PMID- 36210651 OWN - NLM STAT- MEDLINE DCOM- 20221102 LR - 20221102 IS - 1532-432X (Electronic) IS - 0363-0269 (Linking) VI - 46 IP - 4 DP - 2022 Jul TI - A Novel 5 kb Deletion in the beta-Globin Gene Cluster Identified in a Chinese Patient. PG - 245-248 LID - 10.1080/03630269.2022.2118604 [doi] AB - beta-Thalassemia (beta-thal), a highly prevalent disease in tropical and subtropical regions of Southern China, is caused mainly by point mutations in the beta-globin gene cluster. However, large deletions have also been found to contribute to some types of beta-thal. We identified a novel 5 kb deletion in the beta-globin cluster in a Chinese patient using multiplex ligation-dependent probe amplification (MLPA), and characterized it with single molecule real-time (SMRT) sequencing, gap-polymerase chain reaction (gap-PCR) and Sanger sequencing. The deletion was located between positions 5226189 and 5231091 on chromosome 11 (GRCh38), extending from 4 kb upstream of the 5' untranslated region (5'UTR) to the second intron of the beta-globin gene. The patient with this deletion presented with microcytosis and hypochromic red cells, as well as relatively high Hb F and Hb A(2) levels. Our research indicated that SMRT sequencing is a useful tool for accurate detection of large deletions. Our study broadens the spectrum of deletional beta-thalassemias and provides a perspective for further study of the function of the beta-globin cluster. FAU - Bao, Xiu-Qin AU - Bao XQ AD - Medical Genetic Center, Guangdong Women and Children Hospital, Guangzhou, Guangdong Province, People's Republic of China. AD - Maternal and Children Metabolic-Genetic Key Laboratory, Guangdong Women and Children Hospital, Guangzhou, Guangdong Province, People's Republic of China. AD - Thalassemia Diagnosis Center, Guangdong Women and Children Hospital, Guangzhou, Guangdong Province, People's Republic of China. FAU - Wang, Ji-Cheng AU - Wang JC AD - Medical Genetic Center, Guangdong Women and Children Hospital, Guangzhou, Guangdong Province, People's Republic of China. AD - Maternal and Children Metabolic-Genetic Key Laboratory, Guangdong Women and Children Hospital, Guangzhou, Guangdong Province, People's Republic of China. AD - Thalassemia Diagnosis Center, Guangdong Women and Children Hospital, Guangzhou, Guangdong Province, People's Republic of China. FAU - Qin, Dan-Qing AU - Qin DQ AD - Medical Genetic Center, Guangdong Women and Children Hospital, Guangzhou, Guangdong Province, People's Republic of China. AD - Maternal and Children Metabolic-Genetic Key Laboratory, Guangdong Women and Children Hospital, Guangzhou, Guangdong Province, People's Republic of China. AD - Thalassemia Diagnosis Center, Guangdong Women and Children Hospital, Guangzhou, Guangdong Province, People's Republic of China. FAU - Yao, Cui-Ze AU - Yao CZ AD - Medical Genetic Center, Guangdong Women and Children Hospital, Guangzhou, Guangdong Province, People's Republic of China. AD - Maternal and Children Metabolic-Genetic Key Laboratory, Guangdong Women and Children Hospital, Guangzhou, Guangdong Province, People's Republic of China. AD - Thalassemia Diagnosis Center, Guangdong Women and Children Hospital, Guangzhou, Guangdong Province, People's Republic of China. FAU - Liang, Jie AU - Liang J AD - Medical Genetic Center, Guangdong Women and Children Hospital, Guangzhou, Guangdong Province, People's Republic of China. AD - Maternal and Children Metabolic-Genetic Key Laboratory, Guangdong Women and Children Hospital, Guangzhou, Guangdong Province, People's Republic of China. AD - Thalassemia Diagnosis Center, Guangdong Women and Children Hospital, Guangzhou, Guangdong Province, People's Republic of China. FAU - Du, Li AU - Du L AD - Medical Genetic Center, Guangdong Women and Children Hospital, Guangzhou, Guangdong Province, People's Republic of China. AD - Maternal and Children Metabolic-Genetic Key Laboratory, Guangdong Women and Children Hospital, Guangzhou, Guangdong Province, People's Republic of China. AD - Thalassemia Diagnosis Center, Guangdong Women and Children Hospital, Guangzhou, Guangdong Province, People's Republic of China. LA - eng PT - Case Reports PT - Journal Article DEP - 20221009 PL - England TA - Hemoglobin JT - Hemoglobin JID - 7705865 RN - 0 (beta-Globins) SB - IM MH - Humans MH - *beta-Globins/genetics MH - *beta-Thalassemia/diagnosis/genetics MH - Gene Deletion MH - Multigene Family MH - Multiplex Polymerase Chain Reaction MH - Sequence Deletion OTO - NOTNLM OT - 5 kb novel deletion OT - elevated Hb F OT - single molecule real time (SMRT) sequencing OT - beta-Globin gene cluster EDAT- 2022/10/11 06:00 MHDA- 2022/11/01 06:00 CRDT- 2022/10/10 02:52 PHST- 2022/10/11 06:00 [pubmed] PHST- 2022/11/01 06:00 [medline] PHST- 2022/10/10 02:52 [entrez] AID - 10.1080/03630269.2022.2118604 [doi] PST - ppublish SO - Hemoglobin. 2022 Jul;46(4):245-248. doi: 10.1080/03630269.2022.2118604. Epub 2022 Oct 9.