Teawtrakul Nattiya, Sirijirachai Chittima, Chansung Ganjana, Fucharoen Goonnapa
Hematology Division, Department of Internal Medicine, Srinagarind hospital, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
Hemoglobin. 2010 Jan;34(2):165-8. doi: 10.3109/03630261003680498.
Hb Tak is a rare cause of secondary erythrocytosis. It results from the insertion of two nucleotides (AC) at the termination codon between codon 146 and codon 147 of the beta-globin gene. This insertion causes a frameshift in the terminating codon 147 resulting in an elongated beta chain with an impaired formation of the T-state. We report a Thai family with a compound heterozygosity for Hb Tak [beta147 (+ AC)] and Hb E [beta26(B8)Glu-->Lys] which displayed an asymptomatic erythrocytosis.
Hb Tak是继发性红细胞增多症的罕见病因。它是由β-珠蛋白基因第146密码子和第147密码子之间的终止密码子插入两个核苷酸(AC)所致。这种插入导致终止密码子147发生移码,从而产生延长的β链,T态形成受损。我们报告了一个泰裔家庭,该家庭具有Hb Tak [β147(+AC)]和Hb E [β26(B8)Glu→Lys]的复合杂合性,表现为无症状性红细胞增多症。