A new hereditary persistence of fetal hemoglobin deletion has the breakpoint within the 3' beta-globin gene enhancer.
A new deletion of the beta-globin gene cluster has been characterized in two Italian brothers who are heterozygous carriers of a G gamma A gamma hereditary persistence of fetal hemoglobin (HPFH). Restriction endonuclease mapping and DNA sequencing of the region encompassing the breakpoint show that the deletion starts 3.2 kilobases (kb) upstream from the delta gene and ends within the enhancer region 3' to the beta-globin gene. Here the deletion removes one of the four binding sites for an erythroid specific transcriptional factor (NF-E1). The molecular comparison of the new deletion with others of similar size and location but associated with a delta beta-thalassemia phenotype suggests that the residual enhancer element, relocated near gamma genes, may increase the fetal hemoglobin (HbF) expression above the level observed in delta beta-thalassemia.
Dipartimento di Scienze Biomediche e Oncologia Umana, Università di Torino, Italy.
C
C
Camaschella
A
A
Serra
E
E
Gottardi
A
A
Alfarano
D
D
Revello
U
U
Mazza
G
G
Saglio
D000328:Adult; D001483:Base Sequence; D001609:Beta-Globulins / Q000235:genetics* / Q000502:physiology; D015139:Blotting, Southern; D002872:Chromosome Deletion; D004247:DNA / Q000032:analysis / Q000235:genetics; D004742:Enhancer Elements, Genetic; D005319:Fetal Hemoglobin / Q000235:genetics*; D005784:Gene Amplification / Q000235:genetics; D006453:Hemoglobinopathies / Q000235:genetics*; D006801:Humans; D008297:Male; D008969:Molecular Sequence Data; D010641:Phenotype
D001609:Beta-Globulins; D004247:DNA; D005319:Fetal Hemoglobin