title: The interaction of alpha-thalassemia with sickle cell anemia.
abstract: The coinheritance of alpha-thalassemia (alpha-thal) and sickle cell anemia provides a most interesting example of how separate globin gene mutations influence clinical manifestations of abnormal gene expression. Early reports in the literature contained conflicting opinions as to whether alpha-thal ameliorated the clinical consequences of sickle cell disease. With the discovery that the concentration of sickle hemoglobin (Hb S) had a profound influence on both the kinetics and extent of deoxy Hb S polymerization, it was predicted that the lower intraerythrocytic concentration of Hb S associated with alpha-thal would mitigate the clinical severity of sickle cell anemia. Moreover, the use of alpha-globin gene mapping for objectively diagnosing alpha-thal revealed that one in three Black Americans were silent carriers of alpha-thal. Thus, it followed that a great many sickle cell patients may be affected by this potentially modifying influence.
authors.affiliation: Hematology Service, San Francisco General Hospital, University of San Francisco, CA 94110.
authors.forename: S H
authors.initials: SH
authors.lastname: Embury
mesh_terms: D000755:Anemia, Sickle Cell / Q000150:complications / Q000235:genetics*; D002874:Chromosome Mapping; D006580:Genetic Carrier Screening; D005914:Globins / Q000235:genetics; D006801:Humans; D009994:Osmolar Concentration; D011379:Prognosis; D013789:Thalassemia / Q000150:complications / Q000235:genetics*
chemical_list: D005914:Globins