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Hb Cibeles [α2 CD25(B6) (Gly → Asp)]: a novel alpha chain variant causing alpha-thalassemia.
[alpha-thalassemia]
Thalassemias
are
the
most
frequent
monogenic
disorders
around
the
world
and
are
a
serious
health
problem
in
areas
with
a
high
incidence
.
Thalassemias
are
particularly
frequent
in
Mediterranean
countries
,
the
Middle
East
,
Africa
,
the
Indian
subcontinent
,
and
in
the
Southeast
Asia
.
Of
these
,
α-thalassemia
is
inherited
as
an
autosomal
recessive
disorder
.
α-thalassemias
are
due
to
a
deficiency
or
absence
of
hemoglobin
(
Hb
)
α-chain
synthesis
and
are
characterized
by
microcytic
and
hypochromic
cells
anemia
and
a
clinical
phenotype
varying
from
nearly
asymptomatic
to
a
lethal
hemolytic
anemia
.
Compound
heterozygotes
and
some
homozygotes
have
a
moderate
to
severe
form
of
α-thalassemia
called
HbH
disease
.
Hb
Bart
's
hydrops
fetalis
is
a
lethal
form
in
which
no
α-globin
chain
is
synthesized
.
In
this
study
we
show
a
new
structural
variant
of
α-chain
,
Hb
Cibeles
[
alpha
25
(
B
6
)
Gly
Â
→
Â
Asp
]
,
in
heterozygous
state
,
which
was
undetectable
by
electrophoretic
or
chromatographic
methods
.
Hb
Cibeles
is
thus
a
hyper-unstable
hemoglobinopathy
.
In
this
new
globin
chain
variant
,
an
apolar
amino
acid
is
replaced
by
a
negatively
charged
amino
acid
.
This
change
may
be
responsible
for
the
molecular
hyper-instability
similar
to
the
mutation
in
the
adjacent
residues
.
Diseases
Validation
Diseases presenting
"anemia"
symptom
22q11.2 deletion syndrome
alpha-thalassemia
canavan disease
child syndrome
coats disease
congenital toxoplasmosis
cowden syndrome
cutaneous mastocytosis
cystinuria
dedifferentiated liposarcoma
dracunculiasis
erythropoietic protoporphyria
esophageal adenocarcinoma
hirschsprung disease
holt-oram syndrome
homocystinuria without methylmalonic aciduria
kallmann syndrome
kindler syndrome
lamellar ichthyosis
liposarcoma
omenn syndrome
scrub typhus
sneddon syndrome
typhoid
waldenström macroglobulinemia
werner syndrome
wiskott-aldrich syndrome
This symptom has already been validated