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. 1977;55(6):675–702.

Methods for detection of haemophilia carriers: a Memorandum*

PMCID: PMC2366710  PMID: 304395

Abstract

This Memorandum discusses the problems and techniques involved in the detection of carriers of haemophilia A (blood coagulation factor VIII deficiency) and haemophilia B (factor IX deficiency), particularly with a view to its application to genetic counselling. Apart from the personal suffering caused by haemophilia, the proper treatment of haemophiliacs places a great strain on the blood transfusion services, and it is therefore important that potential carriers should have precise information about the consequences of their having children.

The Memorandum classifies the types of carrier and describes the laboratory methods used for the assessment of coagulant activity and antigen concentration in blood. Particular emphasis is laid on the establishment of international, national, and laboratory (working) standards for factors VIII and IX and their calibration in international units (IU). This is followed by a detailed account of the statistical analysis of pedigree and laboratory data, which leads to an assessment of the likelihood that a particular person will transmit the haemophilia gene to her children. Finally, the problems and responsibilities involved in genetic counselling are considered.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. BINET F. E., SAWERS R. J., WATSON G. S. Heredity counselling for sex-linked recessive deficiency diseases. Ann Hum Genet. 1958 Feb;22(2):144–152. doi: 10.1111/j.1469-1809.1957.tb01929.x. [DOI] [PubMed] [Google Scholar]
  2. Bouma B. N., van der Klaauw M. M., Veltkamp J. J., Starkenburg A. E., van Tilburg N. H., Hermans J. Evaluation of the detection rate of hemophilia carriers. Thromb Res. 1975 Aug;7(2):339–350. doi: 10.1016/0049-3848(75)90192-9. [DOI] [PubMed] [Google Scholar]
  3. Boyer S. H., Graham J. B. Linkage Between the X Chromosome Loci for Glucose-6-Phosphate Dehydrogenase Electrophoretic Variation and Hemophilia A. Am J Hum Genet. 1965 Jul;17(4):320–324. [PMC free article] [PubMed] [Google Scholar]
  4. Elston R. C., Graham J. B., Miller C. H., Reisner H. M., Bouma B. N. Probabilistic classification of hemophilia A carriers by discriminant analysis. Thromb Res. 1976 May;8(5):683–695. doi: 10.1016/0049-3848(76)90248-6. [DOI] [PubMed] [Google Scholar]
  5. Elston R. C., Stewart J. A general model for the genetic analysis of pedigree data. Hum Hered. 1971;21(6):523–542. doi: 10.1159/000152448. [DOI] [PubMed] [Google Scholar]
  6. Gold R. J., Maag U. R., Neal J. L., Scriver C. R. The use of biochemical data in screening for mutant alleles and in genetic counselling. Ann Hum Genet. 1974 Jan;37(3):315–326. doi: 10.1111/j.1469-1809.1974.tb01838.x. [DOI] [PubMed] [Google Scholar]
  7. Hoyer L. W. Immunologic studies of antihemophilic factor (AHF, factor VIII). IV. Radioimmunoassay of AHF antigen. J Lab Clin Med. 1972 Dec;80(6):822–833. [PubMed] [Google Scholar]
  8. Ingram G. I. Blood-coagulation factor 8: genetics, physiological control, and bioassay. Adv Clin Chem. 1965;8:189–236. doi: 10.1016/s0065-2423(08)60415-1. [DOI] [PubMed] [Google Scholar]
  9. Klein H. G., Aledort L. M., Bouma B. N., Hoyer L. W., Zimmerman T. S., DeMets D. L. A co-operative study for the detection of the carrier state of classic hemophilia. N Engl J Med. 1977 Apr 28;296(17):959–962. doi: 10.1056/NEJM197704282961702. [DOI] [PubMed] [Google Scholar]
  10. LANGDELL R. D., WAGNER R. H., BRINKHOUS K. M. Effect of antihemophilic factor on one-stage clotting tests; a presumptive test for hemophilia and a simple one-stage antihemophilic factor assy procedure. J Lab Clin Med. 1953 Apr;41(4):637–647. [PubMed] [Google Scholar]
  11. LYON M. F. Sex chromatin and gene action in the mammalian X-chromosome. Am J Hum Genet. 1962 Jun;14:135–148. [PMC free article] [PubMed] [Google Scholar]
  12. Lange K., Elston R. C. Extensions to pedigree analysis I. Likehood calculations for simple and complex pedigrees. Hum Hered. 1975;25(2):95–105. doi: 10.1159/000152714. [DOI] [PubMed] [Google Scholar]
  13. Laurell C. B. Quantitative estimation of proteins by electrophoresis in agarose gel containing antibodies. Anal Biochem. 1966 Apr;15(1):45–52. doi: 10.1016/0003-2697(66)90246-6. [DOI] [PubMed] [Google Scholar]
  14. Prentice C. R., Forbes C. D., Morrice S., McLaren A. D. Calculation of predictive odds for possible carriers of heamophilia. Thromb Diath Haemorrh. 1975 Dec 15;34(3):740–747. [PubMed] [Google Scholar]
  15. Ruggeri Z. M., Mannucci P. M., Jeffcoate S. L., Ingram G. I. Immunoradiometric assay of factor VIII related antigen, with observations in 32 patients with von Willebrand's disease. Br J Haematol. 1976 Jun;33(2):221–232. doi: 10.1111/j.1365-2141.1976.tb03533.x. [DOI] [PubMed] [Google Scholar]
  16. Veltkamp J. J., Drion E. F., Loeliger E. A. Detection of the carrier state in hereditary coagulation disorders. I. Thromb Diath Haemorrh. 1968 Mar 31;19(1):279–303. [PubMed] [Google Scholar]
  17. Zimmerman T. S., Hoyer L. W., Dickson L., Edgington T. S. Determination of the von Willebrand's disease antigen (factor VIII-related antigen) in plasma by quantitative immunoelectrophoresis. J Lab Clin Med. 1975 Jul;86(1):152–159. [PubMed] [Google Scholar]
  18. Zimmerman T. S., Ratnoff O. D., Powell A. E. Immunologic differentiation of classic hemophilia (factor 8 deficiency) and von Willebrand's dissase, with observations on combined deficiencies of antihemophilic factor and proaccelerin (factor V) and on an acquired circulating anticoagulant against antihemophilic factor. J Clin Invest. 1971 Jan;50(1):244–254. doi: 10.1172/JCI106480. [DOI] [PMC free article] [PubMed] [Google Scholar]

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