Abstract
This paper reports a Sardinian patient, who was a compound heterozygote for silent beta-thalassaemia and high Hb A2 beta o-thalassaemia with the clinical phenotype of mild thalassaemia intermedia; alpha globin gene mapping showed a single alpha globin gene deletion. The reduced alpha globin chain output resulted in more balanced globin chain synthesis, which in turn accounted for the mild clinical phenotype.
Full text
PDFImages in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Aksoy M., Dinçol G., Erdem S. Different types of beta-thalassemia intermedia. A genetic study in 20 patients. Acta Haematol. 1978;59(3):178–189. doi: 10.1159/000207760. [DOI] [PubMed] [Google Scholar]
- Alter B. P., Goff S. C., Efremov G. D., Gravely M. E., Huisman T. H. Globin chain electrophoresis: a new approach to the determination of the G gamma/A gamma ratio in fetal haemoglobin and to studies of globin synthesis. Br J Haematol. 1980 Apr;44(4):527–534. doi: 10.1111/j.1365-2141.1980.tb08706.x. [DOI] [PubMed] [Google Scholar]
- Antonarakis S. E., Boehm C. D., Giardina P. J., Kazazian H. H., Jr Nonrandom association of polymorphic restriction sites in the beta-globin gene cluster. Proc Natl Acad Sci U S A. 1982 Jan;79(1):137–141. doi: 10.1073/pnas.79.1.137. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Fessas P., Loukopoulos D., Loutradi-Anagnostou A., Komis G. 'Silent' beta-thalassaemia caused by a 'silent' beta-chain mutant: the pathogenesis of a syndrome of thalassaemia intermedia. Br J Haematol. 1982 Aug;51(4):577–583. doi: 10.1111/j.1365-2141.1982.tb02821.x. [DOI] [PubMed] [Google Scholar]
- Goossens M., Kan Y. Y. DNA analysis in the diagnosis of hemoglobin disorders. Methods Enzymol. 1981;76:805–817. doi: 10.1016/0076-6879(81)76159-7. [DOI] [PubMed] [Google Scholar]
- Huisman T. H., Schroeder W. A., Brodie A. N., Mayson S. M., Jakway J. Microchromatography of hemoglobins. II. A simplified procedure for the determination of hemoglobin A2. J Lab Clin Med. 1975 Oct;86(4):700–702. [PubMed] [Google Scholar]
- Kan Y. W., Schwartz E., Nathan D. G. Globin chain synthesis in the alpha thalassemia syndromes. J Clin Invest. 1969 Nov;47(11):2512–2522. doi: 10.1172/JCI105933. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kanavakis E., Wainscoat J. S., Wood W. G., Weatherall D. J., Cao A., Furbetta M., Galanello R., Georgiou D., Sophocleous T. The interaction of alpha thalassaemia with heterozygous beta thalassaemia. Br J Haematol. 1982 Nov;52(3):465–473. doi: 10.1111/j.1365-2141.1982.tb03916.x. [DOI] [PubMed] [Google Scholar]
- Kattamis C., Metaxotou-Mavromati A., Wood W. G., Nash J. R., Weatherall D. J. The heterogeneity of normal Hb A2-beta thalassaemia in Greece. Br J Haematol. 1979 May;42(1):109–123. doi: 10.1111/j.1365-2141.1979.tb03703.x. [DOI] [PubMed] [Google Scholar]
- Melis M. A., Pirastu M., Galanello R., Furbetta M., Tuveri T., Cao A. Phenotypic effect of heterozygous alpha and beta 0-thalassemia interaction. Blood. 1983 Jul;62(1):226–229. [PubMed] [Google Scholar]
- Pembrey M. E., McWade P., Weatherall D. J. Reliable routine estimation of small amounts of foetal haemoglobin by alkali denaturation. J Clin Pathol. 1972 Aug;25(8):738–740. doi: 10.1136/jcp.25.8.738. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Schwartz E. The silent carrier of beta thalassemia. N Engl J Med. 1969 Dec 11;281(24):1327–1333. doi: 10.1056/NEJM196912112812403. [DOI] [PubMed] [Google Scholar]
- Trecartin R. F., Liebhaber S. A., Chang J. C., Lee K. Y., Kan Y. W., Furbetta M., Angius A., Cao A. beta zero thalassemia in Sardinia is caused by a nonsense mutation. J Clin Invest. 1981 Oct;68(4):1012–1017. doi: 10.1172/JCI110323. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Valkonen K., Gianazza E., Righetti P. G. Human globin chain separation by isoelectric focusing in ultrathin polyacrylamide gels. Clin Chim Acta. 1980 Nov 6;107(3):223–229. doi: 10.1016/0009-8981(80)90450-7. [DOI] [PubMed] [Google Scholar]