Yıl: 2023 Cilt: 30 Sayı: 5 Sayfa Aralığı: 598 - 603 Metin Dili: İngilizce DOI: 10.5455/annalsmedres.2023.02.059 İndeks Tarihi: 06-06-2023

Fetal hemoglobin altering effects of KLF1, BCL11A rs11886868 and XmnI-HBG2 on transfusion dependent beta thalassemia patients: Preeliminary study

Öz:
Aim: High fetal hemoglobin value is one of the quantitative trait in beta thalassemia and may effect transfusion dependency status of beta thalassemia cases. There are populationbased differences about known genetic modifiers of different fetal hemoglobin values. We aimed to find if high fetal hemoglobin value are caused by XmnI-HBG2 polymorphism, rs11886868 of BCL11A or KLF1 whole gene mutations. Materials and Methods: Genotyping procedure of thirty well re-defined and characterized transfusion dependent beta thalassemia patients was conducted via either sanger sequencing or and PCR-RFLP. Statistical analysis of groups and multiple logistic regression analysis of related genotypes were performed. Results: We found strong correlations between transfusion dependency and fetal hemoglobin levels (p<0.05). IVS.I.110 (G>A) homozygous mutation was found to be predominant in HBB gene. Lower fetal hemoglobin levels were seen in IVS.I.110 (G>A) homozygous group (p<0.05). Total count of variations among the three modifier genes BCL11A polymorphism was leading first. We did not observe any statistically significant relationship in patients with beta thalassemia major patients who have high fetal hemoglobin values between three modifiers group (p>0.05). Conclusion: This is the first research report from Turkey in terms of 3 different modifiers were analyzed and evaluated. Since some cases have more than one variations in these three modifiers, involving higher sample size may overcome this challenge. Other genomic alterations rather than XmnI-HBG2, variations of BCL11A rs11886868 and mutation profile of KLF1 gene, which could decrease or abolish the effect of gamma globin repressors, may have more direct role with high fetal hemoglobin levels in patients with transfusion dependent beta thalassemia in Turkey.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Giardine B, van Baal S, Kaimakis P, Riemer C, Miller W, Samara M, et al. HbVar database of human hemoglobin variants and thalassemia mutations: 2007 update. Hum Mutat. 2007;28(2):206.
  • 2. Galanello R, Origa R. Beta-thalassemia. Orphanet J Rare Dis. 2010;5:11.
  • 3. Menzel S, Garner C, Gut I, Matsuda F, Yamaguchi M, Heath S, et al. A QTL influencing F cell production maps to a gene encoding a zinc-finger protein on chromosome 2p15. Nat Genet. 2007/09/04. 2007;39(10):1197–9.
  • 4. Uda M, Galanello R, Sanna S, Lettre G, Sankaran VG, Chen W, et al. Genome-wide association study shows BCL11A associated with persistent fetal hemoglobin and amelioration of the phenotype of beta-thalassemia. Proc Natl Acad Sci U S A. 2008/02/05. 2008;105(5):1620–5.
  • 5. Keyhani E, Jafari Vesiehsari M, Talebi Kakroodi S, Darabi E, Zamani F, Karimlou M, et al. The Impact of XmnI-HBG2, BCL11A and HBS1L-MYB Single Nucleotide Polymorphisms on Hb F Variation of Hematologically Normal Iranian Individuals. Hemoglobin. 2016/04/28. 2016;40(3):198–201.
  • 6. Nguyen TK, Joly P, Bardel C, Moulsma M, Bonello-Palot N, Francina A. The XmnI (G)gamma polymorphism influences hemoglobin F synthesis contrary to BCL11A and HBS1L-MYB SNPs in a cohort of 57 beta-thalassemia intermedia patients. Blood Cells Mol Dis. 2010/05/18. 2010;45(2):124–7.
  • 7. Dadheech S, Madhulatha D, Jainc S, Joseph J, Jyothy A, Munshi A. Association of BCL11A genetic variant (rs11886868) with severity in beta-thalassaemia major & sickle cell anaemia. Indian J Med Res. 2016/07/06. 2016;143(4):449–54.
  • 8. He Y, Chen P, Lin W, Luo J. Analysis of rs4671393 polymorphism in hemoglobin E/beta- thalassemia major in Guangxi Province of China. J Pediatr Hematol Oncol. 2012/01/20. 2012;34(4):323–4.
  • 9. Galanello R, Sanna S, Perseu L, Sollaino MC, Satta S, Lai ME, et al. Amelioration of Sardinian beta0 thalassemia by genetic modifiers. Blood. 2009/08/22. 2009;114(18):3935–7.
  • 10. Zhou D, Liu K, Sun CW, Pawlik KM, Townes TM. KLF1 regulates BCL11A expression and gamma- to beta-globin gene switching. Nat Genet. 2010/08/03. 2010;42(9):742–4.
  • 11. Borg J, Papadopoulos P, Georgitsi M, Gutierrez L, Grech G, Fanis P, et al. Haploinsufficiency for the erythroid transcription factor KLF1 causes hereditary persistence of fetal hemoglobin. Nat Genet. 2010/08/03. 2010;42(9):801–5.
  • 12. Gallienne AE, Dreau HM, Schuh A, Old JM, Henderson S. Ten novel mutations in the erythroid transcription factor KLF1 gene associated with increased fetal hemoglobin levels in adults. Haematologica. 2011/11/22. 2012;97(3):340–3.
  • 13. Perkins A, Xu X, Higgs DR, Patrinos GP, Arnaud L, Bieker JJ, et al. Kruppeling erythropoiesis: an unexpected broad spectrum of human red blood cell disorders due to KLF1 variants. Blood. 2016/02/24. 2016;127(15):1856–62.
  • 14. Perseu L, Satta S, Moi P, Demartis FR, Manunza L, Sollaino MC, et al. KLF1 gene mutations cause borderline HbA(2). Blood. 2011/08/09. 2011;118(16):4454–8.
  • 15. Tepakhan W, Yamsri S, Sanchaisuriya K, Fucharoen G, Xu X, Fucharoen S. Nine known and five novel mutations in the erythroid transcription factor KLF1 gene and phenotypic expression of fetal hemoglobin in hemoglobin E disorder. Blood Cells Mol Dis. 2016/06/11. 2016;59:85– 91.
  • 16. Keser I, Manguoglu E, Kayisli O, Yesilipek A, Luleci G. Combination of Hb Knossos [Cod 27 (G-T)] and IVSII-745 (C-G) in a Turkish patient with beta-thalassemia major. Genet Test. 2007/10/24. 2007;11(3):228–30.
  • 17. Altay C, Gurgey A. Beta-thalassemia intermedia in Turkey. Ann N Y Acad Sci. 1990/01/01. 1990;612:81–9.
  • 18. Kutlar A, Kutlar F, Aksoy M, Gurgey A, Altay C, Wilson JB, et al. Beta-thalassemia intermedia in two Turkish families is caused by the interaction of Hb Knossos [beta 27(B9)Ala----Ser] and of Hb City of Hope [beta 69(E13)Gly ser] with beta (0)- thalassemia. Hemoglobin. 1989/01/01. 1989;13(1):7–16.
  • 19. Sahli CA, Bibi A, Ouali F, Siala H, Fredj SH, Othmani R, et al. delta0-Thalassemia in cis of betaKnossos globin gene: first homozygous description in thalassemia intermedia Libyans and first combination with codon 39 (C-->T) in thalassemia intermedia Tunisian patients. Clin Chem Lab Med. 2012/10/24. 2012;50(10):1743–8.
  • 20. Hanif TB, Ahmed S, Anwar J, Kazmi SK. XmnI POLYMORPHISM AND DISEASE SEVERITY IN PATIENTS WITH BETA THALASSEMIA FROM NORTHERN PAKISTAN. J Ayub Med Coll Abbottabad. 2015/07/18. 2015;27(1):13–6.
  • 21. Nadkarni A, Gorakshakar AC, Lu CY, Krishnamoorthy R, Ghosh K, Colah R, et al. Molecular pathogenesis and clinical variability of beta-thalassemia syndromes among Indians. Am J Hematol. 2001/09/18. 2001;68(2):75–80.
  • 22. Bhaskar V. K. S. Lakkakula SP. The HBG2 rs7482144 (C > T) Polymorphism is Linked to HbF Levels but not to the Severity of Sickle Cell Anemia. J Pediatr Genet. 2021;
  • 23. Radmilovic M, Zukic B, Petrovic MS, Bartsakoulia M, Stankovic B, Kotur N, et al. Functional analysis of a novel KLF1 gene promoter variation associated with hereditary persistence of fetal hemoglobin. Ann Hematol. 2013 Jan 18;92(1):53–8.
  • 24. Aydin M, Rencuzogullari E, Bayram S, Sevgiler Y, Genc A. Alterations on high HbF levels may be associated with KLF1 gene mutations. Cell Mol Biol. 2017 Aug 30;63(8):51.
APA arikan y, Oğuz Yolcular B, Kurtoglu E, Keser I (2023). Fetal hemoglobin altering effects of KLF1, BCL11A rs11886868 and XmnI-HBG2 on transfusion dependent beta thalassemia patients: Preeliminary study. , 598 - 603. 10.5455/annalsmedres.2023.02.059
Chicago arikan yunus,Oğuz Yolcular Başak,Kurtoglu Erdal,Keser Ibrahim Fetal hemoglobin altering effects of KLF1, BCL11A rs11886868 and XmnI-HBG2 on transfusion dependent beta thalassemia patients: Preeliminary study. (2023): 598 - 603. 10.5455/annalsmedres.2023.02.059
MLA arikan yunus,Oğuz Yolcular Başak,Kurtoglu Erdal,Keser Ibrahim Fetal hemoglobin altering effects of KLF1, BCL11A rs11886868 and XmnI-HBG2 on transfusion dependent beta thalassemia patients: Preeliminary study. , 2023, ss.598 - 603. 10.5455/annalsmedres.2023.02.059
AMA arikan y,Oğuz Yolcular B,Kurtoglu E,Keser I Fetal hemoglobin altering effects of KLF1, BCL11A rs11886868 and XmnI-HBG2 on transfusion dependent beta thalassemia patients: Preeliminary study. . 2023; 598 - 603. 10.5455/annalsmedres.2023.02.059
Vancouver arikan y,Oğuz Yolcular B,Kurtoglu E,Keser I Fetal hemoglobin altering effects of KLF1, BCL11A rs11886868 and XmnI-HBG2 on transfusion dependent beta thalassemia patients: Preeliminary study. . 2023; 598 - 603. 10.5455/annalsmedres.2023.02.059
IEEE arikan y,Oğuz Yolcular B,Kurtoglu E,Keser I "Fetal hemoglobin altering effects of KLF1, BCL11A rs11886868 and XmnI-HBG2 on transfusion dependent beta thalassemia patients: Preeliminary study." , ss.598 - 603, 2023. 10.5455/annalsmedres.2023.02.059
ISNAD arikan, yunus vd. "Fetal hemoglobin altering effects of KLF1, BCL11A rs11886868 and XmnI-HBG2 on transfusion dependent beta thalassemia patients: Preeliminary study". (2023), 598-603. https://doi.org/10.5455/annalsmedres.2023.02.059
APA arikan y, Oğuz Yolcular B, Kurtoglu E, Keser I (2023). Fetal hemoglobin altering effects of KLF1, BCL11A rs11886868 and XmnI-HBG2 on transfusion dependent beta thalassemia patients: Preeliminary study. Annals of Medical Research, 30(5), 598 - 603. 10.5455/annalsmedres.2023.02.059
Chicago arikan yunus,Oğuz Yolcular Başak,Kurtoglu Erdal,Keser Ibrahim Fetal hemoglobin altering effects of KLF1, BCL11A rs11886868 and XmnI-HBG2 on transfusion dependent beta thalassemia patients: Preeliminary study. Annals of Medical Research 30, no.5 (2023): 598 - 603. 10.5455/annalsmedres.2023.02.059
MLA arikan yunus,Oğuz Yolcular Başak,Kurtoglu Erdal,Keser Ibrahim Fetal hemoglobin altering effects of KLF1, BCL11A rs11886868 and XmnI-HBG2 on transfusion dependent beta thalassemia patients: Preeliminary study. Annals of Medical Research, vol.30, no.5, 2023, ss.598 - 603. 10.5455/annalsmedres.2023.02.059
AMA arikan y,Oğuz Yolcular B,Kurtoglu E,Keser I Fetal hemoglobin altering effects of KLF1, BCL11A rs11886868 and XmnI-HBG2 on transfusion dependent beta thalassemia patients: Preeliminary study. Annals of Medical Research. 2023; 30(5): 598 - 603. 10.5455/annalsmedres.2023.02.059
Vancouver arikan y,Oğuz Yolcular B,Kurtoglu E,Keser I Fetal hemoglobin altering effects of KLF1, BCL11A rs11886868 and XmnI-HBG2 on transfusion dependent beta thalassemia patients: Preeliminary study. Annals of Medical Research. 2023; 30(5): 598 - 603. 10.5455/annalsmedres.2023.02.059
IEEE arikan y,Oğuz Yolcular B,Kurtoglu E,Keser I "Fetal hemoglobin altering effects of KLF1, BCL11A rs11886868 and XmnI-HBG2 on transfusion dependent beta thalassemia patients: Preeliminary study." Annals of Medical Research, 30, ss.598 - 603, 2023. 10.5455/annalsmedres.2023.02.059
ISNAD arikan, yunus vd. "Fetal hemoglobin altering effects of KLF1, BCL11A rs11886868 and XmnI-HBG2 on transfusion dependent beta thalassemia patients: Preeliminary study". Annals of Medical Research 30/5 (2023), 598-603. https://doi.org/10.5455/annalsmedres.2023.02.059