Coinheritance of the c.-19 G > C and c.315 + 1 G > A Variants in the β-Globin Gene Leads to Thalassemia Disease: A Report from the North of Iran

Up to now, more than 300 pathogenic variants have been identified in the β-globin gene, some of which are categorized as silent mutations that do not change the hematological indices. In the present study, our aim is to introduce the first report of a case with thalassemia intermedia with coinherita...

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Main Authors: Hossein Jalali, Mahan Mahdavi, Mohammad Eslamijouybari, Mohammad Reza Mahdavi
Format: Article
Language:English
Published: Wiley 2023-01-01
Series:Case Reports in Genetics
Online Access:http://dx.doi.org/10.1155/2023/9950421
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author Hossein Jalali
Mahan Mahdavi
Mohammad Eslamijouybari
Mohammad Reza Mahdavi
author_facet Hossein Jalali
Mahan Mahdavi
Mohammad Eslamijouybari
Mohammad Reza Mahdavi
author_sort Hossein Jalali
collection DOAJ
description Up to now, more than 300 pathogenic variants have been identified in the β-globin gene, some of which are categorized as silent mutations that do not change the hematological indices. In the present study, our aim is to introduce the first report of a case with thalassemia intermedia with coinheritance of the c.315 + 1 G > A pathogenic variant and a silent variant (HBB: c.-19 G > C) that was missed during the screening program. Multiplex-Gap-PCR and Sanger sequencing methods were applied to identify α- and β-globin gene mutations in a 26-year-old male subject with diagnosis of thalassemia. The identified mutations were also checked on the parent’s sample. The CBC and capillary electrophoresis tests were performed on the parent’s blood samples. The case was compound heterozygote for the c.315 + 1 G > A and c.-19 G > C (rs1239893012) variants. The subject’s mother carried the c.-19 G > C variant in the β-globin gene while her CBC and electrophoresis test results showed a normal pattern. Silent mutations are susceptible to being missed during premarital screening of β-thalassemia carriers, and the c.-19 G > C variant is recommended to be classified as a pathogenic variant in the β-globin gene.
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spelling doaj-art-34444c7b18ca40199f658d1a87a77dbc2025-02-03T06:47:40ZengWileyCase Reports in Genetics2090-65522023-01-01202310.1155/2023/9950421Coinheritance of the c.-19 G > C and c.315 + 1 G > A Variants in the β-Globin Gene Leads to Thalassemia Disease: A Report from the North of IranHossein Jalali0Mahan Mahdavi1Mohammad Eslamijouybari2Mohammad Reza Mahdavi3Thalassemia Research CenterSinaye Mehr Research CenterGastrointestinal Cancer Research CenterThalassemia Research CenterUp to now, more than 300 pathogenic variants have been identified in the β-globin gene, some of which are categorized as silent mutations that do not change the hematological indices. In the present study, our aim is to introduce the first report of a case with thalassemia intermedia with coinheritance of the c.315 + 1 G > A pathogenic variant and a silent variant (HBB: c.-19 G > C) that was missed during the screening program. Multiplex-Gap-PCR and Sanger sequencing methods were applied to identify α- and β-globin gene mutations in a 26-year-old male subject with diagnosis of thalassemia. The identified mutations were also checked on the parent’s sample. The CBC and capillary electrophoresis tests were performed on the parent’s blood samples. The case was compound heterozygote for the c.315 + 1 G > A and c.-19 G > C (rs1239893012) variants. The subject’s mother carried the c.-19 G > C variant in the β-globin gene while her CBC and electrophoresis test results showed a normal pattern. Silent mutations are susceptible to being missed during premarital screening of β-thalassemia carriers, and the c.-19 G > C variant is recommended to be classified as a pathogenic variant in the β-globin gene.http://dx.doi.org/10.1155/2023/9950421
spellingShingle Hossein Jalali
Mahan Mahdavi
Mohammad Eslamijouybari
Mohammad Reza Mahdavi
Coinheritance of the c.-19 G > C and c.315 + 1 G > A Variants in the β-Globin Gene Leads to Thalassemia Disease: A Report from the North of Iran
Case Reports in Genetics
title Coinheritance of the c.-19 G > C and c.315 + 1 G > A Variants in the β-Globin Gene Leads to Thalassemia Disease: A Report from the North of Iran
title_full Coinheritance of the c.-19 G > C and c.315 + 1 G > A Variants in the β-Globin Gene Leads to Thalassemia Disease: A Report from the North of Iran
title_fullStr Coinheritance of the c.-19 G > C and c.315 + 1 G > A Variants in the β-Globin Gene Leads to Thalassemia Disease: A Report from the North of Iran
title_full_unstemmed Coinheritance of the c.-19 G > C and c.315 + 1 G > A Variants in the β-Globin Gene Leads to Thalassemia Disease: A Report from the North of Iran
title_short Coinheritance of the c.-19 G > C and c.315 + 1 G > A Variants in the β-Globin Gene Leads to Thalassemia Disease: A Report from the North of Iran
title_sort coinheritance of the c 19 g c and c 315 1 g a variants in the β globin gene leads to thalassemia disease a report from the north of iran
url http://dx.doi.org/10.1155/2023/9950421
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