Abstract
In this paper, we report a pregnancy at risk for beta thalassaemia in which the fetal red blood cell volume was reduced while that of the mother was relatively great, so that the presence of a fetal red blood cell population in a mixed maternal-fetal sample was difficult to recognise. The molecular basis for these haematological phenotypes was clarified by follow up examination and alpha globin gene mapping. These indicated that the fetus was heterozygous for beta thalassaemia and had deletion of three alpha globin structural genes, while the mother, heterozygous for beta thalassaemia, also had deletion of two alpha globin structural genes. When the coinheritance of alpha thalassaemia is suspected, it is necessary to examine carefully the red blood cell distribution of a placental sample, so that the presence of a population of fetal red blood cells is not missed.
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Selected References
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- Alter B. P. Prenatal diagnosis of haemoglobinopathies: A status report. Lancet. 1981 Nov 21;2(8256):1152–1155. doi: 10.1016/s0140-6736(81)90598-5. [DOI] [PubMed] [Google Scholar]
- Boehm C. D., Antonarakis S. E., Phillips J. A., 3rd, Stetten G., Kazazian H. H., Jr Prenatal diagnosis using DNA polymorphisms. Report on 95 pregnancies at risk for sickle-cell disease or beta-thalassemia. N Engl J Med. 1983 May 5;308(18):1054–1058. doi: 10.1056/NEJM198305053081803. [DOI] [PubMed] [Google Scholar]
- Boyer S. H., Noyes A. N., Boyer M. L. Enrichment of erythrocytes of fetal origin from adult-fetal blood mixtures via selective hemolysis of adult blood cells: an aid to antenatal diagnosis of hemoglobinopathies. Blood. 1976 Jun;47(6):883–897. [PubMed] [Google Scholar]
- Cao A., Cossu P., Falchi A. M., Monni G., Pirastu M., Rosatelli C., Scalas M. T., Tuveri T. Antenatal diagnosis of thalassemia major in Sardinia. Ann N Y Acad Sci. 1985;445:380–392. doi: 10.1111/j.1749-6632.1985.tb17208.x. [DOI] [PubMed] [Google Scholar]
- Embury S. H., Miller J. A., Dozy A. M., Kan Y. W., Chan V., Todd D. Two different molecular organizations account for the single alpha-globin gene of the alpha-thalassemia-2 genotype. J Clin Invest. 1980 Dec;66(6):1319–1325. doi: 10.1172/JCI109984. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Fairweather D. V., Modell B., Berdoukas V., Alter B. P., Nathan D. G., Loukopoulos D., Wood W., Clegg J. B., Weatherall D. J. Antenatal diagnosis of thalassaemia major. Br Med J. 1978 Feb 11;1(6109):350–353. doi: 10.1136/bmj.1.6109.350. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Furbetta M., Angius A., Ximenes A., Tuveri T., Rosatelli C., Scalas M. T., Fais R., Cao A., Angioni G., Caminiti F. Prenatal diagnosis of beta thalassaemia by fetal red cell enrichment with NH4-Cl-NH4HCO3 differential lysis of maternal cells. Br J Haematol. 1980 Mar;44(3):441–450. doi: 10.1111/j.1365-2141.1980.tb05914.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]
- KLEIHAUER E., BRAUN H., BETKE K. Demonstration von fetalem Hämoglobin in den Erythrocyten eines Blutausstrichs. Klin Wochenschr. 1957 Jun 15;35(12):637–638. doi: 10.1007/BF01481043. [DOI] [PubMed] [Google Scholar]
- Kan Y. W., Golbus M. S., Klein P., Dozy A. M. Successful application of prenatal diagnosis in a pregnancy at risk for homozygous beta-thalassemia. N Engl J Med. 1975 May 22;292(21):1096–1099. doi: 10.1056/NEJM197505222922104. [DOI] [PubMed] [Google Scholar]
- Kan Y. W., Lee K. Y., Furbetta M., Angius A., Cao A. Polymorphism of DNA sequence in the beta-globin gene region. Application to prenatal diagnosis of beta 0 thalassemia in Sardinia. N Engl J Med. 1980 Jan 24;302(4):185–188. doi: 10.1056/NEJM198001243020401. [DOI] [PubMed] [Google Scholar]
- Kan Y. W., Trecartin R. F., Golbus M. S., Filly R. A. Prenatal diagnosis of beta-thalassaemia and sickle-cell anaemia. Experience with 24 cases. Lancet. 1977 Feb 5;1(8006):269–271. doi: 10.1016/s0140-6736(77)91821-9. [DOI] [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]
- Lauer J., Shen C. K., Maniatis T. The chromosomal arrangement of human alpha-like globin genes: sequence homology and alpha-globin gene deletions. Cell. 1980 May;20(1):119–130. doi: 10.1016/0092-8674(80)90240-8. [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]
- Pirastu M., Kan Y. W., Cao A., Conner B. J., Teplitz R. L., Wallace R. B. Prenatal diagnosis of beta-thalassemia. Detection of a single nucleotide mutation in DNA. N Engl J Med. 1983 Aug 4;309(5):284–287. doi: 10.1056/NEJM198308043090506. [DOI] [PubMed] [Google Scholar]
- Rosatelli C., Falchi A. M., Scalas M. T., Tuveri T., Furbetta M., Cao A. Hematological phenotype of the double heterozygous state for alpha and beta thalassemia. Hemoglobin. 1984;8(1):25–35. doi: 10.3109/03630268408996958. [DOI] [PubMed] [Google Scholar]
- Rosatelli C., Falchi A. M., Tuveri T., Scalas M. T., Di Tucci A., Monni G., Cao A. Prenatal diagnosis of beta-thalassaemia with the synthetic-oligomer technique. Lancet. 1985 Feb 2;1(8423):241–243. doi: 10.1016/s0140-6736(85)91026-8. [DOI] [PubMed] [Google Scholar]
- Wilson J. T., Wilson L. B., deRiel J. K., Villa-komaroff L., Efstratiadis A., Forget B. G., Weissman S. M. Insertion of synthetic copies of human globin genes into bacterial plasmids. Nucleic Acids Res. 1978 Feb;5(2):563–581. doi: 10.1093/nar/5.2.563. [DOI] [PMC free article] [PubMed] [Google Scholar]
