Combined α-thalassemia and Hemoglobin J-Iran (β77 His → Asp). A Family Study in southern Iran
نویسندگان
1 Hematology Research Center, Shiraz University of Medical Science, Shiraz, Iran
2 Hematology Research Center, Shiraz University of Medical Science, Shiraz, Iran
3 Hematology Research Center, Shiraz University of Medical Science, Shiraz, Iran
4 Hematology Research Center, Shiraz University of Medical Science, Shiraz, Iran
5 Hematology Research Center, Shiraz University of Medical Science, Shiraz, Iran
6 Hematology Research Center, Shiraz University of Medical Science, Shiraz, Iran
7 Hematology Research Center, Shiraz University of Medical Science, Shiraz, Iran
8 Hematology Research Center, Shiraz University of Medical Science, Shiraz, Iran
9 Hematology Research Center, Shiraz University of Medical Science, Shiraz, Iran
doi
چکیده
We report a 23-year-old man and three members of his family with Hb J-Iran confirmed by electrophoresis, chainseparation by high performance liquid chromatography and sequencing. Alpha thalassemia was also confirmedin two family members. The substitution at β77 led to a higher negative charge of the βJ-Iran subunit, whichenhanced its electrostatic attraction for the normal positively-charged α subunit. Therefore, more Hb J-Iran thanHb A forms in the red blood cells of heterozygotes. In α-thalassemia, the more attractive βJ-Iran subunit outcompetesβA subunits in forming assemblies with deficient α subunits, so even more Hb J-Iran was formed.