1997
DOI: 10.3109/03630269709000666
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HB Seal Rock [(α2)142 Term→glu, Codon 142 TAA→GAA]: An Extended α Chain Variant Associated with Anemia, Microcytosis, and α-Thalassemia-2 (-3.7 KB)

Abstract: Hb Seal Rock was first reported in a young African-American women and her 2-year-old daughter (1). It is an extended alpha chain variant which, like Hb Constant Spring, is present in small quantity and is expressed as an alpha-thalassemia. The mutation, TAA-->GAA affects codon 142 of the alpha 2 gene. In this family, the index case was a compound heterozygote for Hb Seal Rock trait and for alpha-thalassemia trait (-3.7 kb). Her hematologic expression was similar to mild Hb H disease, presumably because the Sea… Show more

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Cited by 21 publications
(4 citation statements)
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“…We identified 5 rare b globin chain variants in individuals originating from different states. Hb British Columbia has been described earlier in a 26 year old east India male from Canada and a Caucasian family in the USA, and was associated with mild erythrocytosis [2,3]. Our case had a Hb of 12.0 g/dl and an RBC count of 5.1 9 10 6 /ll but had no clinical manifestations.…”
Section: Discussionsupporting
confidence: 48%
“…We identified 5 rare b globin chain variants in individuals originating from different states. Hb British Columbia has been described earlier in a 26 year old east India male from Canada and a Caucasian family in the USA, and was associated with mild erythrocytosis [2,3]. Our case had a Hb of 12.0 g/dl and an RBC count of 5.1 9 10 6 /ll but had no clinical manifestations.…”
Section: Discussionsupporting
confidence: 48%
“…The α2-globin gene in Hb Constant Spring and Hb Seal Rock, however, has another stop signal between the original stop codon and poly(A) signal. As a result, an elongated polypeptide is observed in these patients (Clegg et al 1971;Kosasih et al 1988;Merritt et al 1997). A novel mutation found recently in the adenine phosphoribosyl-transferase (APRT) gene also abolished the original stop codon through a point mutation event.…”
Section: Discussionmentioning
confidence: 96%
“…One of them was clinically mild, while the clinical phenotypes of the other two cases were not mentioned [18,20]. Hemoglobin Seal Rock results from a mutation in the upstream α2 gene, reducing the expression of one of the α2-globin genes causing a more pronounced thalassemia effect than deletion or reduced expression of the α-globin gene [32]. This mutation was identified in 2 Hb H disease cases, one co-inheriting Hb Seal Rock along with a two gene deletion presenting severely and the other co-inherited with the -α 3.7 deletion with a mild clinical presentation [15].…”
Section: Discussionmentioning
confidence: 99%