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2006, Number 4

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Rev Invest Clin 2006; 58 (4)

Molecular characterization of the - - SEA alpha thalassemia allele in Mexican patients with HbH disease

Nava MP, Trejo JM, Aguilar-Luna C, Barros-Núñez P, Chávez ML, Magaña MT, Perea J, Ibarra B
Full text How to cite this article

Language: English
References: 21
Page: 313-317
PDF size: 79.15 Kb.


Key words:

α-Thalassemia, Hemoglobin H disease, –α3.7 deletion.– –SEA deletion.

ABSTRACT

α-Thalassemia is one of the most prevalent hemoglobin disorders in the world, in South-East Asians, the – –SEA allele is widely found in the HbH disease patients. The purpose of this work is to describe the molecular characteristics of Hemoglobin H disease in three patients from two Mexican families, as well to analyze the DNA sequence of the – –SEA allele to determine the precise site of the crossover. The –α 3.7 and – –SEA alleles were identified using an established long-PCR method modified in our laboratory. The crossover site of – –SEA mutation was analyzed by DNA sequencing. The three HbH subjects showed the same genotype –α3.7/– –SEA. The -α3.7 allele has been observed in almost every racial studied group, whereas the – –SEA allele is predominant in South-East Asian countries. DNA analysis through the breakpoint sites of the – –SEA allele in both families showed the 5’ breakpoint at the third base of codon 28 in the ψα2 gene and the 3’ breakpoint within an Alu-Jo sequence, 1,328 nucleotides upstream of the 3’HVR. Therefore the size of the deletion is 19,303 nucleotides. This is the first report in which the flanking deletion sites of the – –SEA mutation have been analyzed in Mexican patients, the 5’ and 3’ ends of the deletion is well determined.


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Rev Invest Clin. 2006;58