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A hemoglobin variant associated with neonatal cyanosis and anemia.


ABSTRACT: Globin-gene mutations are a rare but important cause of cyanosis. We identified a missense mutation in the fetal G?-globin gene (HBG2) in a father and daughter with transient neonatal cyanosis and anemia. This new mutation modifies the ligand-binding pocket of fetal hemoglobin by means of two mechanisms. First, the relatively large side chain of methionine decreases both the affinity of oxygen for binding to the mutant hemoglobin subunit and the rate at which it does so. Second, the mutant methionine is converted to aspartic acid post-translationally, probably through oxidative mechanisms. The presence of this polar amino acid in the heme pocket is predicted to enhance hemoglobin denaturation, causing anemia.

SUBMITTER: Crowley MA 

PROVIDER: S-EPMC3632254 | biostudies-literature | 2011 May

REPOSITORIES: biostudies-literature

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A hemoglobin variant associated with neonatal cyanosis and anemia.

Crowley Moira A MA   Mollan Todd L TL   Abdulmalik Osheisa Y OY   Butler Andrew D AD   Goodwin Emily F EF   Sarkar Arindam A   Stolle Catherine A CA   Gow Andrew J AJ   Olson John S JS   Weiss Mitchell J MJ  

The New England journal of medicine 20110501 19


Globin-gene mutations are a rare but important cause of cyanosis. We identified a missense mutation in the fetal Gγ-globin gene (HBG2) in a father and daughter with transient neonatal cyanosis and anemia. This new mutation modifies the ligand-binding pocket of fetal hemoglobin by means of two mechanisms. First, the relatively large side chain of methionine decreases both the affinity of oxygen for binding to the mutant hemoglobin subunit and the rate at which it does so. Second, the mutant methi  ...[more]

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