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Blood, 1 March 2005, Vol. 105, No. 5, pp. 2154-2160.
Prepublished online as a Blood First Edition Paper on November 9, 2004; DOI 10.1182/blood-2003-11-4069.


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RED CELLS

The Corfu {delta}{beta} thalassemia deletion disrupts {gamma}-globin gene silencing and reveals post-transcriptional regulation of HbF expression

Lyubomira Chakalova, Cameron S. Osborne, Yan-Feng Dai, Beatriz Goyenechea, Anna Metaxotou-Mavromati, Antonios Kattamis, Christos Kattamis, and Peter Fraser

From the Laboratory of Chromatin and Gene Expression, The Babraham Institute, Babraham Research Campus, Cambridge, United Kingdom; and the Thalassemia Unit, 1st Department of Pediatrics, Athens University "Agia Sophia" Children's Hospital, Athens, Greece.

The 7.2 kilobase (kb) Corfu {delta}{beta} thalassemia mutation is the smallest known deletion encompassing a region upstream of the human {delta} gene that has been suggested to account for the vastly different phenotypes in hereditary persistence of fetal hemoglobin (HPFH) versus {beta} thalassemia. Fetal hemoglobin (HbF) expression in Corfu heterozygotes and homozygotes is paradoxically dissimilar, suggesting conflicting theories as to the function of the region on globin gene regulation. Here, we measure {gamma}- and {beta}-globin gene transcription, steady-state mRNA, and hemoglobin expression levels in primary erythroid cells cultured from several patients with Corfu {delta}{beta} thalassemia. We show through RNA fluorescence in situ hybridization that the Corfu deletion results in high-level transcription of the fetal {gamma} genes in cis with a concomitant reduction in transcription of the downstream {beta} gene. Surprisingly, we find that elevated {gamma} gene transcription does not always result in a corresponding accumulation of {gamma} mRNA or fetal hemoglobin, indicating a post-transcriptional regulation of {gamma} gene expression. The data suggest that efficient {gamma} mRNA accumulation and HbF expression are blocked until {beta} mRNA levels fall below a critical threshold. These results explain the Corfu paradox and show that the deleted region harbors a critical element that functions in the developmentally regulated transcription of the {beta}-globin genes.


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