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Loss of Major DNase I Hypersensitive Sites in Duplicated β-globin Gene Cluster Incompletely Silences HBB Gene Expression

NS. Reading, C. Shooter, J. Song, R. Miller, A. Agarwal, L. Lanikova, B. Clark, SL. Thein, V. Divoky, JT. Prchal,

. 2016 ; 37 (11) : 1153-1156. [pub] 20160825

Language English Country United States

Document type Case Reports, Journal Article, Research Support, Non-U.S. Gov't

We report an infant with sickle cell disease phenotype by biochemical analysis whose β-globin gene (HBB) sequencing showed sickle cell mutation (HBBS ) heterozygosity. The proband has a unique head-to-tail duplication of the β-globin gene cluster having wild-type (HBBA ) and HBBS alleles inherited from her father; constituting her HBBS /HBBS -HBBA genotype. Further analyses revealed that proband's duplicated β-globin gene cluster (∼650 kb) encompassing HBBA does not include the immediate upstream locus control region (LCR) or 3' DNase I hypersensitivity (HS) element. The LCR interacts with β-globin gene cluster involving long range DNA interactions mediated by various transcription factors to drive the regulation of globin genes expression. However, a low level of HBBA transcript was clearly detected by digital PCR. In this patient, the observed transcription from the duplicated, distally displaced HBBA cluster demonstrates that the loss of LCR and flanking 3'HS sites do not lead to complete silencing of HBB transcription.

Center for Cancer and Blood Disorders Nemours El Dupont Hospital for Children Wilmington Delaware

Department of Biology Faculty of Medicine and Dentistry Palacky University Olomouc Czech Republic Department of Biology Faculty of Medicine Masaryk University Brno Czech Republic

Division of Hematology Department of Internal Medicine School of Medicine University of Utah Salt Lake City Utah

Division of Hematology Department of Internal Medicine School of Medicine University of Utah Salt Lake City Utah Department of Cell and Developmental Biology Institute of Molecular Genetics Academy of Sciences of the Czech Republic Prague Czech Republic

Institute for Clinical and Experimental Pathology ARUP Laboratories Salt Lake City Utah Department of Pathology School of Medicine University of Utah Salt Lake City Utah

Institute for Clinical and Experimental Pathology ARUP Laboratories Salt Lake City Utah Division of Hematology Department of Internal Medicine School of Medicine University of Utah Salt Lake City Utah Department of Pathology School of Medicine University of Utah Salt Lake City Utah

Molecular Haematology Division of Cancer Studies King's College London Faculty of Life Sciences and Medicine London UK

Molecular Haematology Division of Cancer Studies King's College London Faculty of Life Sciences and Medicine London UK Department of Molecular Pathology Viapath at King's College Hospital NHS Foundation Trust London UK

Molecular Haematology Division of Cancer Studies King's College London Faculty of Life Sciences and Medicine London UK National Heart Lung and Blood Institute Sickle Cell Branch National Institutes of Health Bethesda Maryland

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$a We report an infant with sickle cell disease phenotype by biochemical analysis whose β-globin gene (HBB) sequencing showed sickle cell mutation (HBBS ) heterozygosity. The proband has a unique head-to-tail duplication of the β-globin gene cluster having wild-type (HBBA ) and HBBS alleles inherited from her father; constituting her HBBS /HBBS -HBBA genotype. Further analyses revealed that proband's duplicated β-globin gene cluster (∼650 kb) encompassing HBBA does not include the immediate upstream locus control region (LCR) or 3' DNase I hypersensitivity (HS) element. The LCR interacts with β-globin gene cluster involving long range DNA interactions mediated by various transcription factors to drive the regulation of globin genes expression. However, a low level of HBBA transcript was clearly detected by digital PCR. In this patient, the observed transcription from the duplicated, distally displaced HBBA cluster demonstrates that the loss of LCR and flanking 3'HS sites do not lead to complete silencing of HBB transcription.
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$a Shooter, Claire $u Molecular Haematology, Division of Cancer Studies, King's College London Faculty of Life Sciences & Medicine, London, UK.
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$a Clark, Barnaby $u Molecular Haematology, Division of Cancer Studies, King's College London Faculty of Life Sciences & Medicine, London, UK. Department of Molecular Pathology, Viapath at King's College Hospital NHS Foundation Trust, London, UK.
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$a Divoky, Vladimir $u Department of Biology, Faculty of Medicine and Dentistry, Palacky University, Olomouc, Czech Republic. vladimir.divoky@upol.cz. Department of Biology, Faculty of Medicine, Masaryk University, Brno, Czech Republic. vladimir.divoky@upol.cz.
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