HBB-related disorders

Hemoglobinopathies are typically diagnosed by HPLC or gel electrophoresis, but these methods may not always conclusively identify abnormal hemoglobin variants.


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Test Code: 1042 Test Name: HBB specific site analysis TAT 7-14 days Gene: 1
Test Code: 1048 Test Name: HBB seq and del/dup TAT 2-4 weeks Gene: 1

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Test Description

Our beta hemoglobinopathies (HBB-related disorders) genetic testing includes Next-Generation sequencing (NGS) and deletion/duplication analysis of the HBB gene. Genomic deoxyribonucleic acid (gDNA) is isolated from the patient’s specimen using a standardized kit and quantified. Sequence enrichment of the targeted coding exons and adjacent intronic nucleotides is carried out by a bait-capture methodology using long biotinylated oligonucleotide probes, followed by polymerase chain reaction (PCR) and NGS. Additional Sanger sequencing is performed for any regions missing, or with insufficient read depth coverage for reliable heterozygous variant detection. Reportable small insertions and deletions, potentially homozygous variants, variants in regions complicated by pseudogene interference, and single nucleotide variant calls not satisfying 100x depth of coverage and 40% het ratio thresholds are verified by Sanger sequencing.This test targets detection of DNA sequence mutations in all coding domains, and well into the 5’ and 3’ ends of all the introns and untranslated regions. Gross deletion/duplication analysis is performed via multiplex ligation probe amplification (MLPA, MRC Holland).


1. Mu W, et al. Sanger confirmation is required to achieve optimal sensitivity and specificity in next-generation sequencing panel testing. J Mol Diagn. 2016. 18(6):923-932.

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