Genetic heterogeneity in heterocellular hereditary persistence of fetal hemoglobin

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 cosegre...

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Bibliographic Details
Published in:Blood 1997-07, Vol.90 (1), p.428-434
Main Authors: CRAIG, J. E, ROCHETTE, J, SAMPIETRO, M, WILKIE, A. O. M, BARNETSON, R, HATTON, C. S. R, DEMENAIS, F, THEIN, S. L
Format: Article
Language:English
Subjects:
Adult
Anemias. Hemoglobinopathies
Biological and medical sciences
Child
Child, Preschool
Chromosome Mapping
Chromosomes, Human, Pair 6
Diseases of red blood cells
Female
Fetal Hemoglobin - genetics
Gene Deletion
Genetic Linkage
Globins - genetics
Hematologic and hematopoietic diseases
Humans
Male
Medical sciences
Middle Aged
Multigene Family
Pedigree
X Chromosome
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Summary: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.
ISSN:0006-4971
1528-0020