Superior Separation, Resolution and Quantitation with V8 Haemoglobin IEF Analysis High throughput assay V8 delivers up to four times the speed of HPLC Haemoglobin testing Single format kit Automated peak detection For the detection and quantitation of all major normal and variant haemoglobins Detection and colour labelling for crystal-clear result reporting Gold-standard separation The only Clinical CE system capable of Hb IEF separation A Next-generation Capillary Electrophoresis technology for better results Haemoglobin C is a ß chain variant, the second most frequent haemoglobin variant observed in the western hemisphere. Individuals with homozyosity of haemoglobin C (ßCßC) only produce haemoglobins C, A2 and F and this results in a mild to moderate haemolytic anaemia with splenomegaly and an increased incidence of gall stones. Individuals with only one copy of the haemoglobin C gene (ßßC) are usually asymptomatic. However haemoglobin C in individuals who are also heterozygous for the haemoglobin S gene (ßSßC) can also cause sickle cell anaemia. C F A2 D-Punjab Haemoglobin D A A Normal Haemoglobin constituents Haemoglobin is the major protein in the red blood cell; it is the transport protein for oxygen and is essential for life. Haemoglobin A. This is the normal, predominant haemoglobin that is produced from late gestation. Haemoglobin A is a tetramer with two alpha chains and two beta chains (α2β2 ). Haemoglobin A2 (HbA2 ) is a normal variant of haemoglobin A that consists of two alpha and two delta chains (α2δ2 ). and is found in small quantity in normal human blood. Superior resolution compared to competitors systems Haemoglobin C Helena Biosciences’ Haemoglobin IFE method is a high quality, robust test offering the superior separation qualities of Isoelectric Focusing (IEF) with the ability to both separate and quantify all major normal and abnormal variants in one convenient assay format. The V8’s advanced analysis and automation features offer the clinician unprecedented screening capabilities. Superior variant detection A2 Haemoglobin D-Punjab is a ß chain variant and is one of the most frequently encountered variants in the western hemisphere. Both the homozygous (ßD-PunjabßD-Punjab) and heterozygous (ßßD-Punjab) forms are not associated with any severe symptoms when inherited in isolation from any other Haemoglobin variants. If co-inherited with Haemoglobin S (ßSßD-Punjab), sickle cell disease occurs. Homozygotes for Hb D-Punjab produce only haemoglobins D-Punjab, A2 and F. Heterozygotes for haemoglobin D-Punjab have relatively lower levels (%) of haemoglobin D than haemoglobin A. A A2 Bart’s ß Thalassaemia A range of disorders which are characterised by the reduced synthesis of the Beta chains of Haemoglobin. A ß-Thalassaemic F This abnormal haemoglobin seen during foetal development in individuals with 4-gene deletion alpha thalassemia was characterised at St. Bartholomew’s Hospital in London, hence Haemoglobin Bart’s. The condition Haemoglobin Bart’s Hydrops fetalis leads to severe anaemia and oedema. The outcome of the condition is the death of the foetus in utero or very early neonatal death. Diagnosis of the condition is by demonstrating the total absence of Haemoglobin A, A2 and F. The alternative variants detected are Heamoglobin Bart’s(γ4 ) and sometimes Haemoglobin Portland (ζ2γ2 ). Bart’s A A Haemoglobin E is a ß chain variant. Haemoglobin E can take homozygous or heterozygous forms. For individuals with haemoglobin E heterozygosity (ßßE), approximately 30% of the total haemoglobin is Hb-E (trace pictured) and approximately 90% of these individuals will have microcytosis, a condition in which the red blood cells are unusually small. Homozygous (ßEßE) individuals only have haemoglobin E, A2 and F and do not generally display many more symptoms, however they often display a more marked microcytosis and also a mild to moderate anaemia. F A2 F ß-Thalassaemia intermedia, patients may require episodic blood transfusions. ß-Thalassaemia Major, severe hypochromic mycrotic anaemia. Also causes splenomegaly. A2 Haemoglobin F E Haemoglobin E Haemoglobin F (Hb-F) is the main oxygen transport protein in the foetus during the last 7 months of development in the uterus, and also in the newborn to approximately 6 months of age. In the majority of adults Haemoglobin F is 0.7% or less. However, the control of the proportion of Hb-F containing cells and the rate of Hb-F synthesis is polygenic and a significant amount of adults have an Hb-F percentage slightly above this level. Also 15-20% of pregnant women can see a rise in their Hb-F percentages with levels as high as 5%. A2 Capillary-based IEF for unique resolving power and analytical performance A Haemoglobin S Hb-S is a ß chain variant. Individuals who are homozygous for the Hb-S (ßSßS) gene suffer from a condition known as sickle cell anaemia. This condition leads to a change in shape of red blood cells which form an irregular crescent shape. This leads to a large reduction of the life span of the red blood cell and also anaemia, which is due to the reduced affinity for oxygen of Haemoglobin S. The persistence of the haemoglobin S gene is thought to be due to the fact that individuals with heterozygous haemoglobin S (ßßS) have some conferred resistance to malarial parasitisation. Helena Biosciences Europe Queensway South, Team Valley Trading Estate, Gateshead, Tyne and Wear, NE11 0SD, United Kingdom A2 A ß-Thalassaemia Minor (trait), mycrotic and possible mild anaemia, no health issues normal iron levels. trait trace overlaid onto normal trace Tel +44 (0)191 482 8440 Fax +44 (0)191 482 8442 Diffuse mixture of proteins S Lower pH (acid) Higher pH (base) Haemoglobin detected by absorbance S A F F A2 Haemoglobins of differing isoelectric points are loaded as a diffuse mixture into the capillary. Under voltage, a pH gradient is created in which Haemoglobins migrate to their individual isoelectric points. Direct detection of the haem group occurs at 415nm, allowing the reporting of high-resolution results. A2 The resulting Platinum 4V trace displays excellent variant separation and quantification. © Copyright 2012 Helena Biosciences Europe. All rights reserved. HL-2-2634P 2012-11(2)
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