Screening of hereditary elliptocytosis caused by SPTB mutations and identification of its association with significant jaundice among Thai neonates - Report - MDSpire

Screening of hereditary elliptocytosis caused by SPTB mutations and identification of its association with significant jaundice among Thai neonates

  • By

  • Kritiya Rattanaseksan

  • Noppawan Tangbubpha

  • Praguywan Kadegasem

  • Tanyanee Khlangtan

  • Prathana Kongurai

  • Kanuengnit Emrat

  • Nongnuch Sirachainan

  • Pharuhad Pongmee

  • Duantida Songdej

  • June 30, 2026

  • 0 min

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Clinical Report: Molecular Screening for SPTB Mutations in Hereditary Elliptocytosis

Overview

This study identifies the prevalence of SPTB mutations causing hereditary elliptocytosis (HE) in Thai neonates.

Background

Hereditary elliptocytosis is the most common red blood cell membrane disorder in Thailand, primarily caused by specific SPTB mutations.

Data Highlights

ParameterValue
Prevalence of HE0.86%
Risk Ratio for Jaundice5.01 (95% CI 2.56 to 9.79)
Mean Total Bilirubin LevelsHigher than G6PD deficiency (p=0.009 to 0.049)

Key Findings

  • HE caused by SPTB mutations is prevalent in 0.86% of Thai neonates.
  • SPTB mutations are an independent risk factor for neonatal jaundice requiring phototherapy.
  • Neonates with SPTB mutations had significantly higher bilirubin levels than those with G6PD deficiency.
  • Most affected neonates did not exhibit anemia or clinical diagnosis at birth.
  • Coinheritance of SPTB mutations and G6PD deficiency may worsen jaundice severity.

Clinical Implications

The findings indicate that screening for SPTB mutations in neonates could enhance monitoring of jaundice.

Conclusion

The study highlights the association between SPTB mutations and neonatal jaundice in Thai neonates.

Related Resources & Content

  1. Hereditary red cell defects as an underrecognized cause of neonatal jaundice, Nature, 2026 -- Hereditary red cell defects as an underrecognized cause of neonatal jaundice
  2. Hereditary Spherocytosis and Hereditary Elliptocytosis - Hematology - Merck Manual Professional Edition, Merck Manual, 2026 -- Hereditary Spherocytosis and Hereditary Elliptocytosis
  3. Frontiers in Pediatrics — Clinical implications of HLA-B*15:02 screening in pediatric patients: A case series from a Thai Binh Children's Hospital, Vietnam
  4. Frontiers in Pediatrics — Variants in UGT1A1 and SLCO1B1 increase the risk of neonatal hyperbilirubinemia: a case-control study in subtropical China
  5. Frontiers in Pediatrics — Clinical and genetic characteristics of children with sodium taurocholate cotransporting poly-peptide deficiency
  6. Frontiers in Pediatrics — A novel ANK1 gene mutation associated with hereditary spherocytosis: a case report
  7. Hereditary red cell defects as an underrecognized cause of neonatal jaundice
  8. Hereditary Spherocytosis and Hereditary Elliptocytosis - Hematology - Merck Manual Professional Edition
  9. The application of next-generation sequencing technology in congenital haemolytic anaemia: a systematic review and meta-analysis | Clinical and Experimental Medicine | Springer Nature Link
  10. Hyperbilirubinemia

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