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Analysis of Deletional Hereditary Persistence of Fetal Hemoglobin/δβ-thalassemia and δ-globin Gene Mutations in Southerwestern China

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Specialty Genetics
Date 2019 May 3
PMID 31044540
Citations 4
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Abstract

Background: Deletional hereditary persistence of fetal hemoglobin (HPFH)/δβ-thalassemia and δ-thalassemia are rare inherited disorders which may complicate the diagnosis of β-thalassemia. The aim of this study was to reveal the frequency of these two disorders in Southwestern China.

Methods: A total of 33,596 subjects were enrolled for deletional HPFH/δβ-thalassemia, and positive individuals with high fetal hemoglobin (Hb F) level were diagnosed by multiplex ligation-dependent probe amplification (MLPA). A total of 17,834 subjects were analyzed for mutations in the δ-globin gene. Positive samples with low Hb A levels were confirmed by δ-globin gene sequencing. Furthermore, the pathogenicity and construction of a selected δ-globin mutation were analyzed.

Results: A total of 92 suspected cases with Hb F ≥5.0% were further characterized by MLPA. Eight different deletional HPFH/δβ-thalassemia were observed at a frequency of 0.024%. In addition, 195 cases suspected to have a δ-globin gene mutation (Hb A ≤2.0%) were characterized by molecular analysis. δ-Globin gene mutation was found at a frequency of 0.49% in Yunnan. The pathogenicity and construction for a selected δ-globin mutation was predicted.

Conclusion: Screening of these two disorders was analyzed in Southwestern China, which could define the molecular basis of these conditions in this population.

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Analysis of deletional hereditary persistence of fetal hemoglobin/δβ-thalassemia and δ-globin gene mutations in Southerwestern China.

Zhang J, Yang Y, Li P, Yan Y, Lv T, Zhao T Mol Genet Genomic Med. 2019; 7(6):e706.

PMID: 31044540 PMC: 6565566. DOI: 10.1002/mgg3.706.

References
1.
Phylipsen M, Gallivan M, Arkesteijn S, Harteveld C, Giordano P . Occurrence of common and rare δ-globin gene defects in two multiethnic populations: thirteen new mutations and the significance of δ-globin gene defects in β-thalassemia diagnostics. Int J Lab Hematol. 2010; 33(1):85-91. DOI: 10.1111/j.1751-553X.2010.01255.x. View

2.
Sankaran V, Xu J, Orkin S . Transcriptional silencing of fetal hemoglobin by BCL11A. Ann N Y Acad Sci. 2010; 1202:64-8. DOI: 10.1111/j.1749-6632.2010.05574.x. View

3.
Hassan S, Harteveld C, Bakker E, Giordano P . Known and new δ-globin gene mutations and other factors influencing Hb A2 measurement in the Omani population. Hemoglobin. 2014; 38(4):299-302. DOI: 10.3109/03630269.2014.928308. View

4.
Alayi T, Van Dorsselaer A, Epting T, Bisse E, Schaeffer-Reiss C . Hb A2-Konz [δ50(D1)Ser → Thr; HBD: c.151T > A]: a new δ chain hemoglobin variant characterized by mass spectrometry and high performance liquid chromatography. Hemoglobin. 2014; 38(2):133-6. DOI: 10.3109/03630269.2014.880063. View

5.
Cui J, Azimi M, Baysdorfer C, Vichinsky E, Hoppe C . Application of multiplex ligation-dependent probe amplification to screen for β-globin cluster deletions: detection of two novel deletions in a multi ethnic population. Hemoglobin. 2013; 37(3):241-56. DOI: 10.3109/03630269.2013.782461. View