Genomic DNA was extracted from peripheral blood using a QIAsymphony DNA Mini Kit (Qiagen, Hilden, Germany). A custom capture panel (Dxome, Seoul, Republic of Korea) targeting coding exons and intron-exon boundaries of 497 genes related to hematologic disorders (Supplementary Table S1) was used. Prepared libraries were hybridized with capture probes and sequenced as paired-end reads (2 × 150 bp) using NextSeq 550Dx (Illumina, San Diego, CA, USA). NGS data analysis was performed with DxSeq Analyzer (Dxome). Single-nucleotide variants, small insertion and deletions, and copy number variants were identified [13 (link), 14 (link)]. All variants were classified and reported as a 5-tier system according to the American College of Medical Genetics and Genomics and the Association for Molecular Pathology guidelines [15 (link)]. Genes included in our panel that are associated with HHAs are classified according to their relevant phenotypes in Table 1.

Genes included in our panel classified according to phenotype

PhenotypeGenes included in the panel
MembranopathyANK1, SPTB, SPTA1, SLC4A1, EPB42, EPB41, PIEZO1, RHAG
EnzymopathyG6PD, PKLR, AK1, AK2, ALAS2, GPI, NT5C3A, GCLC, GPX1, GSR, GSS, HK1, BPGM, TPI1, PFKL, PFKM, PGK1, ALDOA
HemoglobinopathyHBB, HBA1, HBA2, HBD
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