title: Genetic heterogeneity in heterocellular hereditary persistence of fetal hemoglobin.
abstract: A large English pedigree in which heterocellular hereditary persistence of fetal hemoglobin (HPFH) segregates is described. beta-globin cluster deletions and gamma gene promoter mutations associated with HPFH have been excluded. Of particular importance in this pedigree is the absence of any cosegregating hemoglobinopathy, thus allowing observation of the segregation pattern of this form of HPFH without the complicating effect of a beta-globin gene mutation. Information gained in this study confirms that the extent of elevation of hemoglobin (Hb) F and F cells varies between affected individuals. There are one example of incomplete penetrance and three examples of father-to-son transmission, thus excluding X-linked inheritance. Consistent with previous reports, the most likely mode of inheritance is autosomal codominant. Linkage studies using a beta-globin cluster microsatellite show no evidence of linkage to this chromosomal region implicating the presence of trans-acting regulatory factor(s). We have recently mapped one such locus to the chromosome 6q region in a very large Asian-Indian pedigree. Linkage to chromosome 6q in the English pedigree was excluded, thus indicating the presence of genetic heterogeneity in heterocellular HPFH.
authors.affiliation: Department of Clinical Genetics, Institute of Molecular Medicine, John Radcliffe Hospital, Headington, Oxford, UK.
authors.forename: J E
authors.initials: JE
authors.lastname: Craig
authors.forename: J
authors.initials: J
authors.lastname: Rochette
authors.forename: M
authors.initials: M
authors.lastname: Sampietro
authors.forename: A O
authors.initials: AO
authors.lastname: Wilkie
authors.forename: R
authors.initials: R
authors.lastname: Barnetson
authors.forename: C S
authors.initials: CS
authors.lastname: Hatton
authors.forename: F
authors.initials: F
authors.lastname: Demenais
authors.forename: S L
authors.initials: SL
authors.lastname: Thein
mesh_terms: D000328:Adult; D002648:Child; D002675:Child, Preschool; D002874:Chromosome Mapping; D002896:Chromosomes, Human, Pair 6; D005260:Female; D005319:Fetal Hemoglobin / Q000235:genetics*; D017353:Gene Deletion; D008040:Genetic Linkage; D005914:Globins / Q000235:genetics*; D006801:Humans; D008297:Male; D008875:Middle Aged; D005810:Multigene Family; D010375:Pedigree; D014960:X Chromosome
chemical_list: D005914:Globins; D005319:Fetal Hemoglobin