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Test Code LAB2842 Beta Hemoglobin Sequencing

Important Note

This test sequences the coding regions and introns of the beta-globin gene (HBB).

There are currently over 800 hemoglobin variants catalogued, of which approximately 500 are due to mutations in the beta-globin gene. In addition, approximately 95% of beta-thalassemia is caused by point mutations. This test, which sequences the coding regions and introns of the beta-globin gene (HBB) in both directions, identifies hemoglobin variants that are not easily diagnosed by electrophoresis/HPLC and can determine the cause of beta-thalassemia"

Clinical System Name

Beta Hemoglobin Sequencing

Synonyms

Beta Hb

Beta Globin

Globin
Hb Beta

HBB
HBSEQ

Hemoglobin C

Hemoglobin S

Hemoglobinopathy

Sickle Cell

Thalassemia intermedia

Thalassemia major

Sample Requirements

Whole blood is the preferred specimen type for this test.

Specimen: Whole Blood

Container(s): Lavender/EDTA or Yellow/ACD

Preferred Vol: 5.0 mL

Minimum Vol: 2.0 mL

 

Specimen: Extracted DNA

Container(s): Sterile Plastic Tube

Preferred Vol: 30 ul at a concentration of 100ng/ul concentration

Minimum Vol: 20 ul at a concentration of 100ng/ul

 

Alternative Specimen (e.g. saliva or buccal): not accepted at this time.

 

Processing Instructions

Reject due to: Dark Green/Sodium Heparin or Formalin-fixed paraffin-embedded tissues

Spin: N

Aliquot: N

Temp: 2 - 4 C

Storage Location: Do not spin or separate specimen. Store whole blood affixed with a large label in the CPA 1 refrigerator, Send Outs rack.

 

Off-site Collection: Do not spin or separate specimen. Transport refrigerated.

Stability

Specimen Type Temperature Time
Whole B lood Room temp 3 d
  Refrigerated 7 d
  Frozen N
Extracted DNA Room temp 3 - 4 d
  Refrigerated 1 y
  Frozen Indefinitely

 

Availability

STAT Performed TAT
N Weekly 3 w

 

Performing Laboratory

University of Washington Medical Center

Department of Laboratory Medicine

Genetics Lab
1959 NE Pacific St, NW220
Seattle, WA 98195
 

Phone Number: (206) 520-4600

Department

Department: Send Outs/Genetic
Phone Number: (206) 987-2563

Methodology

DNA sequencing of the coding regions, introns, and flanking sequences of the hemoglobin beta (HBB) gene in both directions to detect point mutations causing beta globin variants and beta thalassemia.

This test sequences bidirectionally a 2 kb contiguous region of the HBB (beta globin) gene from approximately bases 61941 to 63927 of Genbank U01317, corresponding to bases minus 195 to plus 1792 relative to the start of transcription. Patient sequences are compared against Genbank U01317 as genomic reference sequence to detect mutations. Mutations are reported at the genomic level, with base 1 corresponding to the start of transcription. Mutations that change an amino acid are reported at the protein level according to the sequence of the mature protein without its initiator methionine, and may also be described by the traditional name of the hemoglobin variant.

Reference Range

Interpretive report provided.

 

Special Instructions

UWMC

 

Send Out Instructions

Reference Test Name: Beta Hemoglobin DNA Sequencing
Reference Test Number: HBSEQ
Instructions: Send out Monday through Friday with the UW courier.