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Capillary zone electrophoresis for haemoglobinopathy diagnosis
  1. Nicole Borbely1,
  2. Lorraine Phelan1,
  3. Richard Szydlo2,
  4. Barbara Bain1,3
  1. 1Department of Haematology, Imperial College Healthcare NHS Trust, St Mary's Hospital, London, UK
  2. 2Centre for Haematology, Hammersmith Hospital Campus of Imperial College London, London, UK
  3. 3Centre for Haematology, St Mary's Hospital Campus of Imperial College London, London, UK

Abstract

Aims Capillary zone electrophoresis (CE) at alkaline pH is increasingly used in haemoglobinopathy diagnosis. We report our evaluation of automated CE, using the Capillarys 2 Flex Piercing instrument, as a routine diagnostic method for the detection of variant haemoglobins and the diagnosis of β thalassaemia.

Methods A Capillarys 2 Flex Piercing instrument with Phoresis software was evaluated in our laboratory over a 6-week period, comparisons being made with high performance liquid chromatography (HPLC) and, for haemoglobin A2 quantification, with microcolumn chromatography.

Results The instrument was easy to use and was suitable for the quantification of haemoglobin A2. Quantification of A2 was precise and the percentage was stable with ageing of the blood specimen. Results differ among HPLC, CE and microcolumn chromatography and use of an instrument-specific, method-specific reference range is therefore recommended until such time as there is standardisation between methods and manufacturers. Common variant haemoglobins were provisionally identified without difficulty. There are some uncommon variant haemoglobins that are detected by HPLC but not by capillary electrophoresis, but the reverse also occurs.

Conclusions Capillary electrophoresis using a Capillarys 2 Flex Piercing instrument is suitable for haemoglobinopathy diagnosis.

  • Haemoglobinopathy
  • Haematology
  • Thalassaemia

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