Differences in the clinical and genotypic presentation of sickle cell disease around the world.

Abstract:

:Sickle cell disease (SCD), caused by a mutation in the β-globin gene HBB, is widely distributed in malaria endemic regions. Cardiopulmonary complications are major causes of morbidity and mortality. Hemoglobin SS (Hb SS) represents a large proportion of SCD in the Americas, United Kingdom, and certain regions of Africa while higher proportions of hemoglobin SC are observed in Burkina Faso and hemoglobin Sβ-thalassemia in Greece and India. Coinheritance of α-thalassemia and persistence of hemoglobin F production are observed in highest frequency in certain regions of India and the Middle East. As confirmed in the PUSH and Walk-PHaSST studies, Hb SS, absence of co-inheriting alpha-thalassemia, and low hemoglobin F levels tend to be associated with more hemolysis, lower hemoglobin oxygen saturations, greater proportions of elevated tricuspid regurgitant jet velocity and brain natriuretic peptide, and increased left ventricular mass index. Identification of additional genetic modifiers will improve prediction of cardiopulmonary complications in SCD.

journal_name

Paediatr Respir Rev

authors

Saraf SL,Molokie RE,Nouraie M,Sable CA,Luchtman-Jones L,Ensing GJ,Campbell AD,Rana SR,Niu XM,Machado RF,Gladwin MT,Gordeuk VR

doi

10.1016/j.prrv.2013.11.003

subject

Has Abstract

pub_date

2014-03-01 00:00:00

pages

4-12

issue

1

eissn

1526-0542

issn

1526-0550

pii

S1526-0542(13)00145-0

journal_volume

15

pub_type

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