterozygoteHumansMalePedigreePhenotypealpha-Globins

Identifiers

PMID41489826
PMCPMC12769971

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.