Abstract
The Lepore and anti-Lepore hemoglobins probably arose as a result of non-homologous crossing over of globin β and δ genes, with the formation of gene hybrids. Lepore (δβ) variants produce a thalassemia-like disorder, whereas individuals with anti-Lepore (βδ) hemoglobin typically are hematologically normal. Hb Lincoln Park is a (βδ) variant representing a crossover between β 22 and δ 50; in addition valine-137, in the δ segment, is deleted. This variant was found in a 3 year old boy, his mother, and an uncle. None of these individuals had anemia nor microcytosis, but their reticulocyte counts were elevated (3.6 - 4.9%). Globin synthesis by peripheral blood reticulocytes was studied by determination of L-leucine-14C incorporation in vitro. The rate of synthesis of the βδ chain was significantly less than that of the normal β chain and was similar to that of the δ chain. Labeled α globin was recovered in early-emerging DEAE-Sephadex fractions, suggesting the presence of significant quantities of free α-chains. The total α/non-α globin synthesis ratio was 1.4 to 1.5, indicating a substantial excess of a chain synthesis. These findings may account for the elevated reticulocyte counts, and suggest that globin synthesis is unbalanced in this condition in the absence of a hematologic picture of thalassemia.
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Honig, G., Tremaine, L., Mason, R. et al. 611 UNBALANCED GLOBIN SYNTHESIS IN ANTI-LEPORE HEMOGLOBIN Oil ERYTHROID CELLS. Pediatr Res 12 (Suppl 4), 465 (1978). https://doi.org/10.1203/00006450-197804001-00616
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DOI: https://doi.org/10.1203/00006450-197804001-00616