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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1992-9-10
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pubmed:abstractText |
This paper describes a family of Central Italian origin in which three patients in two generations had either thalassaemia intermedia or a late presenting form of thalassaemia major. Sequence analysis of the patients' DNA revealed that only one of the beta-globin genes was affected by a beta-thalassaemia mutation (the codon 39 nonsense mutation), the other being completely normal, apart from the complex rearrangement (-T +ATA) at position -530 5' to the CAP site of the beta-globin gene, which has uncertain clinical significance. Haematologically, all these patients were characterized by unusually low HbF levels (1.8-7.3%) for a beta-thalassaemia major or intermedia phenotype. The mother of the two patients with thalassaemia intermedia was heterozygous for beta-thalassaemia (codon 39 nonsense mutation), while the father had thalassaemia-like red cell indices, an increased alpha/non alpha chain synthesis ratio, a slight increase of HbF and a low HbA2 level, but showed entirely normal beta-globin gene sequences, apart from the complex rearrangement (-T +ATA) at position -530 5' to the CAP site. One of the thalassaemia intermedia patients married a normal woman and they had a child with thalassaemia major who inherited only the codon 39 nonsense mutation but not the complex rearrangement at position -530. The clinical phenotype of thalassaemia-intermedia or major in the patients from this family may be explained by postulating the inheritance of the double heterozygous state for beta-thalassaemia and for a mutation in a gene coding for an erythroid-specific DNA binding protein which may impair the function of the normal beta-globin gene. Heterozygosity for this postulated mutation (father of the patients with thalassaemia intermedia) may result in the production of a beta-thalassaemia carrier state with normal HbA2 level.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jun
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pubmed:issn |
0007-1048
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
81
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
283-7
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:1643026-Adolescent,
pubmed-meshheading:1643026-Adult,
pubmed-meshheading:1643026-Base Sequence,
pubmed-meshheading:1643026-Blotting, Southern,
pubmed-meshheading:1643026-Chromosome Mapping,
pubmed-meshheading:1643026-Codon,
pubmed-meshheading:1643026-Female,
pubmed-meshheading:1643026-Gene Rearrangement,
pubmed-meshheading:1643026-Globins,
pubmed-meshheading:1643026-Humans,
pubmed-meshheading:1643026-Male,
pubmed-meshheading:1643026-Molecular Sequence Data,
pubmed-meshheading:1643026-Mutation,
pubmed-meshheading:1643026-Pedigree,
pubmed-meshheading:1643026-Phenotype,
pubmed-meshheading:1643026-Thalassemia
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pubmed:year |
1992
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pubmed:articleTitle |
A beta-thalassaemia phenotype not linked to the beta-globin cluster in an Italian family.
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pubmed:affiliation |
Istituto di Clinica e Biologia dell'Età Evolutiva, Università degli Studi di Cagliari.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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