Insight onto the pathophysiology and clinical complications of thalassemia intermedia.

Abstract:

:Our understanding of the molecular and pathophysiological mechanisms underlying the disease process in patients with thalassemia intermedia (TI) has substantially increased over the past decade. TI encompasses a wide clinical spectrum of beta-thalassemia phenotypes. Some TI patients are asymptomatic until adult life, whereas others are symptomatic from as young as 2 years. A number of clinical complications commonly associated with TI are rarely seen in thalassemia major, including extramedullary hematopoiesis, leg ulcers, gallstones, thrombosis, and pulmonary hypertension. There are a number of options currently available for managing patients with TI, including transfusion therapy, iron chelation therapy, modulation of fetal hemoglobin production, and hematopoietic stem cell transplantation. However, at present, there are no clear guidelines for an orchestrated optimal treatment plan.

journal_name

Hemoglobin

journal_title

Hemoglobin

authors

Cappellini MD,Musallam KM,Taher AT

doi

10.3109/03630260903351528

subject

Has Abstract

pub_date

2009-01-01 00:00:00

pages

S145-59

eissn

0363-0269

issn

1532-432X

journal_volume

33 Suppl 1

pub_type

杂志文章,评审
  • DNA polymorphisms associated with Hb D-Los Angeles [beta 121(GH4)Glu-->Gln] in southern Italy.

    abstract::We detected Hb D-Los Angeles [beta 121(GH4)Glu-->Gln], the most common hemoglobin variant after Hb S and Hb Lepore-Boston, in six unrelated families in Southern Italy. Ten patients were studied; eight patients were heterozygotes and two were compound heterozygotes for the hemoglobin variant and the beta-thalassemia co...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.3109/03630269308998881

    authors: Fioretti G,De Angioletti M,Pagano L,Lacerra G,Viola A,de Bonis C,Scarallo A,Carestia C

    更新日期:1993-02-01 00:00:00

  • Hb Dartmouth [alpha66(E15)Leu-->Pro (alpha2) (CTG-->CCG)]: a novel alpha2-globin gene mutation associated with severe neonatal anemia when inherited in trans with Southeast Asian alpha-thalassemia-1.

    abstract::We report a novel mutation at alpha66(E15)Leu-->Pro (alpha2) (CTG-->CCG), that we have named Hb Dartmouth for the medical center at which the patients were cared for, in monozygotic twins who also inherited the Southeast Asian alpha-thalassemia-1 deletion. The mother, of Khmer ancestry, is heterozygous for alpha-thala...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.1081/hem-100107874

    authors: McBride KL,Snow K,Kubik KS,Fairbanks VF,Hoyer JD,Fairweather RB,Chaffee S,Edwards WH

    更新日期:2001-11-01 00:00:00

  • Rare β-Globin Gene Mutations in Pakistan.

    abstract::The aim of this study was to analyze the rare β-thalassemia (β-thal) mutations in the Pakistani population. A total of 8716 unrelated Pakistani individuals having children with transfusion-dependent thalassemia were investigated by amplification refractory mutation system-polymerase chain reaction (ARMS-PCR) for the p...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.1080/03630269.2017.1339612

    authors: Hussain A,Ahmed S,Ali N,S Mailk H,Anees M,Chuahdry AH,Ahmed P

    更新日期:2017-03-01 00:00:00

  • Hb H (beta4) disease in Cukurova, Southern Turkey.

    abstract::In this study, 32 patients with Hb H (beta(4)) disease have been identified. Three different alpha-thalassemia-1 (thal) determinants; nine with the -17.4 kb (MED I) type, 12 with the -20.5 kb type and 10 with the -26.5 kb (MED II) type were characterized. Of the 32 patients, 19 had the 3.7 kb deletion and one had the ...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.1080/03630260701297279

    authors: Cürük MA

    更新日期:2007-01-01 00:00:00

  • Characterization of a Large Novel α-Globin Gene Cluster Deletion Causing α0-Thalassemia in a Chinese Family.

    abstract::We report a large novel α-globin cluster deletion that we named - -PG (NG_000006.1: g.93628_542759del450131), in a Chinese family. This large deletion is approximately 450 kb long, spanning from upstream of the PolR3k gene at the 5' end to the RAB11FIP3 gene at the 3' end of chromosome 16p13.3. This deletion removes a...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.1080/03630269.2017.1366919

    authors: He S,Qin Q,Huang P,Zhang S,Yi S,Lin L,Zuo Y,Chen Q,Deng J,Zheng C,Chen B

    更新日期:2017-01-01 00:00:00

  • Molecular characterization of beta-thalassemia in Syria.

    abstract::This study concerns the determination of beta-thalassemia alleles and other hemoglobin variants in 82 patients from Syria. We have characterized 146 chromosomes and found 17 different beta-thalassemia mutations, and one beta-globin chain variant that gives rise to the abnormal Hb S. The eight most common beta-thalasse...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.3109/03630260009002268

    authors: Kyriacou K,Al Quobaili F,Pavlou E,Christopoulos G,Ioannou P,Kleanthous M

    更新日期:2000-02-01 00:00:00

  • A significant beta-thalassemia heterogeneity in the United Arab Emirates.

    abstract::The Dubai Thalassemia Center has identified 35 different beta-thalassemia mutations in 570 chromosomes from the United Arab Emirates population using gene amplification, hybridization with specific labeled oligonucleotide probes, sequencing of amplified DNA, restriction enzymes, and amplification refractory mutation s...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.3109/03630269708997384

    authors: el-Kalla S,Mathews AR

    更新日期:1997-05-01 00:00:00

  • Molecular studies of beta-thalassemia heterozygotes with raised Hb F levels.

    abstract::Hb F levels in beta-thalassemia heterozygotes are usually less than 2%, but amongst 1,059 patients studied, 73 (7%) had Hb F levels above 2.5% (2.6-14.0%). To investigate factors that may influence the increase of Hb F levels in these heterozygotes, we characterized the beta-thalassemia mutations and their chromosomal...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.3109/03630260008997528

    authors: Vrettou C,Kanavakis E,Traeger-Synodinos J,Metaxotou-Mavrommati A,Basiakos I,Maragoudaki E,Stamoulakatou A,Papassotiriou I,Kattamis C

    更新日期:2000-08-01 00:00:00

  • Micromapping of thalassemia and hemoglobinopathies in diferent regions of northeast Thailand and Vientiane, Laos People's Democratic Republic.

    abstract::In order to determine the prevalence of thalassemia and hemoglobinopathies in different regions of northeast (NE) Thailand and Vientiane, Laos People's Democratic Republic (PDR), a total of 1,809 blood samples were collected consecutively from individuals attending antenatal care services at 11 community hospitals in ...

    journal_title:Hemoglobin

    pub_type: 杂志文章,多中心研究

    doi:10.3109/03630269.2011.637149

    authors: Tritipsombut J,Sanchaisuriya K,Phollarp P,Bouakhasith D,Sanchaisuriya P,Fucharoen G,Fucharoen S,Schelp FP

    更新日期:2012-01-01 00:00:00

  • Maternal complications and the association with baseline variables in pregnant women with sickle cell disease.

    abstract::Sickle cell disease is an inherited hemoglobinopathy with multi system complications. It has been associated with multiple maternal complications. A retrospective review of 68 consecutive pregnant women with sickle cell disease, followed in a tertiary center, was conducted over 5 years, to estimate the incidence of di...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.3109/03630269.2013.780249

    authors: Al-Farsi SH,Al-Riyami NM,Al-Khabori MK,Al-Hunaini MN

    更新日期:2013-01-01 00:00:00

  • Restriction endonuclease mapping of globin genomic regions of HEL (human erythroleukemia) line.

    abstract::The restriction endonuclease map of the alpha and beta globin genomic region of the new human erythroleukemia line, HEL, was compared with that of normal human DNA. The HEL line, which produces mainly fetal (G gamma and A gamma) but no adult (delta and beta) globin chains, was shown to have the same pattern of DNA fra...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.3109/03630268309048653

    authors: Mueller RF,Murray JC,Gelinas R,Farquhar M,Papayannopoulou T

    更新日期:1983-01-01 00:00:00

  • Hemoglobin Willamette (alpha2beta2 51Pro replaced by Apg (D2)) a new abnormal human hemoglobin.

    abstract::A hemoglobin variant with the same electrophoretic mobility as hemoglobin S was found in three generations of a black family. No clinical symptoms or findings were present in subjects heterozygous for this mutant. Except for target forms of mature erythrocytes, they have no abnormal hematologic findings. Structural st...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.3109/03630267609031021

    authors: Jones RT,Koler RD,Duerst ML,Dhindsa DS

    更新日期:1976-01-01 00:00:00

  • Hb Constant Spring [alpha 142, Term-->Gln (TAA>CAA in alpha2)] in the alpha-thalassemia of anemic patients in Myanmar.

    abstract::Hb Constant Spring (Hb CS), the gene (alpha(CS)) of which arises from a point mutation in the termination codon of the alpha2-globin gene, is the most prevalent variety of nondeletional alpha-thalassemia (alpha-thal) in Asian populations. It is a major cause of Hb H disease in compound heterozygotes who have Hb CS com...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.1080/03630260802341588

    authors: Ne-Win,Harano K,Harano T,Kyaw-Shwe,Aye-Aye-Myint,Khin-Thander-Aye,Okada S

    更新日期:2008-01-01 00:00:00

  • Hemoglobin Brisbane: beta68 Leu replaced by His. A new high oxygen affinity variant.

    abstract::Hemoglobin Brisbane is a new hemoglobin variant which produces a mile erythrocytosis. It is not detectable by electrophoresis at pH 8.6 or by isoelectric focusing but it is mildly unstable and gives a positive result with standard stability tests. The new hemoglobin has increased oxygen affinity and reduced co-operati...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.3109/03630268108991807

    authors: Brennan SO,Wells RM,Smith H,Carrell RW

    更新日期:1981-01-01 00:00:00

  • Hb Wuming or alpha 2 11(A9)Lys substituting for Gln beta 2.

    abstract::A fast-moving hemoglobin variant was found in five members of a Chinese family of the Wuming district. The relative amount of this alpha chain variant in the heterozygote was about 20%. The abnormality caused no ill effects in its carriers. Sequence analysis identified a Lys substituting for Gln substitution at positi...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.3109/03630268108991835

    authors: Zeng YT,Huang SZ,Xu L,Long GF,Lam H,Wilson JB,Huisman TH

    更新日期:1981-01-01 00:00:00

  • Assessment of cardiac iron deposition in sickle cell disease using 3.0 Tesla cardiovascular magnetic resonance.

    abstract::Many patients with sickle cell disease receive blood transfusions as a life-saving treatment. However, excess transfusions may lead to increased body iron burden. Specifically, heart failure due to cardiac iron overload is the leading cause of death in these patients. The purpose of this study was to investigate the p...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.3109/03630269.2012.679376

    authors: Ibrahim el-SH,Rana FN,Johnson KR,White RD

    更新日期:2012-01-01 00:00:00

  • Heterozygosity for the Novel HBA2: c.*91_*92delTA Polyadenylation Site Variant on the α2-Globin Gene Expanding the Genetic Spectrum of α-Thalassemia in Iran.

    abstract::There are four copy numbers of α-globin genes (16p13.3) in the human genome and the number of defective α-globin genes dictates the severity of α-thalassemia (α-thal). Mutations that occur in the 3' untranslated region (3'UTR), and especially at the polyadenylation (polyA) sites, affect the translation, stability and ...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.1080/03630269.2020.1831529

    authors: Forouzesh Pour F,Karimi K,Ghaderi Z,Tavakoli Koudehi A,Najmabadi H

    更新日期:2020-11-01 00:00:00

  • Necrobiosis Lipoidica in a Patient with β-Thalassemia Major: A Case Report and Review of the Literature.

    abstract::Necrobiosis lipoidica (NL) is a rare granulomatous disease that predominantly affects middle-aged women and is often associated with diabetes mellitus (DM), rheumatoid arthritis (RA) and other metabolic disorders. Thalassemias are the most common hereditary hemoglobin (Hb) disorders worldwide. A few studies investigat...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.1080/03630269.2020.1783287

    authors: Vetsiou E,Mpouras V,Nikolaidou C,Klonizakis P,Mandala E,Vamvakis K,Psarras K,Vlachaki E

    更新日期:2020-05-01 00:00:00

  • Hb Val de Marne [alpha 133(H16)Ser-->Arg]: a new hemoglobin variant with moderate increase in oxygen affinity.

    abstract::Hb Val de Marne [alpha 133(H16)Ser-->Arg] was found in a French family during a neonatal hemoglobinopathy screening program. The abnormal hemoglobin was found, within a few months interval, in two newborn children who were first cousins. In the children as well as in the parents carrying this hemoglobin variant, the r...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.3109/03630269308997495

    authors: Wajcman H,Kister J,M'Rad A,Marden MC,Riou J,Galacteros F

    更新日期:1993-10-01 00:00:00

  • Diagnostic Dilemma of Hb Perth [β32(B14)Leu→Pro; HBB: c.98T > C] in Mainland China.

    abstract::Unstable hemoglobin (Hb) variants represent a rare etiology of congenital hemolytic anemia. Correct diagnosis can be a challenge due to the relative rarity or lack of awareness of this disorder. We report an 18-month-old girl, who presented with a long-standing hemolytic anemia. Her diagnosis of unstable Hb Perth [β32...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.3109/03630269.2016.1169423

    authors: Jiang H,Yan JM,Li J,Xie XM,Li DZ

    更新日期:2016-06-01 00:00:00

  • Molecular Basis of β-Thalassemia Intermedia in Erbil Province of Iraqi Kurdistan.

    abstract::β-Thalassemia intermedia (β-TI) is a clinical term describing a range of clinical phenotypes that are intermediate in severity between the carrier state and β-thalassemia major (β-TM). To characterize the molecular basis of β-TI in Erbil Province, Northern Iraq, 83 unrelated patients were investigated. Detection of β-...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.3109/03630269.2015.1032415

    authors: Shamoon RP,Al-Allawi NA,Cappellini MD,Di Pierro E,Brancaleoni V,Granata F

    更新日期:2015-01-01 00:00:00

  • HB Les Andelys [alpha83(F4)LEU-->PRO]: a new moderately unstable variant.

    abstract::Hb Les Andelys [alpha83(F4)Leu-->Pro] is a mildly unstable variant that was found during glycated hemoglobin measurement in a French family. In this hemoglobin molecule the affected site, in the alpha chain, and the amino acid substitution are identical to those of Hb Santa Ana, an unstable beta chain variant. The str...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.3109/03630269809092137

    authors: Wajcman H,Promé D,Préhu C,Déon C,Riou J,Bouanga JC,Papassotiriou I,Lahary A,Galactéros F

    更新日期:1998-03-01 00:00:00

  • Low oxygen enhances sickle and normal erythropoiesis and fetal hemoglobin synthesis in vitro.

    abstract::Erythropoiesis is increased in cultures of human blood progenitors when oxygen tension is reduced from 20% (room air) to 5% (low oxygen, closer to physiological bone marrow levels). The effects of low oxygen on gamma-globin synthesis and colony growth in methyl cellulose cultures of blood mononuclear cells from normal...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.3109/03630269509005813

    authors: Weinberg RS,Acosta R,Knobloch ME,Garber M,Alter BP

    更新日期:1995-09-01 00:00:00

  • Optimal Manual Exchange Transfusion Protocol for Sickle Cell Disease: A Retrospective Comparison of Two Comprehensive Care Centers in the United Kingdom and Canada.

    abstract::Chronic red blood cell (RBC) transfusion is employed for a wide range of sickle cell disease complications, ranging from primary and secondary stroke prophylaxis to prevention of painful vaso-occlusive episodes. Currently different methods are employed by centers for chronic transfusion that include simple, automated ...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.3109/03630269.2015.1057734

    authors: Mian HS,Ward R,Telfer P,Kaya B,Kuo KH

    更新日期:2015-01-01 00:00:00

  • Hemoglobin Windsor or beta 11 (A8)Val----Asp: a new unstable beta-chain hemoglobin variant producing a hemolytic anemia.

    abstract::A new beta-chain variant, Hemoglobin Windsor [beta 11 (A8)Val----Asp] was discovered in a 9-month-old child who presented with a hemolytic anemia of 59 g/l with an intercurrent viral infection. Her blood film demonstrated fragmented cells, target cells, stipple cells, nucleated red cells, polychromasia and some sphero...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.3109/03630268908998083

    authors: Gilbert AT,Fleming PJ,Sumner DR,Hughes WG,Holland RA,Tibben EA

    更新日期:1989-01-01 00:00:00

  • HB Hinwil or beta 38(C4)Thr-->Asn: a new beta chain variant detected in a Swiss family.

    abstract::This paper reports a new hemoglobin variant which was identified while investigating the cause of a mild erythrocytosis. The abnormal beta-globin chain was detected by reversed phase chromatography. Mutation mapping of the beta-globin gene by polymerase chain reaction and denaturing gradient gel electrophoresis follow...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.3109/03630269609027908

    authors: Frischknecht H,Ventruto M,Hess D,Hunziker P,Rosatelli MC,Cao A,Breitenstein U,Fehr J,Tuchschmid P

    更新日期:1996-02-01 00:00:00

  • Pharmacogenomics and therapeutics of hemoglobinopathies.

    abstract::Individual genetic constitution is an important cause of variations in the response and tolerance to drug treatment. Single nucleotide polymorphisms (SNPs) in genes located within as well as outside the human beta-globin cluster have recently been shown to be significantly associated with Hb F increase in relation to ...

    journal_title:Hemoglobin

    pub_type: 杂志文章,评审

    doi:10.1080/03630260701680367

    authors: Patrinos GP,Grosveld FG

    更新日期:2008-01-01 00:00:00

  • Thalassemias and other hemoglobinopathies in the Republic of Macedonia.

    abstract::This paper summarizes the results on the epidemiology and molecular basis of thalassemias and other hemoglobinopathies in the Republic of Macedonia. Over the past 40 years, population surveys of more than 22,000 participants (school children and workers) from all over the country, have shown that the average incidence...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.1080/03630260601056726

    authors: Efremov GD

    更新日期:2007-01-01 00:00:00

  • Compensation of CD55 Underexpression on Red Blood Cells of β-Thalassemia Major Patients.

    abstract::β-Thalassemia (β-thal), is an autosomal recessive disorder caused by mutations at the β gene locus. β-Thalassemia major (β-TM) is a severe form of the disease, characterized by severe hypochromic and hemolytic anemia with an increased need for transfusion. Hemolysis is caused by intoxication, whereas mechanical remova...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.3109/03630269.2015.1029588

    authors: Obaid JM,Abo El-Nazar SY,Ghanem AM,El-Hadidi AS,Mersal BH

    更新日期:2015-01-01 00:00:00

  • Hb Uxbridge [beta 20 (B2)Val-->Gly]: a new variant with mild increase in oxygen affinity found during a neonatal screening program.

    abstract::Hb Uxbridge [beta 20(B2)Val-->Gly] was found in an English family during a neonatal hemoglobinopathy screening program. In both the child and the parent carrying this hemoglobin variant, the red cell parameters were normal. By isoelectrofocusing Hb Uxbridge appeared to have an isoelectric point slightly higher than Hb...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.3109/03630269609005838

    authors: Wajcman H,Promé D,Kister J,Davies SC,Galactéros F,Henthorn JS

    更新日期:1996-11-01 00:00:00