A second observation of the rare frameshift mutation in the β-globin gene: codon 46 (+A) (Hbb:c.138_139insA)

Hemoglobin. 2011;35(2):157-61. doi: 10.3109/03630269.2011.557460.

Abstract

The preparation of a prenatal diagnosis in a family of North-African origin in which a child received a bone marrow transplant for β-thalassemia major (β-TM), prompted us to make the molecular diagnosis in the parents and siblings. Molecular and phenotype assays were carried on blood samples from the parents and the proband's sister. The father, a 45-year-old man, was found to be heterozygous for a rare mutation in exon 2 [codon 46 (+A), HBB:c.138_139insA] creating a frameshift, while the mother and sister were found to be carriers of the common codon 39 (C>T) stop mutation (HBB:c.118C>T). Because of the bone marrow transplant, proband genotyping was done from a buccal swab and revealed that he is a compound heterozygote for both the codon 46 and codon 39 mutations. In the parents and sister, hematological parameters were those of a thalassemia minor in agreement with the two β(0) mutations found in the family.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Base Sequence
  • Child
  • Codon / genetics*
  • Family
  • Female
  • Frameshift Mutation / genetics*
  • Humans
  • Male
  • Middle Aged
  • Mutagenesis, Insertional / genetics*
  • Pedigree
  • Point Mutation / genetics
  • beta-Globins / genetics*
  • beta-Thalassemia / diagnosis
  • beta-Thalassemia / genetics

Substances

  • Codon
  • beta-Globins