A Krüppel-Like Factor 1 Gene Mutation Ameliorates the Severity of β-Thalassemia: A Case Report.

Abstract:

:Patients with the β0/β0 type of β-thalassemia (β-thal) usually present as β-thal major (β-TM), and are transfusion-dependent. However, the clinical and hematological features of β-thal can be modulated by different modifiers, resulting in a wide range of clinical severity even in patients with the same genotypes. We report a Chinese family with twin brothers, both of whom had the same genotype of β0/β0. One twin was diagnosed as β-TM at 4 months of age and had regularly been transfused; conversely the other twin with a KLF1 (Krüppel-like factor 1) gene mutation, behaved as β-thal intermedia (β-TI), and had never been transfused. Our findings indicate that KLF1 mutations have a role in modulating the phenotypic severity of β-thal. The exact investigation of KLF1 modifiers is necessary in areas where globin gene disorders are most prevalent. This will be helpful in genetic counseling and optimizing the guidelines for prenatal diagnosis (PND) programs.

journal_name

Hemoglobin

journal_title

Hemoglobin

authors

Xie XM,Liu YN,Li J,Jiang F,Li DZ

doi

10.1080/03630269.2019.1607373

subject

Has Abstract

pub_date

2019-03-01 00:00:00

pages

137-139

issue

2

eissn

0363-0269

issn

1532-432X

journal_volume

43

pub_type

杂志文章
  • Hb Stanleyville-II [α78(EF7)Asn→Lys (α2); HbA2: c.237C>A]: incidence of 1:11,500 in a newborn screening program in Brazil.

    abstract::Almost 3 million babies were tested in a newborn screening program in Minas Gerais, Brazil (1998-2008); 128 who have S-like hemoglobins (Hbs) were tested for the β(S) allele and 112 were identified through polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) or sequencing. Hb Stanleyville-II [...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.3109/03630269.2012.686257

    authors: Silva MR,Sendin SM,Pimentel FS,Velloso-Rodrigues C,Romanha ÁJ,Viana MB

    更新日期:2012-01-01 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

  • Characterization of two rat globin cDNA clones.

    abstract::The rat globin gene system is suitable for studying a coordinated regulation of seven genes from two gene families. A rat reticulocyte cDNA globin library has been constructed and two clones analyzed in detail. pBRrg 5 contains alpha while pBRrg X contains beta type sequence. These cloned cDNAs will be useful probes o...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.3109/03630268408991745

    authors: Crkvenjakov R,Bucan M,Konstantinovic M,Fogel M,Savic A,Glisin V

    更新日期:1984-01-01 00:00:00

  • Iron chelation therapy for patients with myelodysplastic syndrome.

    abstract::Chronic blood transfusions are necessary for patients with hereditary anemia such as thalassemia, and for patients with myelodysplastic syndrome (MDS) who become anemic and transfusion-dependent. A common consequence of chronic transfusion is iron accumulation that can lead to organ damage. While there is general agre...

    journal_title:Hemoglobin

    pub_type: 杂志文章,评审

    doi:10.3109/03630260903212654

    authors: Yeh SP,Yang YS,Yao CY,Peng CT

    更新日期:2009-01-01 00:00:00

  • The Molecular Basis of α-Thalassemia in the Qatari Pediatric Population.

    abstract::α-Thalassemia (α-thal) is widely reported in the Arabian Peninsula as one of the main causes of asymptomatic microcytic hypochromic red blood cells with or without anemia in the pediatric population. This is the first study that provides information about the molecular basis of α-thal in the Qatari population. Qatari ...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.3109/03630269.2015.1060606

    authors: Kamal M,Abu-Sirriya S,Abu-Dayya A,Al-Khatib H,Abu-Ramadan H,Petrou M,Amer A,Badii R,Kleanthous M

    更新日期:2015-01-01 00:00:00

  • Molecular spectrum of alpha-thalassemia in Tunisia: epidemiology and detection at birth.

    abstract::We present the characterization of the molecular spectrum and frequency data of alpha-thal (thal) defects in Tunisia, and an evaluation of the efficacy and limitations of Hb Bart's (gamma4) measurement for the screening of alpha-thal at birth. Cord blood samples were collected from two different areas: the northeast o...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.1081/hem-120016372

    authors: Zorai A,Harteveld CL,Bakir A,Van Delft P,Falfoul A,Dellagi K,Abbes S,Giordano PC

    更新日期:2002-11-01 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

  • Association of the level of G gamma chain in the fetal hemoglobin of normal adults with specific haplotypes.

    abstract::The levels of G gamma chain in the fetal hemoglobin of more than 40 Black and Caucasian females were determined with a sensitive high performance liquid chromatography procedure and were correlated with their haplotypes, defined by the presence or absence of 10 different restriction sites. Blood was collected during t...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.3109/03630268609046444

    authors: Hattori Y,Kutlar F,Mosley CJ,Mayson SM,Huisman TH

    更新日期:1986-01-01 00:00:00

  • Hb Chile [beta28(B10)Leu-->Met]: an unstable hemoglobin associated with chronic methemoglobinemia and sulfonamide or methylene blue-induced hemolytic anemia.

    abstract::Among the causes of life-long cyanosis are congenital methemoglobinemia due to M hemoglobins, congenital methemoglobinemia due to methemoglobin reductase deficiency, a small number of low oxygen affinity hemoglobins, and a small number of unstable hemoglobins that spontaneously form methemoglobin in vivo at an acceler...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.3109/03630269908996157

    authors: Hojas-Bernal R,McNab-Martin P,Fairbanks VF,Holmes MW,Hoyer JD,McCormick DJ,Kubik KS

    更新日期:1999-05-01 00:00:00

  • An electronic infrastructure for research and treatment of the thalassemias and other hemoglobinopathies: the Euro-mediterranean ITHANET project.

    abstract::Hemoglobin (Hb) disorders are common, potentially lethal monogenic diseases, posing a global health challenge. With worldwide migration and intermixing of carriers, demanding flexible health planning and patient care, hemoglobinopathies may serve as a paradigm for the use of electronic infrastructure tools in the coll...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.1080/03630260903089177

    authors: Lederer CW,Basak AN,Aydinok Y,Christou S,El-Beshlawy A,Eleftheriou A,Fattoum S,Felice AE,Fibach E,Galanello R,Gambari R,Gavrila L,Giordano PC,Grosveld F,Hassapopoulou H,Hladka E,Kanavakis E,Locatelli F,Old J,Patrino

    更新日期:2009-01-01 00:00:00

  • Hb Filottrano [codon 120 (-A)]: a novel frameshift mutation in exon 3 of the β-globin gene causing dominantly inherited β-thalassemia intermedia.

    abstract::We report a novel frameshift mutation in exon 3 of the β-globin gene, that, in the heterozygous state, leads to a β-thalassemia intermedia (β-TI) phenotype (marked anemia, splenomegaly, hyperbilirubinemia, jaundice, unbalanced synthesis of α/non-α chains in a 34-year-old Italian woman. This frameshift mutation, due to...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.3109/03630269.2012.718309

    authors: Amato A,Cappabianca MP,Perri M,Zaghis I,Mastropietro F,Ponzini D,Di Biagio P,Piscitelli R

    更新日期:2012-01-01 00:00:00

  • Biochemical and molecular aspects of beta-thalassemia types in northern Sardinia.

    abstract::Forty-three patients with beta-thalassemia from Northern Sardinia (31 severe and polytransfused, six follow-up babies, five adults with mild thalassemia who were not transfusion dependent, and a young transfused patient was also affected by a disease of intermediate severity) were studied in order to establish the fet...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.3109/03630268808991659

    authors: Masala B,Manca L,Gallisai D,Stangoni A,Lanclos KD,Kutlar F,Yang KG,Huisman TH

    更新日期:1988-01-01 00:00:00

  • Hemoglobin Brest [beta 127 (H5)Gln----Lys] a new unstable human hemoglobin variant located at the alpha 1 beta 1 interface with specific electrophoretic behavior.

    abstract::Hb Brest [beta 127 (H5)Gln----Lys] is a new unstable variant located at the alpha 1 beta 1 interface at the same position as Hb Complutense [beta 127(H5)Gln----Glu]. In each of these, the substitution produces a distinct alteration in charge, yet both variants move with Hb A in conventional electrophoresis. This pecul...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.3109/03630268808998024

    authors: Baudin-Chich V,Wajcman H,Gombaud-Saintonge G,Arous N,Riou J,Brière J,Galacteros F

    更新日期:1988-01-01 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

  • 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

  • The identification of five rare beta-chain abnormal hemoglobins by high performance liquid chromatographic procedures.

    abstract::The detection, quantitation, and characterization of five relatively rare beta chain abnormal hemoglobins mainly by high performance liquid chromatographic procedures are described. The variants involved are Hb City of Hope (beta 69 Gly----Ser), Hb Austin (beta 40 Arg----Ser), Hb Leiden (beta 6 or 7 Glu----0), Hb Loui...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.3109/03630268609072470

    authors: Wilson JB,Chen SS,Webber BB,Kutlar A,Kutlar F,Villegas A,Huisman TH

    更新日期:1986-01-01 00:00:00

  • Hb Aghia Sophia [alpha62(E11)Val-->0 (alpha1)], an "in-frame" deletion causing alpha-thalassemia.

    abstract::In this report we describe a case of Hb H disease due to the interaction of the --(MED 1) deletion with a new alpha(+)-thalassemia determinant. The molecular analysis of the proband's genomic DNA was carried out by polymerase chain reaction amplification and sequencing of both alpha genes of the alpha(+)-thalassemia c...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.3109/03630269909090747

    authors: Traeger-Synodinos J,Harteveld CL,Kanavakis E,Giordano PC,Kattamis C,Bernini LF

    更新日期:1999-11-01 00:00:00

  • Can iron chelators influence the progression of atherosclerosis?

    abstract::Epidemiological studies and experimental data suggest iron involvement in atherosclerosis. The relation between iron and atherosclerosis is complex and remains contradictory. In thalassemia patients, non transferrin bound iron (NTBI) and free hemoglobin (Hb) are present in plasma and may accelerate atherogenesis, but ...

    journal_title:Hemoglobin

    pub_type: 杂志文章,评审

    doi:10.1080/03630260701726871

    authors: Marx JJ,Kartikasari AE,Georgiou NA

    更新日期:2008-01-01 00:00:00

  • A new ATRX mutation in a patient with acquired α-thalassemia myelodysplastic syndrome.

    abstract::Acquired α-thalassemia (α-thal) myelodysplastic syndrome (ATMDS) is a rare acquired syndrome characterized by a somatic point mutation in the ATRX gene in patients with chronic myeloid disorders. We describe the case of a 78-year-old man with myelodysplastic syndrome (MDS) and striking microcytic, hypochromic anemia. ...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.3109/03630269.2012.724040

    authors: Herbaux C,Badens C,Guidez S,Lacoste C,Maboudou P,Rose C

    更新日期:2012-01-01 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

  • β-Thalassemia in Iran: Things Everyone Needs to Know About This Disease.

    abstract::Iran, as a country located in the Thalassemia Belt, has made great progress in thalassemia prevention and treatment. The thalassemia prevention program was implemented in 1995 and the country-wide thalassemia treatment network, consisting of 64 medical universities and faculties, is active. The acknowledgment of the s...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.1080/03630269.2019.1628774

    authors: Hadipour Dehshal M,Tabrizi Namini M,Hantoushzadeh R,Yousefi Darestani S

    更新日期:2019-05-01 00:00:00

  • Hb Fulton-Georgia [α20(B1)His→Pro; HBA1: c.62A>C]: a new α-globin variant coinherited with α-thalassemia-2 (3.7 kb deletion) and Hb SC disease.

    abstract::We report a novel hemoglobin (Hb) variant that we named Hb Fulton-Georgia, caused by a point mutation in exon 1/codon 20 of the α-globin gene [α20(B1)His→Pro; HBA1: c.62A>C]. This α chain variant was identified in an adult African-American female with Hb SC disease who was also heterozygous for the α-thalassemia-2 (α-...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.3109/03630269.2013.810640

    authors: Zhuang L,Patel N,Bryant S,Kutlar A,Kutlar F,Young AN

    更新日期:2013-01-01 00:00:00

  • Case report: prenatal diagnosis of Hb Hammersmith [β42(CD1)Phe→Ser; HBB: c.128T > C] in a family with an adult male patient.

    abstract::Hb Hammersmith [β42(CD1)Phe → Ser; HBB: c.128T > C] is a rare, unstable hemoglobin (Hb) variant. In this case report, we describe another male case of Hb Hammersmith. A 39-year-old male had hemolytic anemia, cyanosis and splenomegaly since 6 months after birth. He passed the disease allele to his daughter, a 3-year-ol...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.3109/03630269.2014.880352

    authors: Li R,Wang T,Xie XM,Li DZ

    更新日期:2014-01-01 00:00:00

  • Further identification of Hb G-Coushatta [beta22(B4)Glu-->Ala (GAA-->GCA)] in Thailand by the polymerase chain reaction-single-strand conformation polymorphism technique and by amplification refractory mutation system-polymerase chain reaction.

    abstract::Thalassemias and hemoglobinopathies are very common among Southeast Asian populations, particularly in Thailand, where it is estimated that nearly 30% of the population carries at least one such disorder. Moreover, the heterogeneity of different mutant alpha- and beta-globin alleles contributes to the complexity in di...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.1080/03630260601059225

    authors: Chinchang W,Viprakasit V

    更新日期:2007-01-01 00:00:00

  • Molecular characterization of alpha-thalassemia in Pakistan.

    abstract::Common alpha-thalassemia (thal) rearrangements were studied in a normal random population and in six ethnic groups of Pakistan. Analyses of 204 individuals from the normal population revealed the presence of only the -alpha(3.7) allele with an overall frequency of 8.3%. Ethnic differences were statistically significan...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.1081/hem-120023379

    authors: Khan SN,Hasan F,Sollaino C,Perseu L,Riazuddin S

    更新日期:2003-08-01 00:00:00

  • First Spanish case of thalassemia major due to a compound heterozygosity for the IVS-II-848 (C --> A) and codon 39 (C --> T) mutations of the beta-globin gene.

    abstract::This report describes the first case in Spain of a severe form of beta-thalassemia (thal) due to a compound heterozygosity for the IVS-II-848 (C --> A) and the nonsense codon 39 (C --> T) mutations. Five members of a family from Cadiz (southern Spain) were studied. The proband was an 8-year-old girl diagnosed as anemi...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.1080/03630260500453875

    authors: Ropero P,Villegas A,Muñoz J,Briceño O,Mora A,Salvador M,Polo M,González FA

    更新日期:2006-01-01 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

  • The proceedings of the 19Th international conference on chelation held in London, United Kingdom: major changes in iron chelation therapy in the last 25 years using deferiprone (L1) has resulted in the complete treatment of iron overload.

    abstract::Major advances were presented at the 19th International Conference on Chelation (ICOC) in London, UK including changes in iron chelation therapy that led to the complete treatment of transfusional iron overload. The first oral iron chelation results in animals using deferiprone (L1) were published in 1985, and effecti...

    journal_title:Hemoglobin

    pub_type:

    doi:10.3109/03630269.2011.575663

    authors: Kontoghiorghes GJ

    更新日期:2011-01-01 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

  • Structure in relation to behavior of mutant hemoglobins in citrate agar electrophoresis.

    abstract::The comparative mobilities, in citrate agar electrophoresis, of 91 mutant hemoglobins are presented in relation to their molecular structure and in some cases, to their mobilities in other types of electrophoresis. More than a third of the alpha chain mutants (11 of the 27 examined) and half of the beta chain mutants ...

    journal_title:Hemoglobin

    pub_type: 杂志文章

    doi:10.3109/03630267709027861

    authors: Schneider RG,Hightower B

    更新日期:1977-01-01 00:00:00