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Journal of Tropical Pediatrics 1993 39(4):209-213; doi:10.1093/tropej/39.4.209
© 1993 by Oxford University Press
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On the Molecular Interactions Between {alpha}-thalassaemia and Sickle Cell Gene

M. A. F. El-Hazmi, BSc (Hons), MB, BChir, PhD (Cantab), MRCPath*, and A. S. Warsy, MSc, PhD, FACB**

*Medical Biochemistry Department, College of Medicine, King Saud University Riyadh, Saudi Arabia
**Department of Biochemistry, Centre for Scientific and Medical Studies for Girls, King Saud University Riyadh, Saudi Arabia

Correspondence: Professor Dr M. A. F. El-Hazmi, Medical Biochemistry Department and WHO Collaborating Centre, College of Medicine and King Khalid Hospital, PO Box 2925, Riyadh 11461, Saudi Arabia

Using the restriction endonucleases, Bam HI, Bgl II, Hind III and EcoRI, the {alpha}-gene arrangements were investigated in heterozygotes and homozygotes for the sickle cell haemoglobin (Hb S). In the heterozygotes (Hb AS) group the Hb S level showed a trimodal distribution due to presence of the normal {alpha}-globin genes ({alpha}{alpha}/{alpha}{alpha}) or of one (– {alpha}/{alpha}{alpha}) or two (– {alpha}/–{alpha}) {alpha}-genes deletions. The haematological analytes inversely correlated with the associated {alpha}-thalassaemia ({alpha}-thal.) genes. In the Hb S homozygotes (Hb SS), associated {alpha}-thalassaemia was found to ameliorate the clinical manifestations and improved the haematological values.

Co-existing triple {alpha}-gene arrangement, {alpha}{alpha}{alpha}anti 3.7/, with Hb AS did not influence the haematological analytes. In Hb SS, presence of {alpha}{alpha}{alpha}anti 3.7/, resulted in a severe sickle cell anaemia (SCA) with a high severity index (>11) and with frequent crises, transfusion requirements and hospitalizations. It is suggested that reduced level of {alpha}-chain ameliorates SCA while excess of {alpha}-globin chain production gives rise to a severe form of SCA.


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