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纯合子血红蛋白克诺索斯(α2β2 27(B9)丙氨酸→丝氨酸):一种与δ(0)地中海贫血相关的新型中间型β(+)地中海贫血。

Homozygous hemoglobin Knossos (alpha 2 beta 227(B9) Ala----Ser): a new variety of beta (+)-thalassemia intermedia associated with delta (0)-thalassemia.

作者信息

Baklouti F, Dorléac E, Morlé L, Laselve P, Peyramond D, Aubry M, Godet J, Delaunay J

出版信息

Blood. 1986 Apr;67(4):957-61.

PMID:3955238
Abstract

Hb Knossos (beta 27 (B9) Ala----Ser) is a recently discovered hemoglobin variant endowed with beta-thalassemic properties (1,2) We present the first homozygous cases. The propositus, a 19-year-old man is originally from northeast Algeria, but is unrelated to other Algerians who have hemoglobin Knossos. He has a beta(+)-thalassemia intermedia syndrome, including microcytic, hypochromic anemia, enlargement of the spleen, and an increase in the number of reticulocytes. The reduction of beta-chain synthesis is pronounced (alpha/non alpha:2.76). Whole cells containing Hb Knossos have a dramatically low oxygen affinity (P50:38 mm Hg). The propositus also has homozygous delta(0)-thalassemia. The chromosome carrying these mutations is characterized by the DNA haplotype I.

摘要

血红蛋白克诺索斯(β27(B9)丙氨酸→丝氨酸)是最近发现的一种具有β地中海贫血特性的血红蛋白变异体(1,2)。我们报道了首例纯合子病例。先证者是一名19岁男性,来自阿尔及利亚东北部,但与其他携带血红蛋白克诺索斯的阿尔及利亚人无亲缘关系。他患有β(+)-中间型地中海贫血综合征,包括小细胞低色素性贫血、脾脏肿大和网织红细胞数量增加。β链合成的减少很明显(α/非α:2.76)。含有血红蛋白克诺索斯的全细胞具有极低的氧亲和力(P50:38毫米汞柱)。先证者还患有纯合子δ(0)-地中海贫血。携带这些突变的染色体以DNA单倍型I为特征。

相似文献

1
Homozygous hemoglobin Knossos (alpha 2 beta 227(B9) Ala----Ser): a new variety of beta (+)-thalassemia intermedia associated with delta (0)-thalassemia.纯合子血红蛋白克诺索斯(α2β2 27(B9)丙氨酸→丝氨酸):一种与δ(0)地中海贫血相关的新型中间型β(+)地中海贫血。
Blood. 1986 Apr;67(4):957-61.
2
The association of hemoglobin Knossos and hemoglobin Lepore in an Algerian patient.一名阿尔及利亚患者中血红蛋白克诺索斯与血红蛋白 Lepore 的关联。
Hemoglobin. 1984;8(3):229-38. doi: 10.3109/03630268408996971.
3
Two new cases of heterozygosity for hemoglobin Knossos alpha 2 beta 2 27 Ala----Ser detected in the French West Indies and Algeria.在法属西印度群岛和阿尔及利亚发现了两例血红蛋白克诺索斯α2β2 27 Ala----Ser杂合子的新病例。
Hemoglobin. 1984;8(3):215-28. doi: 10.3109/03630268408996970.
4
Silent beta-thalassemia associated with Hb Knossos beta 27 (B9) Ala replaced by Ser in Algeria.在阿尔及利亚,沉默型β地中海贫血与血红蛋白克诺索斯β27(B9)丙氨酸被丝氨酸取代相关。
Hemoglobin. 1983;7(6):555-61. doi: 10.3109/03630268309027935.
5
Structural study of hemoglobin Knossos, beta 27 (B9) Ala leads to Ser. A new abnormal hemoglobin present as a silent beta-thalassemia.
FEBS Lett. 1982 Oct 18;147(2):247-50. doi: 10.1016/0014-5793(82)81052-1.
6
Hb Knossos (HBB: c.82G > T), β-globin CD 5 (-CT) (HBB: c.17_18delCT) and δ-globin CD 59 (-a) (HBD: c.179delA) mutations in a Syrian patient with β-thalassemia intermedia.一位叙利亚中间型β-地中海贫血患者存在 Hb Knossos(HBB:c.82G>T)、β-珠蛋白基因 CD5-CT(HBB:c.17_18delCT)和 δ-珠蛋白基因 CD59-a(HBD:c.179delA)突变。
BMC Pediatr. 2019 Feb 18;19(1):61. doi: 10.1186/s12887-019-1435-5.
7
Hemoglobin Knossos: a clinical, laboratory, and epidemiological study.
Am J Hematol. 1986 Feb;21(2):119-33. doi: 10.1002/ajh.2830210202.
8
Beta-thalassemia intermedia in two Turkish families is caused by the interaction of Hb Knossos [beta 27(B9)Ala----Ser] and of Hb City of Hope [beta 69(E13)Gly----ser] with beta (0)-thalassemia.
Hemoglobin. 1989;13(1):7-16. doi: 10.3109/03630268908998049.
9
Compound heterozygosity for hemoglobin Knossos [alpha 2 beta 2 27 (B9) Ala-Ser] and IVS I-1 mutation.
Turk J Pediatr. 1997 Apr-Jun;39(2):253-7.
10
Hemoglobin Dhonburi alpha 2 beta 2 126 (H4) Val----Gly: a new unstable beta variant producing a beta-thalassemia intermedia phenotype in association with beta zero-thalassemia.
Am J Hematol. 1990 Oct;35(2):96-9. doi: 10.1002/ajh.2830350206.

引用本文的文献

1
Hb Knossos: HBB:c.82G>T Associated with HBB:c.315+1G>A Beta Zero Mutation Causes Thalassemia Intermedia.血红蛋白克诺索斯:HBB基因c.82G>T突变与HBB基因c.315+1G>Aβ0突变相关,导致中间型地中海贫血。
Indian J Hematol Blood Transfus. 2014 Sep;30(Suppl 1):243-5. doi: 10.1007/s12288-014-0343-y. Epub 2014 Jan 31.