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A Palena, A Blau, G Stamatoyannopoulos and NP Anagnou
Department of Basic Sciences, University of Crete School of Medicine,
Heraklion, Greece.
A novel deletion in the human beta-globin gene cluster associated with
increased levels of fetal hemoglobin (HbF) in adult life was molecularly
characterized in a member of a family of Eastern European descent. The
phenotype of the deletion, documented in five members of the family, shows
mild hypochromia and microcytosis (mean corpuscular Hb, 24 to 25.9 pg; mean
corpuscular volume, 74 to 78.5 fL) but high production of HbF (13% to 24%)
with heterocellular distribution (36% to 86% F cells). Extensive
restriction enzyme mapping of the beta-globin cluster and sequencing of the
region encompassing the breakpoints showed that the deletion starts 1,612
bp upstream of the cap site of the delta-globin gene, and terminates within
the first intron of the beta-globin gene, deleting 9.1 kb of DNA. This
length is definitely shorter than the average 12.0 kb of the previously
characterized (delta beta) zero-thalassemias. The 5' breakpoint of the new
deletion is close to that of the Yugoslavian delta beta-thalassemia
deletion, whereas the 3' breakpoint is very close to those of the Turkish
and the Greek beta zero-thalassemia deletions. The breakpoints of the
deletion occur within a direct repeat containing a tetranucleotide
exhibiting homology to a donor-splice site, and is symmetrically flanked by
a set of 13- and 14-bp homologous complementary sequences, respectively. It
is likely that the deletion may be the result of an "illegitimate" or
"nonhomologous" recombination event to which these two short sequences may
have contributed. It is of interest that the novel deletion (9.1 kb) is
comparable to the Italian HPFH-5 deletion (12.9 kb), regarding both the
size and the position of the breakpoints. However, the HPFH-5 deletion
includes sequences flanking the breakpoints that are preserved in the new
deletion. Considering the resulting two discrete phenotypes (ie, delta
beta-thalassemia v HPFH), it can be hypothesized that the deleted sequences
in the Italian HPFH-5 mutation may harbor regulatory elements that exert a
negative control on the gamma-globin gene expression.
This article has been cited by other articles:
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| Copyright © 1994 by American Society of Hematology Online ISSN: 1528-0020 | |||||||||