PMID- 23425204 OWN - NLM STAT- MEDLINE DCOM- 20130904 LR - 20130308 IS - 1532-432X (Electronic) IS - 0363-0269 (Linking) VI - 37 IP - 2 DP - 2013 TI - Association in cis of the mutations +20 (C>T) in the 5' untranslated region and IVS-II-745 (C>G) on the beta-globin gene. PG - 112-8 LID - 10.3109/03630269.2013.766620 [doi] AB - In the 5' untranslated region (5'UTR), which is transcribed but not translated and is involved in posttranscriptional regulation of the gene promoting and stabilizing the mRNA translation, several mutations associated with mild beta-thalassemia (beta-thal) have been described. One of these, the +20 (C>T) mutation, is described in the HbVar database as a mutation responsible for beta(+)-thal. In heterozygote cases, it gives rise to a phenotype of beta-thal minor and beta-thal intermediate (beta-TI) when the mutation is associated with beta(+) IVS-II-745 (C>G). To clarify if this mutation is responsible for beta(+)-thal, we studied nine cases where we found an association of the +20 and IVS-II-745 mutations. All patients were carriers of four alpha genes. Three patients carried beta-thal major (beta-TM), two were compound heterozygotes for IVS-II-745 and codon 8 (-AA) or codon 39 (C>T), and the third was homozygous for IVS-II-745; all had the +20 mutation in the 5'UTR. The remaining patients showed the mutation IVS-II-745 associated with a replacement of C>T at nucleotide (nt) +20 of the 5'UTR. Contrary to reports in the HbVar database, the +20 mutation should be considered as an innocuous single nt polymorphism associated with the IVS-II-745 mutation in cis. FAU - Ropero, Paloma AU - Ropero P AD - Servicio de Hematologia, Hospital Clinico San Carlos de Madrid, Madrid, Spain. propero.hcsc@salud.madrid.org FAU - Gonzalez, Fernando A AU - Gonzalez FA FAU - Cela, Elena AU - Cela E FAU - Belendez, Cristina AU - Belendez C FAU - Cervera, Aurea AU - Cervera A FAU - Martinez-Nieto, Jorge AU - Martinez-Nieto J FAU - de la Fuente-Gonzalo, Felix AU - de la Fuente-Gonzalo F FAU - Vinuesa, Lara AU - Vinuesa L FAU - Villegas, Ana AU - Villegas A FAU - Diaz-Mediavilla, Joaquin AU - Diaz-Mediavilla J LA - eng PT - Journal Article DEP - 20130221 PL - England TA - Hemoglobin JT - Hemoglobin JID - 7705865 RN - 0 (5' Untranslated Regions) RN - 0 (beta-Globins) SB - IM MH - 5' Untranslated Regions/*genetics MH - Adult MH - Child, Preschool MH - DNA Mutational Analysis MH - Family Health MH - Female MH - Humans MH - Introns/*genetics MH - Male MH - Middle Aged MH - Pedigree MH - *Point Mutation MH - Polymorphism, Single Nucleotide MH - Young Adult MH - beta-Globins/*genetics MH - beta-Thalassemia/diagnosis/*genetics EDAT- 2013/02/22 06:00 MHDA- 2013/09/05 06:00 CRDT- 2013/02/22 06:00 PHST- 2013/02/22 06:00 [entrez] PHST- 2013/02/22 06:00 [pubmed] PHST- 2013/09/05 06:00 [medline] AID - 10.3109/03630269.2013.766620 [doi] PST - ppublish SO - Hemoglobin. 2013;37(2):112-8. doi: 10.3109/03630269.2013.766620. Epub 2013 Feb 21.