Application of endonuclease mapping to the analysis and prenatal diagnosis of thalassemias caused by globin-gene deletion

N Engl J Med. 1978 Jul 27;299(4):166-72. doi: 10.1056/NEJM197807272990403.

Abstract

We applied a recently developed and more direct technic to diagnose thalassemia syndromes associated with deletion of particular globin structural genes and to assess a fetus at risk for one of those conditions, deltabeta-thalassemia. The method allows assessment of the globin genes present in total cellular DNA and is applicable to amniotic-fluid cell DNA. Cellular DNA fragments produced by cleavage using two specific restriction endonucleases are separated on the basis of size by agarose-gel electrophoresis, and the distribution of specific sequences among the DNA fragments determined by molecular hybridization. We observed the total deletion of alpha-globin genes in homozygous alpha-thalassemia (hydrops fetalis with hemoglobin Bart's) and the deletion of particular beta and beta-like sequences in cases homozygous for hereditary persistence of fetal hemoglobin and deltabeta-thalassemia. Analysis of amniotic-fluid cell DNA from a fetus at risk for deltabeta-thalassemia demonstrated the feasibility of these improved methods for antenatal diagnosis. The molecular studies confirmed the diagnosis predicted by analysis of fetal blood and established at birth.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Amniotic Fluid / analysis
  • Amniotic Fluid / cytology
  • Base Sequence
  • DNA
  • Endonucleases*
  • Female
  • Fetal Hemoglobin / analysis
  • Genes*
  • Globins / analysis
  • Globins / genetics*
  • Homozygote
  • Humans
  • Infant, Newborn
  • Mutation
  • Pregnancy
  • Prenatal Diagnosis*
  • Risk
  • Thalassemia / diagnosis*
  • Thalassemia / genetics

Substances

  • Globins
  • DNA
  • Fetal Hemoglobin
  • Endonucleases