Nicholas Ashby

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Nicholas' Published Medical Journals

 

This is the abstract from Nicholas' Doctors in Salt Lake City - Dr. Pulsipher, and his researcher Dr. Kushner at the University of Utah School of Medicine.

 
1: Blood. 2006 Dec 5; [Epub ahead of print]

Congenital erythropoietic porphyria due to a mutation in GATA-1: the first trans-acting mutation causative for a human porphyria.

Department of Medicine, University of Utah School of Medicine, Salt Lake City, UT.

Congenital erythropoietic porphyria (CEP), an autosomal recessive disorder, is due to mutations of uroporphyrinogen III synthase (UROS). Deficiency of UROS results in excess of uroporphyrin I, which causes photosensitization. We evaluated a 3-year-old boy with CEP. A hypochromic, microcytic anemia was present from birth and platelet counts averaged 70,000/uL. Erythrocyte UROS activity was 21% of controls. Red cell morphology and globin chain labeling studies were compatible with beta-thalassemia. Hb electrophoresis revealed 36.3% A, 2.4% A2, 59.5% F and 1.8% of an unidentified peak. No UROS or alpha and beta-globin mutations were found in the child or the parents. The molecular basis of the phenotype proved to be a mutation of GATA-1, an X-linked transcription factor common to globin genes and heme biosynthetic enzymes in erythrocytes. A mutation at codon 216 in the child and on one allele of his mother, changed arginine to tryptophan (R216W). This is the first report of a human porphyria due to a mutation in a trans-acting factor, and the first association of CEP with thalassemia and thrombocytopenia. The Hb F level of 59.5% suggests a role for GATA-1 in globin switching. A bone marrow allograft corrected both the porphyria and the thalassemia.

PMID: 17148589 [PubMed - as supplied by publisher]

 

                                                                               

 

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