2006
DOI: 10.1182/blood-2006-04-015859
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Fetal hemoglobin silencing in humans

Abstract: Interruption of the normal fetal-to-adult transition of hemoglobin expression should largely ameliorate sickle cell and beta-thalassemia syndromes. Achievement of this clinical goal requires a robust understanding of gamma-globin gene and protein silencing during human development. For this purpose, age-related changes in globin phenotypes of circulating human erythroid cells were examined from 5 umbilical cords, 99 infants, and 5 adult donors. Unexpectedly, an average of 95% of the cord blood erythrocytes and… Show more

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Cited by 40 publications
(48 citation statements)
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“…There is a single human ␥-to-␤-globin switch in definitive erythroid cells that is completed after birth. Newborn hemolysates showed HbF levels of 42%, similar to the low end of the range of HbF reported for human infants (32). There is a gradual decline in HbF levels until the steady-state level of 1% is reached by about 3 weeks of age.…”
Section: Humanized ␥␤supporting
confidence: 51%
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“…There is a single human ␥-to-␤-globin switch in definitive erythroid cells that is completed after birth. Newborn hemolysates showed HbF levels of 42%, similar to the low end of the range of HbF reported for human infants (32). There is a gradual decline in HbF levels until the steady-state level of 1% is reached by about 3 weeks of age.…”
Section: Humanized ␥␤supporting
confidence: 51%
“…Humans are born with high levels of fetal hemoglobin (HbF) in their red blood cells (RBCs) and complete the switch to adult hemoglobin (HbA) during the first year of life (32,43). Patients with mutations in their adult ␤-globin genes that cause thalassemia or hemoglobinopathies like sickle cell anemia are clinically normal at birth but become progressively anemic upon completion of their fetal-to-adult hemoglobin switch.…”
mentioning
confidence: 99%
“…19,22 Shortly after birth, a switch between fetal and adult globins allows the expression of ␦-and ␤-globin genes, and the decrease of ␥-globin gene expression. 21,23,24 Adult The online version of this article contains a data supplement.…”
Section: Introductionmentioning
confidence: 99%
“…19,22 Shortly after birth, a switch between fetal and adult globins allows the expression of ␦-and ␤-globin genes, and the decrease of ␥-globin gene expression. 21,23,24 Adult erythropoiesis recapitulates fetal-to-adult hemoglobin switching in the so-called "compressed switch." [25][26][27] Fetal-to-adult switch needs interaction of transcription factors and chromatin remodeling proteins with the locus control region (LCR).…”
Section: Introductionmentioning
confidence: 99%
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