scholarly journals Unbalanced Globin Chain Synthesis in Congenital Dyserythropoietic Anemia

Blood ◽  
1973 ◽  
Vol 42 (6) ◽  
pp. 843-850 ◽  
Author(s):  
Marilyn A. Hruby ◽  
R. George Mason ◽  
George R. Honig

Abstract Hematologic evaluation of a 5-yr-old girl with lifelong anemia demonstrated the characteristic findings of congenital dyserythropoietic anemia (CDA) type II. Globin chain synthesis was studied in vitro by measuring the incorporation of L-leucine-14C into globin by peripheral blood and bone marrow erythroid cells. In cells from the child and from both of her parents an abnormal balance between the synthesis of the α and non-α globin components of hemoglobin was observed, the α chains being synthesized in excess. Neither parent demonstrated microcytosis, hypochromia, or other findings suggestive of β-thalassemia trait.

Blood ◽  
1976 ◽  
Vol 47 (1) ◽  
pp. 113-120 ◽  
Author(s):  
RF Rieder

Abstract A 23-yr-old man of Greek-Italian ancestry with mild anemia was found to be heterozygous for HbD (Punjab) beta121 glu leads to gin and beta- thalassemia. HbA was not detected upon electrophoresis of the subject's hemolysate, and no synthesis of betaA globin was demonstrated after incubation of peripheral blood or bone marrow with 3H-leucine. The thalassemia gene was thus of the betao variety. The betaD/alpha synthesis ratios were almost equally unbalanced in the blood and bone marrow: 0.53 and 0.61, respectively. The mother of the propositus had beta-thalassemia trait. In peripheral blood the betaA/alpha synthesis ratio was 0.38. The mutant betaD gene thus appeared potentially capable of directing the synthesis of globin chains as efficiently as a normal betaA gene. The mildness of the HbD-betao-thalassemia syndrome appeared to be due to the maintenance of a relatively high total beta/alpha synthesis ratio in the presence of a physiologically neutral structural mutation.


Blood ◽  
1976 ◽  
Vol 47 (1) ◽  
pp. 113-120
Author(s):  
RF Rieder

A 23-yr-old man of Greek-Italian ancestry with mild anemia was found to be heterozygous for HbD (Punjab) beta121 glu leads to gin and beta- thalassemia. HbA was not detected upon electrophoresis of the subject's hemolysate, and no synthesis of betaA globin was demonstrated after incubation of peripheral blood or bone marrow with 3H-leucine. The thalassemia gene was thus of the betao variety. The betaD/alpha synthesis ratios were almost equally unbalanced in the blood and bone marrow: 0.53 and 0.61, respectively. The mother of the propositus had beta-thalassemia trait. In peripheral blood the betaA/alpha synthesis ratio was 0.38. The mutant betaD gene thus appeared potentially capable of directing the synthesis of globin chains as efficiently as a normal betaA gene. The mildness of the HbD-betao-thalassemia syndrome appeared to be due to the maintenance of a relatively high total beta/alpha synthesis ratio in the presence of a physiologically neutral structural mutation.


1982 ◽  
Vol 52 (2) ◽  
pp. 225-231 ◽  
Author(s):  
G. Saglio ◽  
C. Camaschella ◽  
A. Guerrasio ◽  
G. Rege Cambrin ◽  
A. Capaldi ◽  
...  

Blood ◽  
1978 ◽  
Vol 51 (4) ◽  
pp. 653-658 ◽  
Author(s):  
RS Franco ◽  
JW Hogg ◽  
OJ Martelo

Abstract To define further the role of hemin-controlled repressor (HCR) in globin synthesis, we studied its effect on the synthesis of individual globin chains in a rabbit reticulocyte lysate cell-free system. In the presence of HCR there was a marked globin chain imbalance, resulting in a lowered alpha/beta ratio. These findings in vitro may have relevance to certain clinical heme deficiency states in which a similar globin chain imbalance has been observed.


Blood ◽  
1972 ◽  
Vol 40 (1) ◽  
pp. 105-111 ◽  
Author(s):  
Mordechai Shchory ◽  
Bracha Ramot

Abstract α, β, and γ globin chain synthesis in bone marrow and peripheral blood reticulocytes were studied in two patients with thalassemia major, two with thalassemia intermedia, one with thalassemia minor, one with Hb H disease, and one with homozygous βδ-thalassemia. Nine nonthalassemic patients served as controls. In thalassemia major, a marked imbalance of α- to β-chain synthesis was found in the bone marrow as well as in reticulocytes. The imbalance, however, was slightly more evident in the latter. In the patients with thalassemia intermedia and minor the α- to β-globin chain ratios in the reticulocytes were of the same order of magnitude, despite the marked clinical differences between thalassemia intermedia and minor. A balanced synthesis was found in the bone marrow of the patient with thalassemia minor. The bone marrow globin synthesis in thalassemia intermedia was not studied. Contrary to that in Hb H disease and βδ-thalassemia, the imbalance was more apparent in the bone marrow. In the latter, no evidence for imbalance was detected in the reticulocytes. These results point out the need for further studies on globin chain synthesis in the bone marrow and reticulocytes of patients With the various thalassemia syndromes and the effect of the free globin chain pool on those results.


Blood ◽  
1968 ◽  
Vol 31 (2) ◽  
pp. 226-233 ◽  
Author(s):  
ARTHUR BANK ◽  
ALBERT S. BRAVERMAN ◽  
JOYCE V. O’DONNELL ◽  
PAUL A. MARKS

Abstract The absolute rate of α chain synthesis per erythroid cell in the peripheral blood of patients with β thalassemia has been shown to be normal while that of β chains is markedly decreased or absent. The results indicate that α chains do not require the presence of β chains for their normal synthesis and release. In addition, γ chain synthesis does not compensate for the decreased β chain synthesis. A marked heterogeneity in the amount of β globin chains produced by different patients with β thalassemia is also prominent.


Author(s):  
George Hug ◽  
K. Y. Wong ◽  
Beatrice Lampkin

Congenital dyserythropoietic anemia (CDA) as described in 1966 was characterized by (i) erythroblastic multinuclearity and (ii) lysis of the patient's red cells in acidified compatible normal human serum. This condition has since been labeled CDA Type II to distinguish it from a similar entity, CDA Type I, with erythroblastic multinuclearity but without red cell lysis in acidified human serum. According to this classification, our initial study of bone marrow ultrastructure in CDA concerned a girl with Type II. Her bone marrow contained erythroid cells with excessive cytoplasmic membranes and multiple nuclei. The present report illustrates this observation. The patient was a 12 year old white girl with congenital anemia and benign recurrent jaundice. Hemolysis was not present since Cr51 red cell survival time was normal. Bone marrow aspirates (Figure 1, 2 and 4) circulating red cells (Figure 3) and hepatic biopsy specimens were examined. The markers indicate 0.5 microns and N designates nucleus. The myeloid series was normal. Figure 1 shows a representative polychromatophilic normoblast.


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