MUTATION | Codon 94 (+TG); GAC(Asp)->GTGAC | ||
---|---|---|---|
AMINO ACID REPLACEMENT | Elongated beta chain (Hb Agnana) | ||
TYPE OF BETA-THAL | Thalassemia intermedia | ||
MECHANISM | The introduction of GT in codon 94 changes the reading frame with a termination of translation at the new codon 158 (TAA) | ||
IDENTIFICATION | Amplification of the beta-globin gene; DNA sequencing; dot-blot analysis of amplified DNA with allele specific probes | ||
HEMATOLOGY IN HETEROZYGOTE(S) | A 3-year-old girl from Southern Italy with thalassemia intermedia: Hb 6.6 g/dl; MCV 70 fl; Hb F 10.0%; Hb A2 2.2%; non-alpha/alpha 0.67; bone changes; splenomegaly; received occasional blood transfusions until age 6, and every 2-3 months thereafter; splenectomized at age 14 years and died at age of 27 years; parents are normal | ||
HEMATOLOGY IN HOMOZYGOTE(S) | Not reported | ||
OCCURRENCE | In an Italian family | ||
HAPLOTYPE | Not reported | ||
FOUND IN COMBINATION WITH ABNORMAL HB(S) | Not reported | ||
FOUND IN COMBINATION WITH BETA-THAL ALLELE(S) | Not reported | ||
OTHER INFORMATION | The abnormal Hb was not detected by Hb and globin electrophoresis; stability tests were normal |
REFERENCES | |||
1. | Ristaldi, M.S., Pirastu, M., Murru, S., Casula, L., Loudianos, G., Cao, A., Sciarratta, G.V., Agosti, S., Parodi, M.I., Leoni, D., and Melesendi, C.: Blood, 75:1378, 1990. |