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Molecular characterization of beta-thalassemia mutations in Guadeloupe.
Romana, M; Keclard, L; Guillemin, G; Lavocat, E; Saint-Martin, C; Berchel, C; Mérault, G.
Afiliação
  • Romana M; Unité de Recherche sur la Drépanocytose, INSERM U 359, Pointe-à-Pitre, Guadeloupe.
Am J Hematol ; 53(4): 228-33, 1996 Dec.
Article em En | MEDLINE | ID: mdl-8948659
In order to perform genetic counselling and prenatal diagnosis of Hb-S-beta-thalassemia disease and beta-thalassemia, we have delineated the spectrum of beta-thalassemia alleles in the Guadeloupean population. A sample of 63 unrelated families was analyzed including 70 beta-thalassemia carriers, 52 Hb-S-beta-thalassemia, and 8 patients with different beta-thalassemic hemoglobinopathies. Among the eleven mutations identified, four of them [-29 (A --> G), IVS-I-5 (G --> A), IVS-II-1 (G --> A), and IVS-I-5 (G --> C)] account for 77.6% of the beta-thalassemia chromosomes present in the studied families. The seven other variants, CD 24 (T --> A), IVS-I-2 (T --> C), Poly A (T --> C), -88 (C --> T), IVS- 11-849 (A --> G), Hb E, and Hb Lepore are less frequent. As a result, Hb S-beta+-thalassemia type 1 (low Hb A values: 5-15%) together with Hb S-beta(omicron)-thalassemia phenotypes are as frequent as Hb S-beta+-thalassemia type 2 (high Hb A values: 20-30%) in the Guadeloupean population. Patients with Hb S-beta+-thalassemia type 2 have milder hematological manifestations of the disease compared to patients with Hb S-beta(omicron)-thalassemia and Hb S-beta+-thalassemia type 1. This first report on the type and nature of beta-thalassemia mutations in Guadeloupe shows that prenatal diagnosis of Hb S-beta-thalassemia and beta-thalassemia should be feasible by direct detection of point mutation in most cases.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Globinas / Talassemia beta Limite: Humans País/Região como assunto: Africa / Asia / Caribe / Europa / Guadalupe Idioma: En Revista: Am J Hematol Ano de publicação: 1996 Tipo de documento: Article País de afiliação: Guadalupe País de publicação: Estados Unidos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Globinas / Talassemia beta Limite: Humans País/Região como assunto: Africa / Asia / Caribe / Europa / Guadalupe Idioma: En Revista: Am J Hematol Ano de publicação: 1996 Tipo de documento: Article País de afiliação: Guadalupe País de publicação: Estados Unidos