Hb A <sub>2</sub> -Getafe [δ 132 (H10) Lys &gt; Thr, <i>HBD</i> : c.88C &gt; A]: New Mutation in the δ-Globin Gene in a Spanish Patient

We present the case of a 71-year-old Spanish patient with a low Hb A<sub>2</sub> value by high-performance liquid chromatography (HPLC) and an atypical profile by capillary electrophoresis (CE), suggesting an Hb A<sub>2</sub> structural variant. Molecular biology revealed a non-described mutation in codon 132 of the 3rd exon of the <i>HBD</i> gene. This mutant allele codes for a change of amino acid (lysine to threonine) in position 10 of the helix H of the delta (δ) globin chain, described as <i>HBD</i>: c.398A > C or Hb A<sub>2</sub>-Getafe. Detection of new variants in the δ-globin chain is crucial since these mutations may mask different pathologies, such as beta (β) thalassemia.

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Journal
Hemoglobin
Published
2025-05-04
DOI
https://doi.org/10.1080/03630269.2025.2511984
Primary Topic
Hemoglobinopathies and Related Disorders
Type
article
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article

Hb A 2 -Getafe [δ 132 (H10) Lys > Thr, HBD : c.88C > A]: New Mutation in the δ-Globin Gene in a Spanish Patient

C. Barros, Paloma Ropero Gradilla, Renata Moreno, Ramiro Antonio Torrado-Carrión et al.
Hemoglobin
Hemoglobinopathies and Related Disorders
article

Hb A 2 -Getafe [δ 132 (H10) Lys > Thr, HBD : c.88C > A]: New Mutation in the δ-Globin Gene in a Spanish Patient

C. Barros, Paloma Ropero Gradilla, Renata Moreno, Ramiro Antonio Torrado-Carrión, Lisset Pabón
article en

Abstract

We present the case of a 71-year-old Spanish patient with a low Hb A<sub>2</sub> value by high-performance liquid chromatography (HPLC) and an atypical profile by capillary electrophoresis (CE), suggesting an Hb A<sub>2</sub> structural variant. Molecular biology revealed a non-described mutation in codon 132 of the 3rd exon of the <i>HBD</i> gene. This mutant allele codes for a change of amino acid (lysine to threonine) in position 10 of the helix H of the delta (δ) globin chain, described as <i>HBD</i>: c.398A > C or Hb A<sub>2</sub>-Getafe. Detection of new variants in the δ-globin chain is crucial since these mutations may mask different pathologies, such as beta (β) thalassemia.

HemoglobinVol. 49(3)
Horiba (Japan) (JP), Hospital Clínico San Carlos (ES), Hospital Universitario de Getafe (ES)
Openalex Percentile: Top 81%
Hemoglobinopathies and Related Disorders
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Hb A <sub>2</sub> -Getafe [δ 132 (H10) Lys &gt; Thr, <i>HBD</i> : c.88C &gt; A]: New Mutation in the δ-Globin Gene in a Spanish Patient — C. Barros, Paloma Ropero Gradilla, et al. · Hemoglobin (2025) | TGRS Research Map | TGRS