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American Journal of Human Genetics logoLink to American Journal of Human Genetics
. 1975 Mar;27(2):140–154.

Hereditary persistence of fetal hemoglobin, beta thalassemia, and the hemoglobin delta-beta locus: further family data and genetic interpretations.

N C Bethlenfalvay, A G Motulsky, B Ringelhann, H Lehmann, J R Humbert, F I Konotey-Ahulu
PMCID: PMC1762752  PMID: 1124762

Abstract

Three Negro kindreds with hereditary persistence of fetal hemoglobin (HPFH) alone and in combination with various other hemoglobin abnormalities including beta thalassemia are presented. Among 11 offspring of two women heterozygous for both HPFH and the delta chain mutation Hb B2, five inherited the HPFH gene and six inherited the Hb B2 gene. In another kindred, a man inferred to be heterozygous for both HPFH and Hb C had six children; three offsprivg obtained the Hb C gene and three the HPFH gene. Similarly, a woman heterozygous for both Hb S and HPFH transmitted the Hb S gene to one of her two children and the HPFH gene to the other. Thus among 19 offspring, no crossovers between the HPFH locus or the Hb delta-beta locus were observed. These and earlier data are compatible with deletion of the Hb beta and delta loci as the primary event to explain the genetic origin of HPFH. Genetic considerations indicate that the finding of a single person with a hematologically normal phenotype among offspring of heterozygotes for both the African type of HPFH and a Hb beta or Hb delta structural abnormality would invalidate the deletion model.

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Selected References

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  1. Becker G. A., Rossi E. C. The interaction of hereditary persistence of fetal hemoglobin and beta thalassemia. Ann Intern Med. 1966 Nov;65(5):1071–1075. doi: 10.7326/0003-4819-65-5-1071. [DOI] [PubMed] [Google Scholar]
  2. Bethlenfalvay N. C., Block M. Fetal erythropoiesis. Maturation in megaloblastic (yolk sac) erythropoiesis in the C 57 B1-6J mouse. Acta Haematol. 1970;44(4):240–245. doi: 10.1159/000208685. [DOI] [PubMed] [Google Scholar]
  3. Boon W. H. Family with hereditary persistence of foetal haemoglobin. Med J Malaya. 1968 Sep;23(1):61–66. [PubMed] [Google Scholar]
  4. CONLEY C. L., WEATHERALL D. J., RICHARDSON S. N., SHEPARD M. K., CHARACHE S. Hereditary persistence of fetal hemoglobin: a study of 79 affected persons in 15 Negro families in Baltimore. Blood. 1963 Mar;21:261–281. [PubMed] [Google Scholar]
  5. EDINGTON G. M., LEHMANN H. Expression of the sickle-cell gene in Africa. Br Med J. 1955 May 28;1(4925):1308–1311. doi: 10.1136/bmj.1.4925.1308. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. FESSAS P., STAMATOYANNOPOULOS G. HEREDITARY PERSISTENCE OF FETAL HEMOGLOBIN IN GREECE. A STUDY AND A COMPARISON. Blood. 1964 Sep;24:223–240. [PubMed] [Google Scholar]
  7. Fogarty W. M., Jr, Vedvick T. S., Itano H. A. Absence of haemoglobin A in an individual simultaneously heterozygous in the genes for hereditary persistence of foetal haemoglobin and beta-thalassemia. Br J Haematol. 1974 Apr;26(4):527–533. doi: 10.1111/j.1365-2141.1974.tb00496.x. [DOI] [PubMed] [Google Scholar]
  8. GERALD P. S., DIAMOND L. K. The diagnosis of thalassemia trait by starch block electrophoresis of the hemoglobin. Blood. 1958 Jan;13(1):61–69. [PubMed] [Google Scholar]
  9. HORTON B., PAYNE R. A., BRIDGES M. T., HUISMAN T. H. Studies on an abnormal minor hemoglobin component (Hb-B2). Clin Chim Acta. 1961 Mar;6:246–253. doi: 10.1016/0009-8981(61)90091-2. [DOI] [PubMed] [Google Scholar]
  10. Huisman T. H., Schroeder W. A., Charache S., Bethlenfalvay N. C., Bouver N., Shelton J. R., Shelton J. B., Apell G. Hereditary persistence of fetal hemoglobin. Heterogeneity of fetal hemoglobin in homozygotes and in conjunction with -thalassemia. N Engl J Med. 1971 Sep 23;285(13):711–716. doi: 10.1056/NEJM197109232851303. [DOI] [PubMed] [Google Scholar]
  11. Huisman T. H., Schroeder W. A., Dozy A. M., Shelton J. R., Shelton J. B., Boyd E. M., Apell G. Evidence for multiple structural genes for the gamma-chain of human fetal hemoglobin in hereditary persistence of fetal hemoglobin. Ann N Y Acad Sci. 1969 Nov 20;165(1):320–331. doi: 10.1111/j.1749-6632.1969.tb27802.x. [DOI] [PubMed] [Google Scholar]
  12. Huisman T. H., Schroeder W. A., Stamatoyannopoulos G., Bouver N., Shelton J. R., Shelton J. B., Apell G. Nature of fetal hemoglobin in the Greek type of hereditary persistence of fetal hemoglobin with and without concurrent beta-thalassemia. J Clin Invest. 1970 May;49(5):1035–1040. doi: 10.1172/JCI106303. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. JACOB G. F., RAPER A. B. Hereditary persistence of foetal haemoglobin production, and its interaction with the sickle-cell trait. Br J Haematol. 1958 Apr;4(2):138–149. doi: 10.1111/j.1365-2141.1958.tb03844.x. [DOI] [PubMed] [Google Scholar]
  14. KRAUS A. P., KOCH B., BURCKETT L. Two families showing interaction of haemoglobin C or thalassaemia with high foetal haemoglobin in adults. Br Med J. 1961 May 20;1(5237):1434–1436. doi: 10.1136/bmj.1.5237.1434. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Kendall A. G., Ojwang P. J., Schroeder W. A., Huisman T. H. Hemoglobin Kenya, the product of a gamma-beta fusion gene: studies of the family. Am J Hum Genet. 1973 Sep;25(5):548–563. [PMC free article] [PubMed] [Google Scholar]
  16. MACIVER J. E., WENT L. N. Hereditary persistence of foetal haemoglobin: a family study suggesting allelism of the F gene to the S and C haemoglobin genes. Br J Haematol. 1961 Jul;7:373–381. doi: 10.1111/j.1365-2141.1961.tb00347.x. [DOI] [PubMed] [Google Scholar]
  17. MOTULSKY A. G. Controller genes in synthesis of human haemoglobin. Nature. 1962 May 12;194:607–609. doi: 10.1038/194607b0. [DOI] [PubMed] [Google Scholar]
  18. NEEL J. V. The hemoglobin genes: a remarkable example of the clustering of related genetic functions on a single mammalian chromosome. Blood. 1961 Dec;18:769–777. [PubMed] [Google Scholar]
  19. Ottolenghi S., Lanyon W. G., Paul J., Williamson R., Weatherall D. J., Clegg J. B., Pritchard J., Pootrakul S., Boon W. H. The severe form of alpha thalassaemia is caused by a haemoglobin gene deletion. Nature. 1974 Oct 4;251(5474):389–392. doi: 10.1038/251389a0. [DOI] [PubMed] [Google Scholar]
  20. PEARSON H. A., MOORE M. M. HUMAN HEMOGLOBIN GENE LINKAGE: REPORT OF A FAMILY WITH HEMOGLOBIN B2, HEMOGLOBIN S, AND BETA THALASSEMIA, INCLUDING A PROBABLE CROSSOVER BETWEEN THALASSEMIA AND DELTA LOCI. Am J Hum Genet. 1965 Mar;17:125–132. [PMC free article] [PubMed] [Google Scholar]
  21. SCHNEIDER R. G., LEVIN W. C., EVERETT C. A family with S and C hemoglobins and the hereditary persistence of F hemoglobin. A comparison of C thalassemia disease with the CF syndrome. N Engl J Med. 1961 Dec 28;265:1278–1283. doi: 10.1056/NEJM196112282652602. [DOI] [PubMed] [Google Scholar]
  22. SCHRUEFER J. J., HELLER C. J., BATTAGLIA F. C., HELLEGERS A. E. Independence of whole blood and haemoglobin solution oxygen dissociation curves from haemoglobin type. Nature. 1962 Nov 10;196:550–553. doi: 10.1038/196550a0. [DOI] [PubMed] [Google Scholar]
  23. SINGER K., CHERNOFF A. I., SINGER L. Studies on abnormal hemoglobins. I. Their demonstration in sickle cell anemia and other hematologic disorders by means of alkali denaturation. Blood. 1951 May;6(5):413–428. [PubMed] [Google Scholar]
  24. SMITHIES O. CHARACTERIZATION OF GENETIC VARIANTS OF BLOOD PROTEINS. Vox Sang. 1965 May-Jun;10:359–362. [PubMed] [Google Scholar]
  25. Schroeder W. A., Huisman T. H., Shelton J. R., Shelton J. B., Kleihauer E. F., Dozy A. M., Robberson B. Evidence for multiple structural genes for the gamma chain of human fetal hemoglobin. Proc Natl Acad Sci U S A. 1968 Jun;60(2):537–544. doi: 10.1073/pnas.60.2.537. [DOI] [PMC free article] [PubMed] [Google Scholar]
  26. Taylor J. M., Dozy A., Kan Y. W., Varmus H. E., Lie-Injo L. E., Ganesan J., Todd D. Genetic lesion in homozygous alpha thalassaemia (hydrops fetalis). Nature. 1974 Oct 4;251(5474):392–393. doi: 10.1038/251392a0. [DOI] [PubMed] [Google Scholar]
  27. Thompson R. B., Warrington R., Odom J., Bell W. N. Interaction between genes for delta thalassemia and hereditary persistence of foetal hemoglobin. Acta Genet Stat Med. 1965;15(3):190–200. doi: 10.1159/000151910. [DOI] [PubMed] [Google Scholar]
  28. WENT L. N., MACIVER J. E. An unusual type of hemoglobinopathy resembling sickle cell-thalassemia disease in a Jamaican family. Blood. 1958 Jun;13(6):559–568. [PubMed] [Google Scholar]
  29. WHEELER J. T., KREVANS J. R. The homozygous state of persistent fetal hemoglobin and the interaction of persistent fetal hemoglobin with thalassemia. Bull Johns Hopkins Hosp. 1961 Nov;109:217–233. [PubMed] [Google Scholar]
  30. Wasi P., Pootrakul S., Na-Nakorn S. Hereditary persistence of foetal haemoglobin in a Thai family: the first instance in the mongol race and in association with haemoglobin E. Br J Haematol. 1968 May;14(5):501–506. doi: 10.1111/j.1365-2141.1968.tb07001.x. [DOI] [PubMed] [Google Scholar]

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