Jiwu L, Manna S, Ying Z, Youqing F, Haiyang C, Wanfang X, Yanhui L. Two large novel alpha-globin gene cluster deletions causing alpha(0)-thalassemia in two Chinese families.
Gene 2022;
840:146767. [PMID:
35905847 DOI:
10.1016/j.gene.2022.146767]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2022] [Revised: 06/28/2022] [Accepted: 07/24/2022] [Indexed: 11/04/2022]
Abstract
INTRODUCTION
Monosomy of terminal 16p13.3 is a relatively common subtelomeric abnormality, most affected individuals presented α-thalassemia, some also have mental retardation, developmental abnormalities and/or speech delay and facial dysmorphism, which is termed ATR-16 syndrome. Here, we reported two novel 16p13.3 deletions involving the α-globin gene cluster and multispecies conserved sequences (MCSs), causing only a phenotype of α-thalassemia.
METHODS
Samples were collected from members of the two families and were subjected to haematological and comprehensive genetic analysis.
RESULTS
The novel 108 Kb deletion in family A extends from the non-protein coding RNA gene (WASIR2) to the NPRL3 gene, removing MCS-R1 to R3. This deletion should arise de novo because it wasn't detected in both parents. The novel 336 Kb deletion in family B should extend from telomere to ∼ chr16:336000, removing the entire α-globin gene cluster. Carriers of these two deletions presented with microcytosis and hypochromic red cells, in accordance with a phenotype of α0-thalassemia carrier.
CONCLUSION
Our study increases the mutation spectrum of α-thalassemia. MCSs deletion should be considered in clinical practice of thalassemia screening and diagnosis.
Collapse