Somatic deletion of the normal beta-globin gene leading to thalassaemia intermedia in heterozygous beta-thalassaemic patients

Br J Haematol. 2004 Dec;127(5):604-6. doi: 10.1111/j.1365-2141.2004.05237.x.

Abstract

Two beta-thalassaemia patients, whose constitutive genotype was beta(39C)/beta(39C-->T), had the clinical phenotype beta-thalassaemia intermedia. Analysis of leucocyte DNA showed the presence of the mutated beta(39C-->T)-gene exclusively, while the normal beta(39C)-gene was also present in reticulocyte RNA. Deletional analysis of chromosome 11p15.5 on leucocyte DNA showed large deletions including the beta-globin gene. Two populations of erythroid progenitors, one heterozygous and the other hemizygous for the beta(39C-->T) mutation, were demonstrated in one case. This confirms that, in heterozygous individuals, beta-thalassaemia intermedia may be caused by inactivation of the beta-locus in trans as a result of chromosome 11p15.5 deletions in a subpopulation of haematopoietic cells.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Chromatography, High Pressure Liquid
  • Chromosomes, Human, Pair 11*
  • Female
  • Fetal Hemoglobin / analysis
  • Gene Deletion*
  • Globins / genetics*
  • Hemoglobin A / analysis
  • Hemoglobin A2 / analysis
  • Heterozygote
  • Humans
  • Male
  • RNA, Messenger / analysis
  • Reverse Transcriptase Polymerase Chain Reaction
  • Thalassemia / blood
  • Thalassemia / genetics*
  • beta-Thalassemia / blood
  • beta-Thalassemia / genetics

Substances

  • RNA, Messenger
  • Globins
  • Hemoglobin A
  • Hemoglobin A2
  • Fetal Hemoglobin