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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1993-7-26
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pubmed:abstractText |
Genetic factors determining the difference in severity of anaemia in beta-thalassaemia/HbE disease were studied in 90 patients who had haemoglobin levels, at steady state, ranging from 4.2 to 12.6 g/dl. Co-inheritance of alpha-thalassaemia 2 and haemoglobin Constant Spring could significantly decrease the severity of the disease. Inheritance of a beta-thalassaemia chromosome with Xmn I cleavage site at position -158 of the G gamma-globin gene which was linked to the haplotype -+-++ or ++-++, was associated with a milder anaemia. Two copies of these alleles were necessary to produce a significant clinical effect. Increased expression of the G gamma-globin gene and higher production of haemoglobin F, which could reduce the overall globin chain imbalance, were also associated with homozygosity for the Xmn I cleavage site and thus with less severe anaemia. However, this effect was not seen in Xmn I site heterozygotes. Whether the effects of the Xmn I polymorphism, HbF concentration and G gamma/A gamma ratio act separately or through common mechanisms in reducing anaemia remains to be ascertained.
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pubmed:grant | |
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 |
Apr
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pubmed:issn |
0007-1048
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
83
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
633-9
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pubmed:dateRevised |
2007-11-14
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pubmed:meshHeading |
pubmed-meshheading:7686036-Adolescent,
pubmed-meshheading:7686036-Adult,
pubmed-meshheading:7686036-Base Sequence,
pubmed-meshheading:7686036-Fetal Hemoglobin,
pubmed-meshheading:7686036-Globins,
pubmed-meshheading:7686036-Haplotypes,
pubmed-meshheading:7686036-Hemoglobin E,
pubmed-meshheading:7686036-Humans,
pubmed-meshheading:7686036-Middle Aged,
pubmed-meshheading:7686036-Molecular Sequence Data,
pubmed-meshheading:7686036-Mutation,
pubmed-meshheading:7686036-Polymorphism, Genetic,
pubmed-meshheading:7686036-beta-Thalassemia
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pubmed:year |
1993
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pubmed:articleTitle |
Severity differences in beta-thalassaemia/haemoglobin E syndromes: implication of genetic factors.
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pubmed:affiliation |
Department of Medicine, Faculty of Medicine, Siriraj Hospital, Bangkok, Thailand.
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.,
Research Support, Non-U.S. Gov't
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