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September 18, 2026BMC Medical GenomicsOpen Access

Spectrum of α- and β-thalassemia variants in individuals with persistent microcytic hypochromia in Eastern Iran: implications for population genetic screening

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Authors

HRHamid Malek RaesiBirjand University of Medical SciencesSNSaeed NasseriBirjand University of Medical SciencesFVFarzane VafaeieBirjand University of Medical Sciences

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Implication

Cross-sectional study uncovers predominant globin gene mutations in premarital individuals with persistent anemia, highlighting the value of targeted population genetic screening.

Key Points

  • Identify the spectrum of alpha- and beta-thalassemia gene variants among premarital screening candidates with persistent microcytic hypochromic anemia in Eastern Iran.
  • Screened 7,440 premarital candidates at Birjand Health Center in Iran for microcytic hypochromia using red blood cell indices, providing iron therapy to those diagnosed with iron deficiency anemia.
  • Evaluated 474 individuals (6.4%) with persistent anemia and iron therapy resistance using ARMS-PCR and GAP-PCR to detect alpha- and beta-globin gene variants based on HbA2 levels.
  • Identified –α³·⁷ (34.3%) and HBA2 c.-2 A > G (16.2%) as the most frequent alpha-globin variants, alongside codon 19 (3.8%) and –α⁴·² (3.5%).
  • Found HBB c.92 + 5G > C (43.3%) to be the predominant beta-globin mutation, followed by codon 44 (− C) (13.3%), codon 5 (− CT) (11.7%), codon 16 (A > T) (10%), and frameshift codons 8/9 (+ G) (10%).

Cite This Study

Raesi et al. (2026) studied this question.

synapsesocial.com/papers/6aad0bb6de0393d728b8a127https://doi.org/10.1186/s12920-026-02476-6
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1MOLECULAR PATHOLOGY OF Β-THALASSEMIA: CLINICOGENETIC EVALUATION OF HBB GENE MUTATIONS IN AFFECTED POPULATIONS: A CROSS-SECTIONAL STUDY2025
  2. 2Molecular Biomarkers for Prenatal Diagnosis of Beta-Thalassemia at Hyderabad Sindh2023
  3. 3Beta-Thalassemia Haplotypes in Southwest of Iran2024
  4. 4Screening for β-Thalassemia Trait in Pregnant Women With Microcytic Hypochromic Anemia and Its Impact on Pregnancy Outcomes2026
  5. 5An Immunological and Molecular Study to Investigate the Genes (β-globin and HBA1F) in Patients with Thalassemia in Najaf Governorate2024 · 1 citations