Delta-thalassemia due to a mutation in an erythroid-specific binding
protein sequence 3' to the delta-globin gene
P Moi, G Loudianos, J Lavinha, S Murru, P Cossu, R Casu, L Oggiano, M Longinotti, A Cao and M Pirastu
Ospedale Regionale per le Microcitemie, USL 21, Cagliari, Italy.
We have previously described a family of Northern Sardinian descent in
which the propositus was affected by thalassemia major resulting from
compound heterozygosity for codon 39 nonsense mutation and the beta +IVS II
nt 745 mutation and in which all heterozygotes for the beta +IVS II nt 745
mutation had normal hemoglobin (Hb) A2 levels. To define the reasons for
normal HbA2 levels in otherwise typical beta- thalassemia heterozygotes, we
cloned and sequenced the delta- thalassemia gene in cis to the beta +IVS II
nt 745 mutation. The sequence analysis showed a single nucleotide
substitution (G----A) at position 69 nts (delta +69) downstream to the
polyA addition site. Dot blot analysis with an oligonucleotide probe
complementary to the delta +69 mutation detected this mutation in several
heterozygotes for the beta +IVS II nt 745 mutation from the proband's
family, but failed to show it either in a group of normal individuals of
the same origin or in nonrelated heterozygotes for the beta +IVS II nt 745
mutation of the same or different descent from the proband. The delta +69
(G----A) mutation may be responsible for the low delta-globin output from
the beta +IVS II nt 745 chromosome or could be a silent polymorphism not
affecting the function of the delta-globin gene. The normal G at position
69 is part of a sequence very similar to the core DNA (A/T)GATA(A/G) motif
(GATA box) that is a binding site for the GATA-1 protein. Gel-retardation
assay has shown that a DNA fragment containing the GATA motif with the
G----A at position +69 has increased binding affinity for
erythroid-specific DNA binding protein(s) as compared with the wild-type
sequence. These findings may suggest that the delta +69 mutation is
responsible for the deficient function of the in cis delta- globin gene.
Volume 79,
Issue 2,
pp. 512-516,
01/15/1992
Copyright © 1992 by The American Society of Hematology