1. Hemoglobin H disease due to a de novo mutation at the α2-globin gene and an inherited common α-thalassemia deletion found in a Chinese boy
- Author
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Zhu, Chunjiang, Yu, Wenfang, Xie, Jiansheng, Chen, Ling, Ding, Hui, Shang, Xuan, and Xu, Xiangmin
- Subjects
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GENETIC mutation , *THALASSEMIA , *HEMOGLOBINOPATHY genetics , *CHINESE people , *GLOBIN genes , *GENETIC counseling , *BOYS , *DISEASES - Abstract
Abstract: Hemoglobin (Hb) H disease is a moderate form of α-thalassemia resulting from various genetic defects. A novel frameshift mutation cd 43/44(−C) at the α2-globin gene was identified in a Chinese boy with hemoglobin H disease by sequencing. The proband''s mother carries a common α-thalassemia deletion while his father was normal both in the hematological phenotype and α-globin genotype, which suggested that it occurred as a de novo mutation. Molecular studies revealed a compound heterozygote for the Southeast Asian α-thalassemia deletion and this novel spontaneous mutation (−/αTα) and the patient exhibited the clinical manifestation of classic hemoglobin H disease. Based on the results of excluding the possibility of a somatic mosaicism of a point mutation in the α2-globin gene, we progress that this de novo single-base deletion should have arisen during the spermatogenic process or earlier embryonic stage. The present study provides information in determining a supplementary model of inheritance for α-thalassemia, which should be useful in genetic counseling. [Copyright &y& Elsevier]
- Published
- 2010
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