1967
DOI: 10.1172/jci105674
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Hemoglobin Yakima: I. Clinical and Biochemical Studies*

Abstract: Abstract. Three members of a family who have erythrocytosis and a new hemoglobin, designated hemoglobin Yakima, are described.The abnormal hemoglobin is characterized by the substitution of histidine for aspartic acid at residue 99 in the 8l-chain.Of three possible structure-function relations which would account for the increased oxygen affinity of hemoglobin Yakima, only two seem likely. These are: (a) an intrachain shift in the normal relations between the F and G helices and the heme group, or (b) an effec… Show more

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Cited by 117 publications
(34 citation statements)
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“…In recent years, studies of families with dominantly inherited erythrocytosis have established hemoglobinopathy as the main etiologic possibility (4-9). Thus far, in all the families with hemoglobinopathic erythrocytosis, an abnormal hemoglobin was readily demonstrable with electrophoretic or chromatographic techniques (4)(5)(6)(7)(8)(9). This, however, is not necessary for diagnosis.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…In recent years, studies of families with dominantly inherited erythrocytosis have established hemoglobinopathy as the main etiologic possibility (4-9). Thus far, in all the families with hemoglobinopathic erythrocytosis, an abnormal hemoglobin was readily demonstrable with electrophoretic or chromatographic techniques (4)(5)(6)(7)(8)(9). This, however, is not necessary for diagnosis.…”
Section: Discussionmentioning
confidence: 99%
“…The delineation of the structural and functional aberrations of these hemoglobins and the elucidation of the pathophysiological basis of crythrocytosis have contributed significantly to the understanding of molecular disease in man (1)(2)(3)(4). Abnormal electrophoretic or chromatograp)hic patterns are characteristic of all the described mutants (4)(5)(6)(7)(8)(9). We report a new variant associated with abnormal oxygen equilibria and erythrocytosis which was defined only after detailed structural studies on isolated globin chains.…”
Section: Introductionmentioning
confidence: 99%
“…The properties of several natural Hb with mutations at Asp-99(fi) have been reported in some detail by several investigators (Jones et al, 1967;Rucknagel et al, 1967;Reed et al, 1968; natural mutant showed greater susceptibility toward tetramerdimer dissociation in both the oxygenated and the deoxygenated states. For example, whereas the dimer-tetramer dissociation constant for normal human HbA is about lo-' M in its oxygenated state and M in its deoxygenated form (Turner et al, 1981), the corresponding values for the natural mutants at Asp%(@) are increased by 3-5 orders of magnitude (Turner et al, 1981Doyle et al, 1992).…”
Section: Dissociation Of the Mutant Hbmentioning
confidence: 92%
“…These mutant Hb include Hb Kempsey (Asp "+ Asn) (Reed et al, 1968;Bunn et al, 1974), Hb Yakima (Asp + His) (Jones et al, 1967), Hb Radcliffe (Asp + Ala) (Weatherall et al, 1977). Hb Ypsilanti (Asp + Tyr) (Rucknagel et al, 1%7), Hb Hotel-Dieu (Asp "* Gly) [Blouquit et al.…”
mentioning
confidence: 99%
“…Although this latter study did not characterize the erythrocytosis extensively, the spleen enlargement and expanded splenic erythropoiesis reported reconciles with our observations that Hbb-b2 Plt12/Plt12 mice had elevated circulating concentrations of EPO and a profound erythrocytosis with splenomegaly and excess CFU-E, consistent with tissue hypoxia causing overproduction of red blood cells driven by excess EPO-driven erythropoiesis. In humans heterozygous for mutations affecting the homologous residue in Hb β, EPO measurements have not always yielded consistent results, but high concentrations have been reported (16), suggesting a similar mechanism drives erythrocytosis in these patients. Genetic modifiers influenced the lethal phenotype in Hbb-b2 Plt12/Plt12 mice.…”
Section: Discussionmentioning
confidence: 99%