Knowledge

Hemoglobin electrophoresis

Source đź“ť

43: 141:
sample containing hemoglobins A, F, S, and C is run along with the patient sample to aid in identifying the different bands. The relative amounts of each type of hemoglobin can be estimated by measuring the
153:
level, testing the same sample at both an acid and an alkaline pH can help to identify some abnormal hemoglobins that would otherwise be impossible to distinguish from others.
406: 133:
medium. Different hemoglobins have different charges, and according to those charges, they move at different speeds in the gel and eventually form discrete bands (see
798: 803: 750: 459: 788: 247: 372: 345: 313: 281: 238:
is credited with the invention of hemoglobin electrophoresis in 1949. Newer alternatives to conventional hemoglobin electrophoresis include
188:
are present, they will appear as unexpected bands on electrophoresis (provided they do not migrate to the same place as other hemoglobins).
399: 684: 793: 117:. After the sample has been treated to release the hemoglobin from the red cells, it is introduced into a porous gel (usually made of 735: 469: 772: 696: 831: 392: 598: 243: 50:
Schematic of alkaline hemoglobin electrophoresis, showing expected results for a normal adult, normal newborn, person with
725: 483: 42: 720: 642: 608: 454: 730: 138: 114: 691: 488: 568: 652: 464: 224: 586: 478: 449: 204: 200: 783: 762: 538: 59: 864: 713: 679: 550: 500: 426: 239: 212: 146:
of the bands, though this method is not reliable for hemoglobins that are present in low quantities.
563: 708: 177: 110: 90: 51: 512: 507: 195:, which are caused by decreased production of subunits of the hemoglobin molecule. Hemoglobin A 841: 614: 368: 341: 309: 277: 216: 207:, hemoglobin A is decreased (or in some cases absent) and hemoglobin F is markedly elevated; A 122: 67: 55: 303: 740: 637: 632: 575: 558: 220: 134: 126: 17: 525: 143: 836: 745: 674: 495: 444: 858: 664: 647: 591: 544: 235: 166: 826: 757: 533: 185: 181: 173: 162: 94: 362: 335: 271: 624: 603: 192: 98: 821: 701: 657: 439: 434: 418: 415: 86: 82: 219:, an abnormal band of hemoglobin H can be detected, and sometimes a band of 149:
Because hemoglobins exhibit different migration patterns depending on the
384: 130: 176:. If abnormal hemoglobin variants such as hemoglobin S (which occurs in 767: 118: 113:
to separate out the various types of hemoglobin and is a type of
101:, which are disorders caused by defective hemoglobin production. 388: 364:
Henry's Clinical Diagnosis and Management by Laboratory Methods
161:
Adult human blood normally contains three types of hemoglobin:
89:. The test can detect hemoglobin S, the form associated with 172:, which accounts for less than 3.5%; and a minute amount of 191:
Hemoglobin electrophoresis can also be used to investigate
150: 93:, as well as other abnormal types of hemoglobin, such as 337:
Rodak's Hematology: Clinical Principles and Applications
367:(23 ed.). Elsevier Health Sciences. p. 590. 276:(1 ed.). John Wiley & Sons. pp. 571–2. 814: 623: 523: 425: 66: 35: 227:, electrophoresis results are effectively normal. 165:, which makes up approximately 95% of the total; 297: 295: 293: 203:and hemoglobin F may be slightly increased. In 799:aPTT-based activated protein C resistance test 804:ETP-based activated protein C resistance test 400: 329: 327: 325: 308:. Cambridge University Press. pp. 65–6. 8: 265: 263: 407: 393: 385: 32: 460:Mean corpuscular hemoglobin concentration 334:Keohane, E; Smith, L; Walenga, J (2015). 340:(5 ed.). Elsevier Health Sciences. 789:Ristocetin-induced platelet aggregation 751:Activated protein C–protein C inhibitor 259: 248:high-performance liquid chromatography 270:Kottke-Marchant, K; Davis, B (2012). 97:. It can also be used to investigate 7: 832:Nitro blue tetrazolium chloride test 305:Diagnostic Pediatric Hematopathology 794:Activated protein C resistance test 85:that can detect different types of 361:McPherson, RA; Pincus, MR (2017). 302:Proytcheva, MA (3 February 2011). 135:electrophoretic migration patterns 25: 685:Dilute Russell's viper venom time 470:Red blood cell distribution width 199:levels are typically elevated in 697:Calibrated automated thrombogram 109:The test uses the principles of 41: 726:Coagulation activation markers 599:Erythrocyte sedimentation rate 273:Laboratory Hematology Practice 244:capillary zone electrophoresis 1: 736:Thrombin–antithrombin complex 484:White blood cell differential 721:Overall hemostatic potential 643:Partial thromboplastin time 609:Monocyte distribution width 455:Mean corpuscular hemoglobin 18:Haemoglobin electrophoresis 881: 582:Hemoglobin electrophoresis 115:native gel electrophoresis 79:Hemoglobin electrophoresis 36:Hemoglobin electrophoresis 731:Prothrombin fragments 1+2 692:Thrombin generation assay 489:Absolute neutrophil count 49: 40: 211:levels are variable. In 653:Activated clotting time 465:Mean corpuscular volume 225:alpha-thalassemia trait 587:Sickle solubility test 479:White blood cell count 450:Red blood cell indices 205:beta-thalassemia major 201:beta-thalassemia minor 129:, most commonly in an 125:) and subjected to an 784:Von Willebrand factor 763:Euglobulin lysis time 702:ST Genesia-based test 157:Clinical significance 62:, and control sample. 60:hemoglobin SC disease 777:-antiplasmin complex 714:Thrombodynamics test 680:Ecarin clotting time 569:Kleihauer–Betke test 501:Mean platelet volume 445:Red blood cell count 427:Complete blood count 240:isoelectric focusing 223:; but in the milder 213:hemoglobin H disease 709:Thromboelastography 178:sickle cell disease 111:gel electrophoresis 91:sickle cell disease 52:sickle cell disease 539:Total blood volume 513:Reticulocyte index 508:Reticulocyte count 852: 851: 842:Immunophenotyping 615:Osmotic fragility 374:978-0-323-41315-2 347:978-0-323-23906-6 315:978-0-521-88160-9 283:978-1-4443-9857-1 217:alpha-thalassemia 210: 123:cellulose acetate 76: 75: 56:sickle cell trait 30:Medical condition 16:(Redirected from 872: 741:Fibrinopeptide A 638:Prothrombin time 633:Clotting factors 576:Hemoglobinopathy 559:Fetal hemoglobin 409: 402: 395: 386: 379: 378: 358: 352: 351: 331: 320: 319: 299: 288: 287: 267: 221:Hemoglobin Barts 208: 127:electrical field 45: 33: 21: 880: 879: 875: 874: 873: 871: 870: 869: 855: 854: 853: 848: 827:Blood viscosity 810: 776: 746:Fibrin monomers 619: 564:Apt–Downey test 551:Red cell volume 526:red blood cells 524:Other tests of 519: 421: 413: 383: 382: 375: 360: 359: 355: 348: 333: 332: 323: 316: 301: 300: 291: 284: 269: 268: 261: 256: 233: 198: 170: 159: 144:optical density 139:quality control 107: 31: 28: 23: 22: 15: 12: 11: 5: 878: 876: 868: 867: 857: 856: 850: 849: 847: 846: 845: 844: 837:Flow cytometry 834: 829: 824: 818: 816: 812: 811: 809: 808: 807: 806: 801: 791: 786: 781: 780: 779: 774: 770: 765: 755: 754: 753: 748: 743: 738: 733: 723: 718: 717: 716: 706: 705: 704: 699: 689: 688: 687: 682: 677: 675:Reptilase time 667: 662: 661: 660: 655: 650: 645: 640: 629: 627: 621: 620: 618: 617: 612: 606: 601: 596: 595: 594: 589: 584: 573: 572: 571: 566: 556: 555: 554: 548: 542: 530: 528: 521: 520: 518: 517: 516: 515: 505: 504: 503: 496:Platelet count 493: 492: 491: 486: 476: 475: 474: 473: 472: 467: 462: 457: 442: 437: 431: 429: 423: 422: 414: 412: 411: 404: 397: 389: 381: 380: 373: 353: 346: 321: 314: 289: 282: 258: 257: 255: 252: 232: 229: 196: 168: 158: 155: 106: 103: 74: 73: 70: 64: 63: 58:, person with 54:, person with 47: 46: 38: 37: 29: 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 877: 866: 863: 862: 860: 843: 840: 839: 838: 835: 833: 830: 828: 825: 823: 820: 819: 817: 813: 805: 802: 800: 797: 796: 795: 792: 790: 787: 785: 782: 778: 771: 769: 766: 764: 761: 760: 759: 756: 752: 749: 747: 744: 742: 739: 737: 734: 732: 729: 728: 727: 724: 722: 719: 715: 712: 711: 710: 707: 703: 700: 698: 695: 694: 693: 690: 686: 683: 681: 678: 676: 673: 672: 671: 670:animal enzyme 668: 666: 665:Bleeding time 663: 659: 656: 654: 651: 649: 648:Thrombin time 646: 644: 641: 639: 636: 635: 634: 631: 630: 628: 626: 622: 616: 613: 610: 607: 605: 602: 600: 597: 593: 592:Mentzer index 590: 588: 585: 583: 580: 579: 577: 574: 570: 567: 565: 562: 561: 560: 557: 552: 549: 546: 545:Plasma volume 543: 540: 537: 536: 535: 532: 531: 529: 527: 522: 514: 511: 510: 509: 506: 502: 499: 498: 497: 494: 490: 487: 485: 482: 481: 480: 477: 471: 468: 466: 463: 461: 458: 456: 453: 452: 451: 448: 447: 446: 443: 441: 438: 436: 433: 432: 430: 428: 424: 420: 417: 410: 405: 403: 398: 396: 391: 390: 387: 376: 370: 366: 365: 357: 354: 349: 343: 339: 338: 330: 328: 326: 322: 317: 311: 307: 306: 298: 296: 294: 290: 285: 279: 275: 274: 266: 264: 260: 253: 251: 249: 245: 241: 237: 236:Linus Pauling 230: 228: 226: 222: 218: 214: 206: 202: 194: 189: 187: 183: 179: 175: 171: 164: 156: 154: 152: 147: 145: 140: 136: 132: 128: 124: 120: 116: 112: 104: 102: 100: 96: 92: 88: 84: 80: 71: 69: 65: 61: 57: 53: 48: 44: 39: 34: 19: 758:Fibrinolysis 669: 581: 534:Blood volume 363: 356: 336: 304: 272: 234: 215:, a form of 193:thalassemias 190: 174:hemoglobin F 167:hemoglobin A 163:hemoglobin A 160: 148: 108: 99:thalassemias 95:hemoglobin C 78: 77: 865:Blood tests 625:Coagulation 604:Haptoglobin 419:blood tests 822:Blood film 658:Fibrinogen 440:Hematocrit 435:Hemoglobin 416:Hematology 254:References 87:hemoglobin 83:blood test 72:Hematology 27:Blood test 773:Plasmin-α 105:Procedure 68:Specialty 859:Category 578:testing 131:alkaline 768:D-Dimer 231:History 119:agarose 371:  344:  312:  280:  246:, and 815:Other 611:(MDW) 553:(RCV) 541:(TBV) 137:). A 81:is a 547:(PV) 369:ISBN 342:ISBN 310:ISBN 278:ISBN 184:or 180:), 121:or 861:: 324:^ 292:^ 262:^ 250:. 242:, 151:pH 775:2 408:e 401:t 394:v 377:. 350:. 318:. 286:. 209:2 197:2 186:E 182:C 169:2 20:)

Index

Haemoglobin electrophoresis

sickle cell disease
sickle cell trait
hemoglobin SC disease
Specialty
blood test
hemoglobin
sickle cell disease
hemoglobin C
thalassemias
gel electrophoresis
native gel electrophoresis
agarose
cellulose acetate
electrical field
alkaline
electrophoretic migration patterns
quality control
optical density
pH
hemoglobin A
hemoglobin A2
hemoglobin F
sickle cell disease
C
E
thalassemias
beta-thalassemia minor
beta-thalassemia major

Text is available under the Creative Commons Attribution-ShareAlike License. Additional terms may apply.

↑