MLAB 2360 Clinical I
 

MLAB 2360 CLINICAL - CLINICAL/MEDICAL LABORATORY TECHNICIAN

Serology/Hematology Activity

Hematology Differential and Hemoglobin Electrophoresis to Diagnose Sickle Cell Anemia

Objectives:

  1. State the cause of sickle cell anemia.
  2. State the principle of electrophoresis as it applies to sickle cell testing.
  3. Properly perform and interpret a gel electrophoresis for detection of hemoglobin S.
  4. Accurately perform a differential on the parents and a child.
  5. Correlate the results of the differential with the automated CBC results.
  6. Correlate the results of the differential with the results of the hemoglobin electrophoresis.

Read the Edvotek procedure. The following diagram illustrates the potential hemoglobin genotype of two individuals who are heterozygous for the sickle cell gene. In order for a child to have the disease they must inherit a hemoglobin S gene from each parent. This is why it is recommended that individuals at risk for sickle cell disease be tested prior to having children. If the parents are heterozygous there is a 25% chance that the child will be homozygous for S and inherit the disease.


Distance Learning Students

The gel below demonstrates the expected results and contains the following:

Lane 1:
Control sample for Sickle cell patient
No restriction enzyme site is available in either of the two copies of the gene. No restriction enzyme digestion of either gene. The pattern will be one band on electrophoresis.

Lane 2:
Control sample for heterozygous Sickle cell trait
One of the pair of genes (the normal gene) contains the restriction enzyme site. This gene is cut by the restriction to produce two smaller pieces of DNA. The second copy of the gene has a mutation within the palindrome. This change does not allow the enzyme to cut the mutated gene into two smaller pieces. The pattern will yield three DNA bands on electrophoresis.

Lane 3:
Control sample for Normal homozygous patient
Both normal genes contain the restriction enzyme palindrome and both genes are digested to give the two smaller DNA bands.

Lane 4:
Mother DNA sample analysis
The mother is heterozygous for the sickle trait. One of the pair of genes (the normal gene) contains the restriction enzyme site. This gene is cut by the restriction to produce two smaller pieces of DNA. The second gene has a mutation within the palindrome. This change does not allow the enzyme to cut the mutated gene into two smaller pieces. The pattern will yield three DNA bands on electrophoresis.

Lane 5:
Child DNA sample analysis
The child is homozygous for the sickle trait and suffers from sickle cell anemia. Both genes have the mutation in the restriction enzyme palindrome. Neither will be cut by the restriction enzyme and the pattern will be a single DNA band on electrophoresis.

Lane 6:
Father DNA sample analysis
The father is heterozygous for the sickle trait. One of the pair of genes (the normal gene) contains the restriction enzyme site. This gene is cut by the restriction to produce two smaller pieces of DNA. The second gene has a mutation within the palindrome. This change does not allow the enzyme to cut the mutated gene into two smaller


Expected results


The picture below are the results of the class and are from RIGHT to LEFT

  • The lane on the far right is the hemoglobin S control
  • heterozygous control
  • normal control - the bands are VERY faint
  • mother
  • child
  • father

  Created: December 10, 2011