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The relationship between the variations in Gγ and Aγ promotors and the Hereditary Persistence of Fetal Hemoglobin (HPFH)
Corresponding Author(s) : Muhsin Aydin
Cellular and Molecular Biology,
Vol. 64 No. 1: Issue 1
Abstract
In the present study, sixty-two samples that have 1.5% and upper level of fetal hemoglobin (HbF), were examined to investigate the relationship between HbF level and non-deletional mutations in both Gγ (G gamma) globin (HBG2) and Aγ (A gamma) globin (HBG1) genes. Four variations were observed in the promotor of Gγ gene, which are -158C/T, -309A/G, -369C/G, and -567T/G. Also, four variations were observed in the 5'-UTR (untranslated regions) and promotor of Aγ gene, which are +25G/A, -369G/C, -499T/A, and -588G/A. One -222/-225 AGCA del homozygous and six variations as heterozygous in A gamma globin gene promotor region were also observed. The results of the current study suggested that there was a significant relationship between high HbF levels and two variations (-309A/T and -369C/G) in Gγ gene promotor. Additionally, a significant relationship between two variations (+25G/A and -499T/A) in Aγ gene promotor was also observed. Furthermore, the persons who carry these variations with high levels of HbF indicated that there might be a haplotype effect between these variations.
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- Thompson M, Mcinnes RR, Willard HF. Genetics in Medicine, 5th edn. B. Saunders Comp. Philadelphia, USA, 1991.
- Lukens JN. The abnormal hemoglobins: General principles. In: Wintrobe's Clinical Hematology (eds. G.R. Lee, J. Foerster, J. Lukons, F. Poraskev, J.P. Greer & G.M. Rodgers), 10th edn. Williams and Wilkins, A Waverly Company, Baltimore, USA, 1999, pp. 1329-43.
- Klug WS, Cummings MR, Spencer CA. Genetik Kavramlar (Translation ed. í–NER, C.), 8th edn. Palme Yayınları, Ankara, TR, 2011, pp. 485-515. (In Turkish).
- Forget BG. Molecular basis of hereditary persistence of fetal hemoglobin. Ann NY Acad Sci 1998; 850:38–44.
- Weatherall DJ, Clegg JB. Inherited haemoglobin disorders: an increasing global health problem. Bull. World Health Organ 2001; 79:704-12.
- Genç A. Hemoglobin Varyantlarının DNA Dizi Analizi ile Belirlenmesi. í‡ukurova íœniversitesi, Sağlık Bilimleri Enstitüsü, Adana, Master's Thesis, 2005, pp. 108. (In Turkish).
- Bahadir A, Köseler A, Atalay A, Koyuncu H, Akar E, Akar N et al. HbD-Los A2geles [beta121(GH4)Glu>Gln] and HbBeograd [beta121(GH4)Glu>Val]: implications for their laboratory iıagnosis and genetic origins. Turk J Hematol 2009; 26:17-20.
- Fucharoen S, Pengjam Y, Surapot S, Fucharoen G, Sanchaisuriya K. Molecular and hematological characterization of HPFH-6/Indian deletion-inversion G gamma (A gammadeltabeta)0-thalassemia and Ggamma(Agammadeltabeta)0-thalassemia/HbE in Thai patients. Am J Hematol 2002; 71:109-13.
- Huisman THJ. Gamma chain abnormal human fetal hemoglobins variants. Am J Hematol 1997; 55:159-63.
- Manca L, Masala B. Disorders of the synthesis of human fetal hemoglobin. IUBMB Life 2008; 60:94-111.
- Nagel RL. Disorder of Hemoglobin Function and Stability. In: Blood: Principles and Practice of Hematology (eds. R.I. Handin, S.E. Lux, & T.P. Stossel), Lippincott Williams&Wilkins, Philadelpphia, USA, 2003, pp. 1597-654.
- Van Der Padt A, Bouva MJ, Auwerda JJ, Dees A, Harteveld CL, Giordano PC. Adult onset of a thalassemia intermedia genotype in association with a -alpha-3.7 homozygosity. Hb G-Accra [beta73(e17)Asp-->Asn] in combination with beta- and alpha-thalassemia in the same family. Hemoglobin 2005; 29:269-76.
- Bouva MJ, Harteveld CL, Bakker-Verweij G, van Delft P, Giordano PC. Gγ -37 (A-T): A new nondeletional hereditary persistence of fetal hemoglobin determinant associated with the rare codon 91 (+t) d0-thalassemia. Hemoglobin 2006; 30:371–7.
- Schroeder WA, Huisman THJ, Shelton JR, Shelton JB, Kleihauer EF, Dozy AM et al. Evidence for multiple structural genes for the gamma chain of human fetal hemoglobin. Proc Natl Acad Sci USA 1968; 60:537-44.
- Stoming TA, Stoming GS, Lanclos KD, Fei YJ, Altay C, Kutlar F et al. An Aγ type of nondeletional hereditary persistence of fetal hemoglobin with a T→C mutation at position –175 to the cap site of the Aγ globin gene. Blood 1989; 73:329-33.
- Rochette J, Craig JE, Thein SL. Fetal hemoglobin levels in adults. Blood Rev 1994; 8:213-24.
- Langdon SD, Kaufman RE. Gamma-globin gene promoter elements required for interaction with globin enhancers. Blood 1998; 91:309-18.
- Cui J, Baysdorfer C, Azimi M, Vichinsky EP, Hoppe CC. Identification of three novel HbF variants: HbF-Hayward [Gγ1(NA1)Gly→Asp, GGT>GAT], Hb F-Chori-I[AγT16(A13)Gly→Asp,GGC>GAC] and Hb F-Chori-II [AγI29(B11)Gly→Glu, GGA>GAA]. Hemoglobin 2012; 36:305-09.
- Motum PI, Lindeman R, Harvey MP, Trent RJ. Comparative studies of nondeletional HPFH gamma-globin gene promoters. Exp Hematol 1993; 21:852-58.
- Tasiopoulou M, Boussiou M, Sinopoulou K, Moraitis G, Loutradi-Anagnostou A et al. Gγ-196 C→T, Aγ-201 C→T: Two novel mutations in the promoter region of the γ-globin genes associated with nondeletional hereditary persistence of fetal hemoglobin in Greece. Blood Cells Mol Dis 40:320-32.
- Coleman MB, Adams JG, Steinberg MH, Plonczynski MW, Harrel AH, Castro O et al. GyAy( β+) hereditary persistence of fetal hemoglobin: The Gy -158 C→T mutation in cis to the -175 T→C mutation of the Ay-globin gene results in increased Gy-globin synthesis. Am J Hematol 1993; 42:186-90.
- Pereira C, Relvas L, Bento C, Abade A, Ribeiro ML, Manco L. Polymorphic variations influencing fetal hemoglobin levels: Association study in beta-thalassemia carriers and in normal individuals of Portuguese origin. Blood Cells Mol Dis 2015; 54:315–20.
References
Thompson M, Mcinnes RR, Willard HF. Genetics in Medicine, 5th edn. B. Saunders Comp. Philadelphia, USA, 1991.
Lukens JN. The abnormal hemoglobins: General principles. In: Wintrobe's Clinical Hematology (eds. G.R. Lee, J. Foerster, J. Lukons, F. Poraskev, J.P. Greer & G.M. Rodgers), 10th edn. Williams and Wilkins, A Waverly Company, Baltimore, USA, 1999, pp. 1329-43.
Klug WS, Cummings MR, Spencer CA. Genetik Kavramlar (Translation ed. í–NER, C.), 8th edn. Palme Yayınları, Ankara, TR, 2011, pp. 485-515. (In Turkish).
Forget BG. Molecular basis of hereditary persistence of fetal hemoglobin. Ann NY Acad Sci 1998; 850:38–44.
Weatherall DJ, Clegg JB. Inherited haemoglobin disorders: an increasing global health problem. Bull. World Health Organ 2001; 79:704-12.
Genç A. Hemoglobin Varyantlarının DNA Dizi Analizi ile Belirlenmesi. í‡ukurova íœniversitesi, Sağlık Bilimleri Enstitüsü, Adana, Master's Thesis, 2005, pp. 108. (In Turkish).
Bahadir A, Köseler A, Atalay A, Koyuncu H, Akar E, Akar N et al. HbD-Los A2geles [beta121(GH4)Glu>Gln] and HbBeograd [beta121(GH4)Glu>Val]: implications for their laboratory iıagnosis and genetic origins. Turk J Hematol 2009; 26:17-20.
Fucharoen S, Pengjam Y, Surapot S, Fucharoen G, Sanchaisuriya K. Molecular and hematological characterization of HPFH-6/Indian deletion-inversion G gamma (A gammadeltabeta)0-thalassemia and Ggamma(Agammadeltabeta)0-thalassemia/HbE in Thai patients. Am J Hematol 2002; 71:109-13.
Huisman THJ. Gamma chain abnormal human fetal hemoglobins variants. Am J Hematol 1997; 55:159-63.
Manca L, Masala B. Disorders of the synthesis of human fetal hemoglobin. IUBMB Life 2008; 60:94-111.
Nagel RL. Disorder of Hemoglobin Function and Stability. In: Blood: Principles and Practice of Hematology (eds. R.I. Handin, S.E. Lux, & T.P. Stossel), Lippincott Williams&Wilkins, Philadelpphia, USA, 2003, pp. 1597-654.
Van Der Padt A, Bouva MJ, Auwerda JJ, Dees A, Harteveld CL, Giordano PC. Adult onset of a thalassemia intermedia genotype in association with a -alpha-3.7 homozygosity. Hb G-Accra [beta73(e17)Asp-->Asn] in combination with beta- and alpha-thalassemia in the same family. Hemoglobin 2005; 29:269-76.
Bouva MJ, Harteveld CL, Bakker-Verweij G, van Delft P, Giordano PC. Gγ -37 (A-T): A new nondeletional hereditary persistence of fetal hemoglobin determinant associated with the rare codon 91 (+t) d0-thalassemia. Hemoglobin 2006; 30:371–7.
Schroeder WA, Huisman THJ, Shelton JR, Shelton JB, Kleihauer EF, Dozy AM et al. Evidence for multiple structural genes for the gamma chain of human fetal hemoglobin. Proc Natl Acad Sci USA 1968; 60:537-44.
Stoming TA, Stoming GS, Lanclos KD, Fei YJ, Altay C, Kutlar F et al. An Aγ type of nondeletional hereditary persistence of fetal hemoglobin with a T→C mutation at position –175 to the cap site of the Aγ globin gene. Blood 1989; 73:329-33.
Rochette J, Craig JE, Thein SL. Fetal hemoglobin levels in adults. Blood Rev 1994; 8:213-24.
Langdon SD, Kaufman RE. Gamma-globin gene promoter elements required for interaction with globin enhancers. Blood 1998; 91:309-18.
Cui J, Baysdorfer C, Azimi M, Vichinsky EP, Hoppe CC. Identification of three novel HbF variants: HbF-Hayward [Gγ1(NA1)Gly→Asp, GGT>GAT], Hb F-Chori-I[AγT16(A13)Gly→Asp,GGC>GAC] and Hb F-Chori-II [AγI29(B11)Gly→Glu, GGA>GAA]. Hemoglobin 2012; 36:305-09.
Motum PI, Lindeman R, Harvey MP, Trent RJ. Comparative studies of nondeletional HPFH gamma-globin gene promoters. Exp Hematol 1993; 21:852-58.
Tasiopoulou M, Boussiou M, Sinopoulou K, Moraitis G, Loutradi-Anagnostou A et al. Gγ-196 C→T, Aγ-201 C→T: Two novel mutations in the promoter region of the γ-globin genes associated with nondeletional hereditary persistence of fetal hemoglobin in Greece. Blood Cells Mol Dis 40:320-32.
Coleman MB, Adams JG, Steinberg MH, Plonczynski MW, Harrel AH, Castro O et al. GyAy( β+) hereditary persistence of fetal hemoglobin: The Gy -158 C→T mutation in cis to the -175 T→C mutation of the Ay-globin gene results in increased Gy-globin synthesis. Am J Hematol 1993; 42:186-90.
Pereira C, Relvas L, Bento C, Abade A, Ribeiro ML, Manco L. Polymorphic variations influencing fetal hemoglobin levels: Association study in beta-thalassemia carriers and in normal individuals of Portuguese origin. Blood Cells Mol Dis 2015; 54:315–20.