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1.
Nat Med ; 25(9): 1442-1452, 2019 09.
Artículo en Inglés | MEDLINE | ID: mdl-31477907

RESUMEN

Our understanding of how the gut microbiome interacts with its human host has been restrained by limited access to longitudinal datasets to examine stability and dynamics, and by having only a few isolates to test mechanistic hypotheses. Here, we present the Broad Institute-OpenBiome Microbiome Library (BIO-ML), a comprehensive collection of 7,758 gut bacterial isolates paired with 3,632 genome sequences and longitudinal multi-omics data. We show that microbial species maintain stable population sizes within and across humans and that commonly used 'omics' survey methods are more reliable when using averages over multiple days of sampling. Variation of gut metabolites within people over time is associated with amino acid levels, and differences across people are associated with differences in bile acids. Finally, we show that genomic diversification can be used to infer eco-evolutionary dynamics and in vivo selection pressures for strains within individuals. The BIO-ML is a unique resource designed to enable hypothesis-driven microbiome research.


Asunto(s)
Bacterias/genética , Microbioma Gastrointestinal/genética , Filogenia , Selección Genética/genética , Bacterias/clasificación , Bacterias/aislamiento & purificación , Ácidos y Sales Biliares/genética , Ácidos y Sales Biliares/metabolismo , Bancos de Muestras Biológicas , Heces/microbiología , Variación Genética/genética , Genoma Bacteriano/genética , Humanos , Metaboloma/genética
3.
J Interferon Cytokine Res ; 16(9): 709-15, 1996 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-8887055

RESUMEN

Previous work showed that IFN-alpha induced the autoimmune-associated lupus inclusions (LI) in all 16 umbilical cord mononuclear cell samples from healthy mothers. In contrast, IFN-alpha induced LI and the LI-associated protein, p36, in only 2 of 16 human B lymphoblastoid cell lines. Resistance of these 14 cell lines to form LI and p36 may be due to their stage of development or differentiation or their transformed state. We sought to determine whether aging, neoplastic transformation, and HIV infection affected the observed IFN-alpha induction of LI in cord blood mononuclear cells. Expression of LI and p36 was investigated in PBMC on IFN-alpha chemotherapy and on culturing IFN-alpha with PBMC samples prepared from healthy adults and AIDS patients. The IFN-alpha induction of LI (detected by electron microscopy) or p36 (detected by two-dimensional gels) in all of the PBMC samples from these individuals was indistinguishable from the cord blood mononuclear cell response. Furthermore, induction of p36 and LI was not a good indicator of effective IFN-alpha chemotherapy. It may be consequential for autoimmunity induced by IFN-alpha in cancer, AIDS, and systemic lupus erythematosus (SLE). An essential biologic role for p36 and LI is suggested by a highly homologous p36 gene in the invertebrate Caenorhabditis elegans.


Asunto(s)
Antineoplásicos/efectos adversos , Antivirales/efectos adversos , Cuerpos de Inclusión/efectos de los fármacos , Interferón Tipo I/efectos adversos , Interferón-alfa/biosíntesis , Lupus Vulgar/patología , Síndrome de Inmunodeficiencia Adquirida/tratamiento farmacológico , Síndrome de Inmunodeficiencia Adquirida/metabolismo , Síndrome de Inmunodeficiencia Adquirida/patología , Adulto , Anexina A2/biosíntesis , Estudios de Casos y Controles , Humanos , Leucocitos Mononucleares/efectos de los fármacos , Leucocitos Mononucleares/metabolismo , Proteínas de Neoplasias/biosíntesis , Neoplasias/tratamiento farmacológico , Neoplasias/metabolismo , Neoplasias/patología , Proteínas Recombinantes , Valores de Referencia
4.
J Biol Chem ; 271(2): 1118-26, 1996 Jan 12.
Artículo en Inglés | MEDLINE | ID: mdl-8557639

RESUMEN

The trace interferon-alpha-induced protein, p36, was induced in Raji cells in association with lupus inclusions. It was solubilized in a nonionic detergent buffer, enriched by differential centrifugation and by preparative isoelectric focusing, and purified to homogeneity on two-dimensional protein gels. Failure to obtain N-terminal amino acid sequence, however, suggested a blocked alpha-amino group. Sequences of six tryptic peptides, 13-19 amino acids in length, were obtained after digestion, microbore-high performance liquid chromotography purification, and chemical sequence analysis. None of the six sequences, which represented approximately 25% of the entire protein, shared any meaningful homologies with entries in protein sequence repositories. Raji-cell p36 was shown in Western blots with antipeptide antibodies to be induced at least 400-fold and by immunofluorescence microscopy to co-localize with the endoplasmic reticulum resident protein, protein disulfide isomerase. These results show that p36 is a new interferon-alpha-induced protein that localizes in the endoplasmic reticulum, the cell region in which the lupus inclusions form, and that p36 is probably physically associated with the lupus inclusions.


Asunto(s)
Anexina A2/aislamiento & purificación , Gránulos Citoplasmáticos/metabolismo , Interferón-alfa/farmacología , Lupus Vulgar/metabolismo , Secuencia de Aminoácidos , Anexina A2/biosíntesis , Anexina A2/genética , Linfocitos B/metabolismo , Linfocitos B/patología , Linfocitos B/ultraestructura , Cromatografía Líquida de Alta Presión , Gránulos Citoplasmáticos/ultraestructura , Humanos , Microscopía Electrónica , Datos de Secuencia Molecular , Peso Molecular , Células Tumorales Cultivadas
5.
J Clin Invest ; 95(1): 219-26, 1995 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-7814619

RESUMEN

In response to the pure recombinant human alpha-IFN, IFLrA, Raji and Daudi were the only two cell lines among 19 human lymphoblastoid cell lines tested that formed the human lupus inclusions (LI) to a high frequency. Raji, Daudi, and five other cell lines were examined for protein changes that might accompany LI formation. Their selection was based upon T or B origin, association with Epstein-Barr virus, and ability to form LI. A trace protein of an estimated molecular mass of 36 kD (p36) and an isoelectric point of 5.6 was detected on two-dimensional gels only of alpha-IFN-treated Raji and Daudi cells. Gamma-IFN did not induce p36 or LI in any of these seven cell lines. In Daudi cells p36 and LI formed simultaneously in response to IFLrA, and persisted until the alpha-IFN-induced death of the culture. In Raji cells, p36 and LI appearance and disappearance coincided with the addition and removal of alpha-IFN. Fractionation of Raji cells with nonionic-detergent buffer placed p36 with the inclusions in the cytoplasmic supernatant. With detergent-free buffer p36 and LI were distributed evenly between the nuclear and cytoplasmic fractions. Pulse-chase experiments revealed that p36 was secreted. The de novo synthesis of p36 with alpha-IFN treatment was shown by labeling the cell proteins with [35S] methionine before and after the addition of alpha-IFN. These results along with previous results on the de novo synthesis of LI in the endoplasmic reticulum (which is involved in the processing and secretion of proteins) suggest a role for LI in the synthesis and secretion of p36.


Asunto(s)
Cuerpos de Inclusión/efectos de los fármacos , Interferón-alfa/farmacología , Lupus Eritematoso Cutáneo/patología , Linfocitos/patología , Proteínas/aislamiento & purificación , Linfocitos B/efectos de los fármacos , Linfocitos B/patología , Línea Celular , Humanos , Recién Nacido , Punto Isoeléctrico , Linfocitos/efectos de los fármacos , Biosíntesis de Proteínas , Proteínas/metabolismo , Proteínas Recombinantes/farmacología , Linfocitos T/efectos de los fármacos , Linfocitos T/patología
6.
Ann Emerg Med ; 22(12): 1904-7, 1993 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-8239114

RESUMEN

A 22-year-old man presented to our emergency department after an intentional overdose of a homemade foxglove extract. Clinical symptoms with symptomatic bradyarrhythmia and ECG changes were consistent with cardiac glycoside poisoning. Treatment with digoxin-specific Fab fragments resulted in transient clinical and ECG improvement. Serum immunoassay demonstrated a digitoxin-like glycoside. The serum levels showed no evidence of altered elimination or distribution with Fab therapy despite temporary improvements in the clinical course. The use of Fab did not result in a shortened clinical course in this episode of foxglove poisoning, as one would expect in the setting of commercial glycoside product poisoning.


Asunto(s)
Digitalis , Digoxina/inmunología , Fragmentos Fab de Inmunoglobulinas/uso terapéutico , Plantas Medicinales , Plantas Tóxicas , Intoxicación/terapia , Adulto , Digitoxina/sangre , Semivida , Humanos , Fragmentos Fab de Inmunoglobulinas/metabolismo , Masculino , Extractos Vegetales/envenenamiento , Intento de Suicidio
7.
J Struct Biol ; 108(1): 25-34, 1992.
Artículo en Inglés | MEDLINE | ID: mdl-1373290

RESUMEN

A structural analysis of cells that contained the interferon-alpha-induced lupus inclusions (LI) was performed using a high-voltage electron microscope to determine the exact cellular location of LI and their association with normal cell organelles. LI were induced in the human B lymphoblastoid cell line, Daudi, by culturing with the pure recombinant human leukocyte interferon, IFLrA. Just prior to harvesting, a portion of the cells was treated with monensin to selectively swell the Golgi apparatus, and thereby simplify their identification using the electron microscope. Organellar associations between LI and the outer nuclear envelope and Golgi apparatus were identified in stereopairs of 1-micron sections prepared from both cells that were not treated with monensin and those that were treated with monensin. Serial 0.25-micron sections of the monensin-treated cells were prepared, and seven arbitrarily chosen cells were examined. Each of these cells contained a single LI, and it formed throughout an endoplasmic-reticulum region that made contact with both the outer nuclear envelope and the Golgi vesicles. Reconstruction of a cell by computer from the digitized negatives of serial sections clearly illustrated these relationships. This study reports the first determination of the association between LI and the Golgi apparatus. It also identifies the presence of only one LI in every cell, and the routine association of the LI with both the outer nuclear envelope and the Golgi apparatus. The unique cell location of LI formation suggests their functioning in membrane biogenesis, the trafficking of proteins to the plasma membrane or to cytoplasmic vesicles, or the processing of proteins for secretion.


Asunto(s)
Cuerpos de Inclusión/ultraestructura , Interferones/fisiología , Sistema Mononuclear Fagocítico/ultraestructura , Síndrome de Inmunodeficiencia Adquirida/patología , Linfocitos B/efectos de los fármacos , Linfocitos B/ultraestructura , Retículo Endoplásmico/ultraestructura , Aparato de Golgi/efectos de los fármacos , Aparato de Golgi/ultraestructura , Humanos , Procesamiento de Imagen Asistido por Computador , Lupus Vulgar/patología , Microscopía Electrónica , Monensina/farmacología , Membrana Nuclear/ultraestructura , Inmunodeficiencia Combinada Grave/patología , Células Tumorales Cultivadas
8.
Hum Pathol ; 21(11): 1191-2, 1990 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-2172152
9.
Arthritis Rheum ; 33(9): 1420-5, 1990 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-2169748

RESUMEN

Mononuclear cells purified from umbilical cord blood activated oligoadenylate synthetase and formed human lupus-type inclusions (LI) when cultured with the purified recombinant human leukocyte interferon, IFLrA. LI frequencies increased from 0% to a low of 0.75% and a high of 6.25% in 4-day cultures with IFLrA (100 units/ml). These interferon-induced responses in the mononuclear cells of neonates indicate that LI are solely an intrinsic product of normal cells, and not an exogenous virus or some other environmental agent.


Asunto(s)
Sangre Fetal/citología , 2',5'-Oligoadenilato Sintetasa/metabolismo , Femenino , Humanos , Cuerpos de Inclusión/ultraestructura , Recién Nacido , Interferón Tipo I/farmacología , Lupus Vulgar/patología , Monocitos/enzimología , Proteínas Recombinantes
10.
J Biol Chem ; 264(6): 3529-37, 1989 Feb 25.
Artículo en Inglés | MEDLINE | ID: mdl-2783694

RESUMEN

Quantitative electron microscope autoradiography has been used to define the macromolecular composition of the interferon-induced human lupus-type inclusions (LI) in the human B lymphoblastoid cell line, Daudi. LI were first apparent in Daudi cell cultures 12 h after the addition of 100 units/ml of the purified recombinant human leukocyte interferon, IFLrA. Radiolabels were added at this time and allowed to incorporate over the following 12 h during which an estimated greater than 99% of the LI material present at 24 h was formed. The LI-incorporated radiolabels were present only during this discrete 12-h period after the interferon activation of LI cell pathways in order to detect LIs de novo synthesized macromolecular components. The estimate relative specific activities of the LI-incorporated radiolabels were: choline at 4.042, mannose at 2.631, uridine at 0.664, glucosamine at 0.578, and amino acids at 0.477. With thymidine the estimated LI specific activity was 0.000. LI isolated from whole cells retained the tubular elements and the interwoven membrane network. These results provide direct evidence that the interferon-induced Daudi cell LI are de novo synthesized complexes of ribonucleoprotein and membrane.


Asunto(s)
Linfocitos B/metabolismo , Membrana Celular/metabolismo , Interferón Tipo I/farmacología , Lupus Eritematoso Sistémico/metabolismo , Ribonucleoproteínas/biosíntesis , Aminoácidos/metabolismo , Autorradiografía , Linfocitos B/ultraestructura , Linfoma de Burkitt , Línea Celular , Membrana Celular/ultraestructura , Colina/metabolismo , Glucosamina/metabolismo , Humanos , Cinética , Lupus Eritematoso Sistémico/patología , Sustancias Macromoleculares , Manosa/metabolismo , Microscopía Electrónica , Proteínas Recombinantes , Uridina/metabolismo
11.
Artículo en Inglés | MEDLINE | ID: mdl-3497038

RESUMEN

A study of the effects of troleandomycin (TAO) on the disposition of intravenous methylprednisolone in rabbits was performed in order to develop an animal model to further evaluate the mechanism of TAO/steroid beneficial effects in severe asthma. The plasma concentration-time profiles of methylprednisolone and methylprednisone were determined in the presence and absence of single and multiple dose TAO regimens. Pharmacokinetic analysis revealed a significant decrease in total plasma clearance of methylprednisolone in the presence of multiple dose TAO. Alterations in the disposition of the reversible metabolite, methylprednisone, were also observed. The TAO-methylprednisolone interaction may involve decreasing the degree of interconversion between the steroid and its reversible metabolite. TAO also decreases metabolite turnover more than three-fold. The antibiotic does not cause marked deviation from linear biexponential elimination of methylprednisolone as observed in man. The rabbit may serve as a useful animal model for further studies of the TAO/methylprednisolone interaction.


Asunto(s)
Metilprednisolona/metabolismo , Prednisona/análogos & derivados , Troleandomicina/farmacología , Animales , Biotransformación , Cinética , Modelos Biológicos , Prednisona/metabolismo , Conejos , Distribución Tisular
12.
Arthritis Rheum ; 29(4): 501-7, 1986 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-3486663

RESUMEN

A sensitive in vitro bioassay for the alpha-interferon induction of lupus-type inclusions (LI) has been established with the human B lymphoblastoid cell line, Daudi. Sera from 11 patients with systemic lupus erythematosus (SLE) were evaluated with this assay. LI induction by these sera increased in proportion to their antiviral activity on Madin-Darby bovine kidney (MDBK) cells. Two of these sera did not induce LI; they showed no antiviral activity on the MDBK cell assay. Clinically and serologically, their donors were in remission. Two sera induced the formation of LI that exceeded the maximum frequencies obtained with 3 alpha-interferon preparations. These sera had the greatest antiviral activities, and their donors had the greatest disease activities. Antisera to alpha-interferons prevented the induction of LI with the pure and homogeneous recombinant human leukocyte interferon, IFLrA, and SLE sera. Together, these results provide evidence that the alpha-interferon endogenous to SLE patients has a great ability to induce LI, and the SLE serum induction of LI corresponds well to the patient's disease activity.


Asunto(s)
Cuerpos de Inclusión Viral/metabolismo , Lupus Eritematoso Sistémico/sangre , Animales , Antivirales/farmacología , Antivirales/fisiología , Linfocitos B , Linfoma de Burkitt/patología , Bovinos , Línea Celular , Humanos , Interferón Tipo I/farmacología , Riñón , Lupus Eritematoso Sistémico/patología
13.
J Clin Exp Neuropsychol ; 7(1): 79-96, 1985 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-3980682

RESUMEN

Research concerning remediation of memory disorders has frequently been concerned with mnemonic techniques that demand a great deal of elaborative and effortful processing. The present study examines a relatively simple technique, known as spaced retrieval, in which patients are taught to retrieve information at increasingly long temporal intervals after initial presentation. Results indicated that the spaced-retrieval technique aided patients' learning of new information. There was also evidence of learning to learn: Two of the four patients who were studied learned to use the technique in the absence of explicit cues from the experimenter. Issues pertaining to the possible usefulness of spaced retrieval in everyday life are discussed.


Asunto(s)
Amnesia/terapia , Memoria , Recuerdo Mental , Trastornos Neurocognitivos/terapia , Educación Compensatoria/métodos , Adulto , Anciano , Atención , Daño Encefálico Crónico/terapia , Encefalopatías/complicaciones , Señales (Psicología) , Femenino , Humanos , Masculino , Persona de Mediana Edad , Reconocimiento Visual de Modelos , Práctica Psicológica , Retención en Psicología
14.
J Interferon Res ; 4(3): 335-45, 1984.
Artículo en Inglés | MEDLINE | ID: mdl-6092490

RESUMEN

Raji and Daudi are human B lymphoblastoid cell lines that readily form lupus inclusions (LIs; TRS) when grown in medium supplemented with leukocyte-, or fibroblast-derived interferon (IFN-alpha, -beta, respectively). WISH, MDBK, and GM2504 are three cell lines commonly used to measure antiviral activities. None of them form LIs in their antiviral response to alpha or immune (gamma)IFN. This distinguishes between the abilities of a cell to develop an antiviral state and to form LIs in response to IFN. Human (Hu) lymphoblastoid IFN and the two pure and homogeneous recombinant human IFN-alpha proteins IFLrA and IFLrD induce LIs in Raji cells and Daudi cells. In Daudi, a simultaneous inhibition of cell growth occurs. When compared by antiviral activities, IFLrA inhibits the growth of Daudi cells more, while IFLrD induces the greater frequency of LIs. According to molecular concentration, IFLrA and IFLrD at 133 X 10(-13) M induce LIs in Daudi cells to their maximum frequency. Growth inhibition for these same cell samples is also at maximum for IFLrA, but only 25% of maximum for IFLrD. Our results with Raji and Daudi cells provide evidence against a cause-and-effect relationship between these two biologic responses to IFN by Daudi cells. They also provide evidence for distinct, but interacting, intracellular pathways. This phenomenon is a new explanation for some of the biologic diversity shown for the HuIFNs-alpha.


Asunto(s)
Linfocitos B/efectos de los fármacos , Cuerpos de Inclusión/efectos de los fármacos , Interferón Tipo I/farmacología , Lupus Eritematoso Sistémico/patología , Linfocitos B/inmunología , Linfocitos B/ultraestructura , División Celular/efectos de los fármacos , Línea Celular , Humanos , Interferencia Viral
17.
Science ; 213(4509): 772-5, 1981 Aug 14.
Artículo en Inglés | MEDLINE | ID: mdl-6166984

RESUMEN

Raji cells, a human B lymphoblastoid cell line of Burkitt lymphoma origin, formed lupus inclusions when grown in a medium conditioned by the growth of Raji cells whose DNA thymidine residues had been unifilarly (single-strandedly) substituted with bromodeoxyuridine. Ultracentrifugation of this medium in excess of that required to remove Epstein-Barr virus and all other known mammalian viruses did not prevent the formation of the inclusions, and treatment of the conditioned medium with pronase destroyed the activity. These results demonstrate the presence of a protein that is secreted from bromodeoxyuridine-substituted Raji cells and is capable of inducing nonbromodeoxyuridine-substituted cells to form lupus inclusions. Interferon (100 units per milliliter) was found in the conditioned medium. Inclusions also formed in Raji cells grown in fresh medium supplemented with human leukocyte or fibroblast interferon (100 units per milliliter).


Asunto(s)
Bromodesoxiuridina/metabolismo , Interferones/biosíntesis , Lupus Eritematoso Sistémico/patología , Linfoma de Burkitt , Línea Celular , Medios de Cultivo , Gránulos Citoplasmáticos/ultraestructura , Replicación del ADN , Humanos
18.
Ann Clin Lab Sci ; 11(3): 202-10, 1981.
Artículo en Inglés | MEDLINE | ID: mdl-7018366

RESUMEN

Proficiency testing surveys in the state of New York indicate that despite increased sophistication in instrumentation, there has been no real improvement in interlaboratory reproducibility in prothrombin-time determinations over the last 10 years. This lack of improvement most pronounced in the therapeutic range of 20 to 30 sec. One reason may be that between types produced by the same manufacturer. While it has been possible in several laboratories to synthesize experimentally a thromboplastin with known content of lipid and active protein, no efforts have been made to make such a product by the same manufactures. While it has been made to make such a product commercially available. Blood levels of of warfarin were measured but cannot be reliably used to monitor anticoagulation. In a preliminary study, factor Xa activity was measured using chromogenic substrate S2222. Factor Xa activity gave a positive correlation with prothrombin times of patients receiving warfarin therapy. Chromogenic substrate factor assays may represent a future method of choice for controlling anticoagulant therapy.


Asunto(s)
Pruebas de Coagulación Sanguínea , Tromboplastina , Animales , Anticoagulantes/uso terapéutico , Trastornos de la Coagulación Sanguínea/diagnóstico , Trastornos de la Coagulación Sanguínea/tratamiento farmacológico , Factores de Coagulación Sanguínea/análisis , Pruebas de Coagulación Sanguínea/instrumentación , Bovinos , Compuestos Cromogénicos , Humanos , Peso Molecular , Tiempo de Protrombina , Conejos , Tromboplastina/análisis , Tromboplastina/fisiología , Warfarina/sangre
19.
Clin Chim Acta ; 96(1-2): 113-23, 1979 Aug 15.
Artículo en Inglés | MEDLINE | ID: mdl-38921

RESUMEN

Parameters of three techniques for quantitating hemoglobin A2 were studied in order to identify problems affecting repeatability and then to compare intertechnique results under selected conditions. Satisfactory repeatability with cellulose acetate electrophoresis and scanning densitometry required an applicator that delivers a constant volume of sample. For cellulose acetate electrophoresis/elution and chromatographic assays a sophisticated absorption spectrophotometer and pH meter are necessary. Even with the most carefully chosen conditions significant intertechnique variation occurs. Although the colums are the most repeatable, trailing (a problem usually associated with hemoglobin electrophoresis) has also been demonstrated with column chromatography. Isoelectric focusing demonstrated the copresence of hemoglobin A and hemoglobin A2 in all trail fractions between the two major peaks and in some fractions of each peak. Standards of low protein concentration could be prepared from column fractions identified by isoelectric focusing as containing only hemoglobin A or hemoglobin A2. Such standards would be useful for assessing the accuracy of hemoglobin A2 quantitation.


Asunto(s)
Hemoglobina A2/aislamiento & purificación , Hemoglobina A/aislamiento & purificación , Cromatografía por Intercambio Iónico/métodos , Electroforesis en Acetato de Celulosa/métodos , Humanos , Concentración de Iones de Hidrógeno , Espectrofotometría
20.
Am J Clin Pathol ; 70(6): 861-6, 1978 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-727171

RESUMEN

In a cooperative intrastate program based upon experience with sickle-cell anemia screening, the authors explored the feasibility of applying hemoglobin electrophoresis for detection of beta-thalassemia gene carriers. Initially, blood samples collected in capillary tubes were analyzed by cellulose acetate electrophoresis with densitometric quantitation of hemoglobin A2 (Hb A2), followed by selective spectrophotometric quantitation. This approach proved insufficiently specific or reproducible. Follow-up hematologic and family studies of presumptive beta-thalassemia gene carriers indicated that coordinate measurement of erythrocytic indices and Hb A2 values would have discriminated a subpopulation with a high incidence of beta-thalassemia trait more specifically. This approach was tested prospectively by the use of 731 venous blood samples collected in a county with a large population of Mediterranean ancestry. Of 31 individuals (4.2%) with presumptive thalassemia trait, 13 returned for a repeat testing, and the initial results for 11 were confirmed. These findings lend support to an empirical screening sequence suggested by Pearson (erythrocytic indices followed by Hb A2 quantitation), but they also indicate that a significant subpopulation of beta-thalassemia gene carriers with limited phenotypic expression may elude detection in any single-pass approach.


Asunto(s)
Hemoglobina A2/análisis , Hemoglobina A/análisis , Talasemia/epidemiología , Electroforesis de las Proteínas Sanguíneas , Recolección de Muestras de Sangre , Densitometría , Electroforesis en Acetato de Celulosa , Eritrocitos Anormales/citología , Estudios de Seguimiento , Tamización de Portadores Genéticos , Humanos , Tamizaje Masivo , New York , Espectrofotometría , Talasemia/genética
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