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M Losekoot, R Fodde, EJ Gerritsen, I van de Kuit, A Schreuder, PC Giordano, JM Vossen and LF Bernini
Department of Human Genetics, State University, Sylvius Laboratory, Leiden,
The Netherlands.
We report two different disorders of the beta-globin gene cluster
segregating in a Belgian family: a novel deletion that results in (G) gamma
+ ((A) gamma delta beta)(0)-thalassemia (thal) and a heterocellular
hereditary persistence of foetal hemoglobin of the Swiss type linked to a
delta(0)-thal gene (delta (0)-HPFH). Heterozygosity for the heterocellular
HPFH brings about a moderate (3.4% to 8.24%) increase of hemoglobin (Hb) F
having a G gamma/A gamma ratio of 4:1, whereas carriers of the G gamma +
((A) gamma delta beta)(0)-thal deletion show in their peripheral blood a
considerably higher (15%) percentage of Hb F. Both defects interact in the
compound heterozygotes for G gamma + ((A) gamma delta beta)(0)-thal and
delta(0)-HPFH producing a further increase (up to 24%) of fetal Hb
consisting entirely of G gamma chains. Molecular characterization of the
(G) gamma + ((A) gamma delta beta)(0)-thal by means of Southern analysis
showed that the deletion spans about 50 kb, removing the 3' end of the A
gamma- gene, the psi beta-, delta-, and beta-genes. A number of possible
mechanisms leading to the overproduction of Hb F in HPFH and (G) gamma +
((A) gamma delta beta)(0)-thal will be discussed.
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