Giordano Piero C, Zweegman Sonja, Akkermans Nicole, Arkesteijn Sandra G J, van Delft Peter, Versteegh Florens G A, Wajcman Henri, Harteveld Cornelis L
The Hemoglobinopathies Laboratory, Department of Human and Clinical Genetics, Leiden University Medical Center, Leiden, The Netherlands.
Hemoglobin. 2007;31(2):179-82. doi: 10.1080/03630260701289490.
Hb Groene Hart [alpha119(H2)Pro-->Ser, CCT-->TCT (alpha1)] has been reported in heterozygotes of Moroccan origin and also in association with the common -alpha(3.7) deletion. In all cases, the mutated protein was not detectable but was apparently associated with a mild alpha-thalassemia (thal) phenotype, presumably due to a modification of the alpha-globin chain domain that is recognized by the a hemoglobin stabilizing protein (AHSP). The present case of Hb Groene Hart homozygosity, confirms that the alpha-thal phenotype is associated with this alpha-globin chain. Hb Groene Hart must be quite frequent not only in Morocco but probably also among the northern African coastal population.
血红蛋白格罗内哈特[α119(H2)脯氨酸→丝氨酸,CCT→TCT(α1)]已在摩洛哥血统的杂合子中被报道,也与常见的-α(3.7)缺失相关。在所有病例中,突变蛋白无法检测到,但显然与轻度α地中海贫血(thal)表型相关,推测是由于α珠蛋白链结构域被血红蛋白稳定蛋白(AHSP)识别后发生了改变。本例血红蛋白格罗内哈特纯合子病例证实,α地中海贫血表型与这种α珠蛋白链相关。血红蛋白格罗内哈特不仅在摩洛哥可能相当常见,在北非沿海人群中可能也很常见。