MUTATION 4.2 kb deletion involving the alpha2 gene
 
AMINO ACID REPLACEMENT None
TYPE OF ALPHA-THAL alpha-Thal-2 [-alpha/]
MECHANISM See Figs. 21 and 22
IDENTIFICATION Gene mapping; PCR methodology with probes 5' and 3' to the deletion
HEMATOLOGY IN HETEROZYGOTE(S)
Teenagers:Adults:
MCV 79.5±4.4 fl (n=4)84.5±4.2 fl (n=17)
MCH 24.7±0.3 pg (n=4)26.4±1.3 pg (n=17)
HEMATOLOGY IN HOMOZYGOTE(S)
MCV 74.7±7.0 fl
MCH 22.3±2.1 pg (n=3)

OCCURRENCE In various East Asian populations; India; China
HAPLOTYPE Not determined
FOUND IN COMBINATION WITH ABNORMAL HB(S) Not reported
FOUND IN COMBINATION WITH BETA-THAL ALLELE(S) Not reported
OTHER INFORMATION The hematological abnormalities might be slightly more severe than in the -alpha(3.7)/alphaalpha and -alpha(3.7)/-alpha(3.7) (type III) conditions; the reason is the deletion of the alpha2 gene in the former and of the alpha1 gene in the latter
       
REFERENCES
1. Embury, S.H., Miller, J.A., Dozy, A.M., Yan, Y.W., Chan, V., and Todd, D.: J. Clin. Invest., 66:1319, 1980.
2. Bowden, D.K., Hill, A.V.S., Higgs, D.R., Oppenheimer, S.J., Weatherall, D.J., and Clegg, J.B.: J. Clin. Invest., 79:39, 1987.
3. Baysal, E. and Huisman, T.H.J.: Am. J. Hematol., 46:208, 1994.
4. Chang, J.G., Liu, T.C., Chiou, S.S., Chen, J.T., Chen, T.P., and Lin, C.P.: Ann. Hematol., 69:205, 1994.
5. Gupta, R.B., Tiwary, R.S., Pande, P.L., Kutlar, F., Öner, C., Öner, R., and Huisman, T.H.J.: Hemoglobin, 15:441, 1991.
6. Fodde, R., Losekoot, M., van den Broek, M.H., Oldenburg, M., Rashida, N., Schreuder, A., Wijnen, J.T., Giordano, P.C., Nayudu, N.V.S., Meera Khan, P., and Bernini, L.F.: Hum. Genet., 80:157, 1988.


This material is from the book A Syllabus of Thalassemia Mutations (1997) by Titus H.J. Huisman, Marianne F.H. Carver, and Erol Baysal, published by The Sickle Cell Anemia Foundation in Augusta, GA, USA. Copyright © 1997 by Titus H.J. Huisman. All rights reserved. Neither this work nor any part may be reproduced or transmitted in any form or by any means, electronic or mechanical, microfilming and recording, or by any information storage and retrieval systems, without permission in writing from the Author.