A FAMILY WITH SEGREGATING TRIPLICATED ALPHA-GLOBIN LOCI AND BETA-THALASSEMIA

作者:GALANELLO R; RUGGERI R; PAGLIETTI E; ADDIS M; MELIS MA; CAO A*
来源:Blood, 1983, 62(5): 1035-1040.
DOI:10.1182/blood.v62.5.1035.1035

摘要

<jats:title>Abstract</jats:title> <jats:p>In this article we report a Sardinian family, in which a beta- thalassemia gene and a triple alpha-globin loci, counterpart of the rightward deletion type alpha-thalassemia-2, were segregating. The analysis of the genotype-phenotype correlations in the different family members allowed us to give an outline of the manifestations associated with different genotype combinations. The heterozygote for the triple alpha-loci showed no consistent abnormal clinical or hematologic characteristics and presented balanced alpha/beta-globin chain synthesis. In the homozygous state for this lesion, the only phenotypic expression was a slightly imbalanced globin chain synthesis. The combination of heterozygous beta-thalassemia with the heterozygous state for the triple alpha-globin loci produced no clinical manifestations and showed a hematologic phenotype indistinguishable from that of heterozygous beta-thalassemia. On the other hand, the combination of the homozygous state for the triple alpha-globin gene loci and the heterozygous state for beta-thalassemia produced a clinical picture of thalassemia intermedia with a very mild clinical course, minor increase of fetal hemoglobin (HbF) levels, and a pronounced imbalance of globin chain synthesis.</jats:p>

  • 出版日期1983