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(Reference retrieved automatically from SciELO through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Hb H disease resulting from the association of an αº-thalassemia allele [-(α)20.5] with an unstable α-globin variant [Hb Icaria]: first report on the occurrence in Brazil

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Author(s):
Elza M. Kimura [1] ; Denise M. Oliveira [2] ; Kleber Fertrin ; Valéria R. Pinheiro [4] ; Susan E.D.C. Jorge [5] ; Fernando F. Costa [6] ; Maria de Fátima Sonati [7]
Total Authors: 7
Affiliation:
[1] Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Departamento de Patologia Clínica - Brasil
[2] Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Departamento de Patologia Clínica - Brasil
[4] Centro Infantil Dr. Domingos A. Boldrini - Brasil
[5] Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Departamento de Patologia Clínica - Brasil
[6] Universidade Estadual de Campinas. Centro de Hematologia e Hemoterapia - Brasil
[7] Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Departamento de Patologia Clínica - Brasil
Total Affiliations: 7
Document type: Journal article
Source: GENETICS AND MOLECULAR BIOLOGY; v. 32, n. 4, p. 712-715, 2009-09-04.
Abstract

Hb H Disease is caused by the loss or inactivation of three of the four functional a-globin genes. Patients present chronic hemolytic anemia and splenomegaly. In some cases, occasional blood transfusions are required. Deletions are the main cause of this type of thalassemia (α-thalassemia). We describe here an unusual case of Hb H disease caused by the combination of a common αº deletion [-(α)20.5] with a rare point mutation (c.427T > A), thus resulting in an elongated and unstable α-globin variant, Hb Icaria, (X142K), with 31 additional amino-acid residues. Very high levels of Hb H and Hb Bart's were detected in the patient's red blood cells (14.7 and 19.0%, respectively). This is the first description of this infrequent association in the Brazilian population. (AU)

FAPESP's process: 02/13801-7 - Hereditary hemoglobin disorders: molecular genetics, clinical features and animal models with the production of transgenic animals
Grantee:Fernando Ferreira Costa
Support Opportunities: Research Projects - Thematic Grants