Table 2.

Comparison of hemoglobin F production in different forms of β thalassemia intermedia


Genotype

Hb, g/dL

Gγ Xmn-1

Hb F, %

α/β + γ synthesis

References
β Thal heterozygote      
   αα/αα   11-14   NA   1-4   1.8-2.2   Weatherall and Clegg11  
   ααα/αα       
      Present study   7.4   +/–   1.1, 1.9   NA   P  
      Other studies   6.5-12.7 (9.9)   NA   0.9-13.6 (4.6)   1.4-3.3 (2.6)   Traeger-Synodinos et al, Bianco et al, Camaschella et al 
   ααα/ααα       
      Present study   6.8   –/–   2.0   2.7   P  
      Other studies   7.1-12.1 (9.1)   NA   0.4-10 (3.8)   2.5-3.9 (3.1)   Galanello et al, Traeger-Synodinos et al, Bianco et al, Ho et al 
   αααα/αα       
      Present study   7.6, 10.8   –/–   1.1, 1.3   NA   P  
      Other studies   7.5-10.6 (8.2)   NA   1.4-5.1 (3.0)   2.9   Thompson et al, Beris et al, Gu et al10  
   αααα/αααα   6.7   –/–   4.6   3.2   P  
Hb E β thal      
   αα/αα   3.8-7.2 (5.1)   –/–   8-38 (20.1)   3.1   P  
   αα/αα       
      Present study   5.6-8.4 (6.9)   +/+   31-49 (40.2)   2.0   P  
      Other studies   4.6-10.5 (7.6)   NA   8-60 (40.1)   1.4-3.3 (2.4)   Rees and colleagues15,16  
   ααα/αα   4.5   –/–   15   NA   P  
   ααα/αα   5.6   +/+   42   NA   P  
Mild β thal intermedia      
   β-88C→T/β-88 C→T   9.8-12.3  *  4 0-72   NA   Weatherall and Clegg11 , Huisman et al17  
   β-87 C→G/β-87 C→G   9.4   NA   65   NA   Weatherall and Clegg11 , Huisman et al17  
   β-31 A→G/β-31 A→G   7.2   NA   14   2.9   Weatherall and Clegg11 , Huisman et al17  
   β-30 T→A/β-30 T→A   10   NA   12-14   NA   Weatherall and Clegg11 , Huisman et al17  
   β-29 A→G/β-29 A→G   10-12  *  25-67   NA   Weatherall and Clegg11 , Huisman et al17  
   β cod19A→G/βcod19A→G   8.5-9   NA   10-25   NA   Weatherall and Clegg11 , Huisman et al17  
   βIVS1-6T→C/βIVS1-6T→C   5-9.9 (7.6)  *  2.4-45 (11.5)   NA   Huisman et al17  
   β° or β+ thal/β-110C→T
 
7.4-12.2 (9.7)
 
NA
 
4.2-46 (21.7)
 
1.6-2.8 (2.1)
 
Bianco et al
 

Genotype

Hb, g/dL

Gγ Xmn-1

Hb F, %

α/β + γ synthesis

References
β Thal heterozygote      
   αα/αα   11-14   NA   1-4   1.8-2.2   Weatherall and Clegg11  
   ααα/αα       
      Present study   7.4   +/–   1.1, 1.9   NA   P  
      Other studies   6.5-12.7 (9.9)   NA   0.9-13.6 (4.6)   1.4-3.3 (2.6)   Traeger-Synodinos et al, Bianco et al, Camaschella et al 
   ααα/ααα       
      Present study   6.8   –/–   2.0   2.7   P  
      Other studies   7.1-12.1 (9.1)   NA   0.4-10 (3.8)   2.5-3.9 (3.1)   Galanello et al, Traeger-Synodinos et al, Bianco et al, Ho et al 
   αααα/αα       
      Present study   7.6, 10.8   –/–   1.1, 1.3   NA   P  
      Other studies   7.5-10.6 (8.2)   NA   1.4-5.1 (3.0)   2.9   Thompson et al, Beris et al, Gu et al10  
   αααα/αααα   6.7   –/–   4.6   3.2   P  
Hb E β thal      
   αα/αα   3.8-7.2 (5.1)   –/–   8-38 (20.1)   3.1   P  
   αα/αα       
      Present study   5.6-8.4 (6.9)   +/+   31-49 (40.2)   2.0   P  
      Other studies   4.6-10.5 (7.6)   NA   8-60 (40.1)   1.4-3.3 (2.4)   Rees and colleagues15,16  
   ααα/αα   4.5   –/–   15   NA   P  
   ααα/αα   5.6   +/+   42   NA   P  
Mild β thal intermedia      
   β-88C→T/β-88 C→T   9.8-12.3  *  4 0-72   NA   Weatherall and Clegg11 , Huisman et al17  
   β-87 C→G/β-87 C→G   9.4   NA   65   NA   Weatherall and Clegg11 , Huisman et al17  
   β-31 A→G/β-31 A→G   7.2   NA   14   2.9   Weatherall and Clegg11 , Huisman et al17  
   β-30 T→A/β-30 T→A   10   NA   12-14   NA   Weatherall and Clegg11 , Huisman et al17  
   β-29 A→G/β-29 A→G   10-12  *  25-67   NA   Weatherall and Clegg11 , Huisman et al17  
   β cod19A→G/βcod19A→G   8.5-9   NA   10-25   NA   Weatherall and Clegg11 , Huisman et al17  
   βIVS1-6T→C/βIVS1-6T→C   5-9.9 (7.6)  *  2.4-45 (11.5)   NA   Huisman et al17  
   β° or β+ thal/β-110C→T
 
7.4-12.2 (9.7)
 
NA
 
4.2-46 (21.7)
 
1.6-2.8 (2.1)
 
Bianco et al
 

Weatherall and Clegg11  and Huisman et al17  provide references for many of the original descriptions of these conditions and further data on Hb F production in β thalassemia intermedia. Figures in parentheses show mean values for genotypes for which there are sufficient published data. Numbers of patients studied are shown in text.

P indicates present study; NA, not applicable.

*

These mutations occur on several different β globin gene haplotypes. β-88C→T and β-29A→G are found most commonly with Gγ-158 C(+)

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