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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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Submitted December 4, 2003
Accepted October 11, 2004

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*

Laboratory of Chromatin and Gene Expression, The Babraham Institute, Babraham Research Campus, Cambridge, UK
Laboratory of Chromatin and Gene Expression, The Babraham Institute, Babraham Research Campus, Cambridge, UK; Protein and Nucleic Acid Division, MRC Laboratory of Molecular Biology, Cambridge, UK
Thalassemia Unit, 1st Department of Pediatrics, Athens University 'Agia Sophia' Children's Hospital, Athens, Greece

* Corresponding author; email: peter.fraser{at}bbsrc.ac.uk.

The 7.2 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 HPFH versus {beta} thalassemia. 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 Corfu {delta}{beta} thalassemia patients. 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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