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[Association between hemoglobin Groene Hart and hemoglobin J-Paris-I: First case in Spain.]
[alpha-thalassemia]
Thalassemias
are
the
most
frequent
monogenic
disorder
around
the
world
.
α-thalassemias
are
due
to
a
deficiency
of
synthesis
in
the
alpha-globin
chain
of
the
hemoglobin
(
Hb
)
.
Hb
Groene
Hart
is
a
hyperunstable
variant
.
In
this
work
,
we
have
studied
24
cases
affected
by
Hb
Groene
Hart
,
one
of
them
associated
with
Hb
J-
Paris
-
I
.
Twenty
-
four
patients
from
17
unrelated
families
were
included
in
this
study
.
The
characterization
was
done
by
sequencing
.
α
1
gene
sequencing
showed
the
mutation
CCT
→
TCT
(
Pro
→
Ser
)
at
codon
119
(
Hb
Groene
Hart
)
in
all
patients
.
In
one
case
,
there
was
an
association
with
Hb
J-
Paris
-
I
.
In
the
Hb
Groene
Hart
,
the
residue
119
of
alpha-globin
chain
is
affected
.
This
amino
acid
has
a
key
role
in
preserving
the
stability
of
alpha-globin
chain
.
It
is
also
remarkable
the
presence
of
this
variant
in
both
the
immigrant
and
native
population
.
Thus
,
the
identification
of
Hb
Groene
Hart
carriers
should
be
considered
in
the
screening
of
α-thalassemia
in
Spain
,
as
it
is
done
in
Northern
Africa
.
Diseases
Validation
Diseases presenting
"frequent monogenic disorder around the world"
symptom
alpha-thalassemia
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