THE XmnI AND BCL11A SINGLE NUCLEOTIDE POLYMORPHISMS MAY HELP PREDICT HYDROXYUREA RESPONSE IN IRANIAN β-THALASSEMIA PATIENTS

被引:33
作者
Banan, Mehdi [1 ]
Bayat, Hadi [1 ]
Azarkeivan, Azita [2 ,3 ]
Mohammadparast, Saeid [1 ]
Kamali, Koorosh [4 ]
Farashi, Samaneh [1 ]
Bayat, Nooshin [5 ]
Khani, Masumeh Hadavand [3 ]
Neishabury, Maryam [1 ]
Najmabadi, Hossein [1 ,5 ]
机构
[1] Univ Social Welf & Rehabil Sci, Genet Res Ctr, Tehran, Iran
[2] Blood Transfus Org, Tehran, Iran
[3] Adult Thalassemia Clin, Tehran, Iran
[4] Avicenna Res Inst, Reprod Biotechnol Res Ctr, Tehran, Iran
[5] Kariminejad Najmabadi Pathol & Genet Ctr, Tehran, Iran
关键词
beta-Thalassemia (beta-thal); Hydroxyurea (HU); BCL11A Single nucleotide polymorphism (SNP); XmnI Polymorphism; FETAL-HEMOGLOBIN PRODUCTION; INTERMEDIA; DNA; MUTATIONS; THERAPY;
D O I
10.3109/03630269.2012.691147
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
Hydroxyurea (HU), a drug which can reactivate fetal hemoglobin (Hb F) production, is frequently prescribed to beta-thalassemia (beta-thal) patients. However, transfusion requirements of only a subset of patients are reduced upon HU treatment. Because of its potential side-effects, targeted prescription of HU is imperative. To identify genetic markers that correlate with drug response, we have carried out a retrospective association study of single nucleotide polymorphisms (SNPs) in three Hb F quantitative trait loci (QTLs): the XmnI polymorphism, BCL11A, and the HBS1L-MYB intergenic region, with the response to HU in a cohort of 81 transfusion-dependent Iranian beta-thal patients. An increase in blood transfusion intervals post-therapy was used to measure drug response. Our results suggest that presence of the XmnI T/T genotype or the BCL11A rs766432 C allele correlates strongly with response to HU (p < 0.001). Accordingly, these markers may be used to accurately predict the HU response of Iranian beta-thal patients.
引用
收藏
页码:371 / 380
页数:10
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