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  1. Article ; Online: Orchestration of late events in erythropoiesis by KLF1/EKLF.

    Gnanapragasam, Merlin Nithya / Bieker, James J

    Current opinion in hematology

    2017  Volume 24, Issue 3, Page(s) 183–190

    Abstract: Purpose of review: Transcriptional regulators provide the molecular and biochemical basis for the cell specific properties and characteristics that follow from their central role in establishing tissue-restricted expression. Precise and sequential ... ...

    Abstract Purpose of review: Transcriptional regulators provide the molecular and biochemical basis for the cell specific properties and characteristics that follow from their central role in establishing tissue-restricted expression. Precise and sequential control of terminal cell divisions, nuclear condensation, and enucleation are defining characteristics within erythropoietic differentiation. This review is focused on KLF1, a central global regulator of this process.
    Recent findings: Studies in the past year have brought a number of proteins that are targets of KLF1 regulation into focus with respect to their roles in terminal erythroid differentiation. Many of these are involved in fine control of the cell cycle at both early (E2F2, Cyclin A2) and later (p18, p27, p19) stages of differentiation, or are directly involved in enucleation (p18, p27). Dramatic biophysical changes controlled at the nuclear lamin by caspase 3 enable histone release and nuclear condensation, whereas dematin association with structural proteins alters the timing of enucleation. Conditional ablation of mDia2 has established its role in late stage cell cycle and enucleation.
    Summary: Transcription factors such as KLF1, along with epigenetic modifiers, play crucial roles in establishing the proper onset and progression of terminal differentiation events. Studies from the past year show a remarkable multifaceted convergence on cell cycle control, and establish that the orthochromatic erythroblast stage is a critical nodal point for many of the effects on enucleation. These studies are relevant to understanding the underlying causes of anemia and hematologic disease where defective enucleation predicts a poor clinical outcome.
    MeSH term(s) Animals ; Cell Cycle/genetics ; Cell Differentiation/genetics ; Cell Nucleus/metabolism ; Chromatin/genetics ; Chromatin/metabolism ; Erythroid Cells/cytology ; Erythroid Cells/metabolism ; Erythropoiesis ; Gene Expression Regulation ; Humans ; Kruppel-Like Transcription Factors/metabolism ; Microfilament Proteins/metabolism ; Microtubule-Associated Proteins/metabolism ; Promoter Regions, Genetic ; Protein Binding
    Chemical Substances Chromatin ; Kruppel-Like Transcription Factors ; Microfilament Proteins ; Microtubule-Associated Proteins ; erythroid Kruppel-like factor
    Language English
    Publishing date 2017-05
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1153887-9
    ISSN 1531-7048 ; 1065-6251
    ISSN (online) 1531-7048
    ISSN 1065-6251
    DOI 10.1097/MOH.0000000000000327
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: EKLF/KLF1 expression defines a unique macrophage subset during mouse erythropoiesis.

    Mukherjee, Kaustav / Xue, Li / Planutis, Antanas / Gnanapragasam, Merlin Nithya / Chess, Andrew / Bieker, James J

    eLife

    2021  Volume 10

    Abstract: Erythroblastic islands are a specialized niche that contain a central macrophage surrounded by erythroid cells at various stages of maturation. However, identifying the precise genetic and transcriptional control mechanisms in the island macrophage ... ...

    Abstract Erythroblastic islands are a specialized niche that contain a central macrophage surrounded by erythroid cells at various stages of maturation. However, identifying the precise genetic and transcriptional control mechanisms in the island macrophage remains difficult due to macrophage heterogeneity. Using unbiased global sequencing and directed genetic approaches focused on early mammalian development, we find that fetal liver macrophages exhibit a unique expression signature that differentiates them from erythroid and adult macrophage cells. The importance of erythroid Krüppel-like factor (EKLF)/KLF1 in this identity is shown by expression analyses in EKLF-/- and in EKLF-marked macrophage cells. Single-cell sequence analysis simplifies heterogeneity and identifies clusters of genes important for EKLF-dependent macrophage function and novel cell surface biomarkers. Remarkably, this singular set of macrophage island cells appears transiently during embryogenesis. Together, these studies provide a detailed perspective on the importance of EKLF in the establishment of the dynamic gene expression network within erythroblastic islands in the developing embryo and provide the means for their efficient isolation.
    MeSH term(s) Erythropoiesis/genetics ; Gene Expression ; Kruppel-Like Transcription Factors/genetics ; Kruppel-Like Transcription Factors/metabolism ; Macrophages/physiology
    Chemical Substances Kruppel-Like Transcription Factors ; erythroid Kruppel-like factor
    Language English
    Publishing date 2021-02-11
    Publishing country England
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 2687154-3
    ISSN 2050-084X ; 2050-084X
    ISSN (online) 2050-084X
    ISSN 2050-084X
    DOI 10.7554/eLife.61070
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: EKLF/KLF1 expression defines a unique macrophage subset during mouse erythropoiesis

    Kaustav Mukherjee / Li Xue / Antanas Planutis / Merlin Nithya Gnanapragasam / Andrew Chess / James J Bieker

    eLife, Vol

    2021  Volume 10

    Abstract: Erythroblastic islands are a specialized niche that contain a central macrophage surrounded by erythroid cells at various stages of maturation. However, identifying the precise genetic and transcriptional control mechanisms in the island macrophage ... ...

    Abstract Erythroblastic islands are a specialized niche that contain a central macrophage surrounded by erythroid cells at various stages of maturation. However, identifying the precise genetic and transcriptional control mechanisms in the island macrophage remains difficult due to macrophage heterogeneity. Using unbiased global sequencing and directed genetic approaches focused on early mammalian development, we find that fetal liver macrophages exhibit a unique expression signature that differentiates them from erythroid and adult macrophage cells. The importance of erythroid Krüppel-like factor (EKLF)/KLF1 in this identity is shown by expression analyses in EKLF-/- and in EKLF-marked macrophage cells. Single-cell sequence analysis simplifies heterogeneity and identifies clusters of genes important for EKLF-dependent macrophage function and novel cell surface biomarkers. Remarkably, this singular set of macrophage island cells appears transiently during embryogenesis. Together, these studies provide a detailed perspective on the importance of EKLF in the establishment of the dynamic gene expression network within erythroblastic islands in the developing embryo and provide the means for their efficient isolation.
    Keywords EKLF/Klf1 ; fetal liver island macrophage ; single cell sequencing ; transcription factors ; erythropoiesis ; Medicine ; R ; Science ; Q ; Biology (General) ; QH301-705.5
    Subject code 570
    Language English
    Publishing date 2021-02-01T00:00:00Z
    Publisher eLife Sciences Publications Ltd
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: PUM1 mediates the posttranscriptional regulation of human fetal hemoglobin.

    Elagooz, Reem / Dhara, Anita R / Gott, Rose M / Adams, Sarah E / White, Rachael A / Ghosh, Arnab / Ganguly, Shinjini / Man, Yuncheng / Owusu-Ansah, Amma / Mian, Omar Y / Gurkan, Umut A / Komar, Anton A / Ramamoorthy, Mahesh / Gnanapragasam, Merlin Nithya

    Blood advances

    2022  Volume 6, Issue 23, Page(s) 6016–6022

    Abstract: The fetal-to-adult hemoglobin switching at about the time of birth involves a shift in expression from γ-globin to β-globin in erythroid cells. Effective re-expression of fetal γ-globin can ameliorate sickle cell anemia and β-thalassemia. Despite the ... ...

    Abstract The fetal-to-adult hemoglobin switching at about the time of birth involves a shift in expression from γ-globin to β-globin in erythroid cells. Effective re-expression of fetal γ-globin can ameliorate sickle cell anemia and β-thalassemia. Despite the physiological and clinical relevance of this switch, its posttranscriptional regulation is poorly understood. Here, we identify Pumilo 1 (PUM1), an RNA-binding protein with no previously reported functions in erythropoiesis, as a direct posttranscriptional regulator of β-globin switching. PUM1, whose expression is regulated by the erythroid master transcription factor erythroid Krüppel-like factor (EKLF/KLF1), peaks during erythroid differentiation, binds γ-globin messenger RNA (mRNA), and reduces γ-globin (HBG1) mRNA stability and translational efficiency, which culminates in reduced γ-globin protein levels. Knockdown of PUM1 leads to a robust increase in fetal hemoglobin (∼22% HbF) without affecting β-globin levels in human erythroid cells. Importantly, targeting PUM1 does not limit the progression of erythropoiesis, which provides a potentially safe and effective treatment strategy for sickle cell anemia and β-thalassemia. In support of this idea, we report elevated levels of HbF in the absence of anemia in an individual with a novel heterozygous PUM1 mutation in the RNA-binding domain (p.(His1090Profs∗16); c.3267_3270delTCAC), which suggests that PUM1-mediated posttranscriptional regulation is a critical player during human hemoglobin switching.
    MeSH term(s) Adult ; Humans ; Fetal Hemoglobin/genetics ; Fetal Hemoglobin/metabolism ; gamma-Globins/genetics ; gamma-Globins/metabolism ; beta-Thalassemia/genetics ; beta-Globins/genetics ; Carrier Proteins ; Anemia, Sickle Cell/genetics ; RNA-Binding Proteins/genetics
    Chemical Substances Fetal Hemoglobin (9034-63-3) ; gamma-Globins ; beta-Globins ; Carrier Proteins ; PUM1 protein, human ; RNA-Binding Proteins
    Language English
    Publishing date 2022-06-10
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, N.I.H., Extramural
    ZDB-ID 2915908-8
    ISSN 2473-9537 ; 2473-9529
    ISSN (online) 2473-9537
    ISSN 2473-9529
    DOI 10.1182/bloodadvances.2021006730
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Survey and evaluation of mutations in the human KLF1 transcription unit.

    Gnanapragasam, Merlin Nithya / Crispino, John D / Ali, Abdullah M / Weinberg, Rona / Hoffman, Ronald / Raza, Azra / Bieker, James J

    Scientific reports

    2018  Volume 8, Issue 1, Page(s) 6587

    Abstract: Erythroid Krüppel-like Factor (EKLF/KLF1) is an erythroid-enriched transcription factor that plays a global role in all aspects of erythropoiesis, including cell cycle control and differentiation. We queried whether its mutation might play a role in red ... ...

    Abstract Erythroid Krüppel-like Factor (EKLF/KLF1) is an erythroid-enriched transcription factor that plays a global role in all aspects of erythropoiesis, including cell cycle control and differentiation. We queried whether its mutation might play a role in red cell malignancies by genomic sequencing of the KLF1 transcription unit in cell lines, erythroid neoplasms, dysplastic disorders, and leukemia. In addition, we queried published databases from a number of varied sources. In all cases we only found changes in commonly notated SNPs. Our results suggest that if there are mutations in KLF1 associated with erythroid malignancies, they are exceedingly rare.
    MeSH term(s) Alleles ; Cell Differentiation/genetics ; Cell Line, Tumor ; Cell Transformation, Neoplastic/genetics ; Chromosome Mapping ; Erythroid Cells/cytology ; Erythroid Cells/metabolism ; Erythropoiesis/genetics ; Genetic Variation ; Genetics, Population ; Genomics/methods ; Humans ; Kruppel-Like Transcription Factors/classification ; Kruppel-Like Transcription Factors/metabolism ; Mutation ; Polymorphism, Single Nucleotide ; Quantitative Trait Loci ; Transcription, Genetic
    Chemical Substances Kruppel-Like Transcription Factors ; erythroid Kruppel-like factor
    Language English
    Publishing date 2018-04-26
    Publishing country England
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 2615211-3
    ISSN 2045-2322 ; 2045-2322
    ISSN (online) 2045-2322
    ISSN 2045-2322
    DOI 10.1038/s41598-018-24962-3
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  6. Article ; Online: Survey and evaluation of mutations in the human KLF1 transcription unit

    Merlin Nithya Gnanapragasam / John D. Crispino / Abdullah M. Ali / Rona Weinberg / Ronald Hoffman / Azra Raza / James J. Bieker

    Scientific Reports, Vol 8, Iss 1, Pp 1-

    2018  Volume 8

    Abstract: Abstract Erythroid Krüppel-like Factor (EKLF/KLF1) is an erythroid-enriched transcription factor that plays a global role in all aspects of erythropoiesis, including cell cycle control and differentiation. We queried whether its mutation might play a ... ...

    Abstract Abstract Erythroid Krüppel-like Factor (EKLF/KLF1) is an erythroid-enriched transcription factor that plays a global role in all aspects of erythropoiesis, including cell cycle control and differentiation. We queried whether its mutation might play a role in red cell malignancies by genomic sequencing of the KLF1 transcription unit in cell lines, erythroid neoplasms, dysplastic disorders, and leukemia. In addition, we queried published databases from a number of varied sources. In all cases we only found changes in commonly notated SNPs. Our results suggest that if there are mutations in KLF1 associated with erythroid malignancies, they are exceedingly rare.
    Keywords Medicine ; R ; Science ; Q
    Language English
    Publishing date 2018-04-01T00:00:00Z
    Publisher Nature Publishing Group
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article ; Online: Extrinsic and intrinsic control by EKLF (KLF1) within a specialized erythroid niche.

    Xue, Li / Galdass, Mariann / Gnanapragasam, Merlin Nithya / Manwani, Deepa / Bieker, James J

    Development (Cambridge, England)

    2014  Volume 141, Issue 11, Page(s) 2245–2254

    Abstract: The erythroblastic island provides an important nutritional and survival support niche for efficient erythropoietic differentiation. Island integrity is reliant on adhesive interactions between erythroid and macrophage cells. We show that erythroblastic ... ...

    Abstract The erythroblastic island provides an important nutritional and survival support niche for efficient erythropoietic differentiation. Island integrity is reliant on adhesive interactions between erythroid and macrophage cells. We show that erythroblastic islands can be formed from single progenitor cells present in differentiating embryoid bodies, and that these correspond to erythro-myeloid progenitors (EMPs) that first appear in the yolk sac of the early developing embryo. Erythroid Krüppel-like factor (EKLF; KLF1), a crucial zinc finger transcription factor, is expressed in the EMPs, and plays an extrinsic role in erythroid maturation by being expressed in the supportive macrophage of the erythroblastic island and regulating relevant genes important for island integrity within these cells. Together with its well-established intrinsic contributions to erythropoiesis, EKLF thus plays a coordinating role between two different cell types whose interaction provides the optimal environment to generate a mature red blood cell.
    MeSH term(s) Animals ; Cell Adhesion ; Cell Differentiation ; Cell Membrane/metabolism ; Embryonic Stem Cells/cytology ; Erythroblasts/cytology ; Erythrocytes/cytology ; Erythroid Precursor Cells/cytology ; Erythropoiesis/physiology ; Gene Expression Regulation, Developmental ; Kruppel-Like Transcription Factors/metabolism ; Macrophages/cytology ; Mice ; Promoter Regions, Genetic ; Reticulocytes/cytology ; Stem Cell Niche ; Stem Cells/cytology ; Yolk Sac/physiology ; Zinc Fingers
    Chemical Substances Kruppel-Like Transcription Factors ; erythroid Kruppel-like factor
    Language English
    Publishing date 2014-05-28
    Publishing country England
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 90607-4
    ISSN 1477-9129 ; 0950-1991
    ISSN (online) 1477-9129
    ISSN 0950-1991
    DOI 10.1242/dev.103960
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  8. Article ; Online: Alternative splicing of EKLF/KLF1 in murine primary erythroid tissues.

    Yien, Yvette Y / Gnanapragasam, Merlin Nithya / Gupta, Ritama / Rivella, Stefano / Bieker, James J

    Experimental hematology

    2014  Volume 43, Issue 1, Page(s) 65–70

    Abstract: Alternative splicing has emerged as a vital way to expand the functional repertoire of a set number of mammalian genes. For example, such changes can dramatically alter the function and cellular localization of transcription factors. With this in mind, ... ...

    Abstract Alternative splicing has emerged as a vital way to expand the functional repertoire of a set number of mammalian genes. For example, such changes can dramatically alter the function and cellular localization of transcription factors. With this in mind, we addressed whether EKLF/KLF1 mRNA, coding for a transcription factor that plays a critical role in erythropoietic gene regulation, is alternatively spliced. We find that EKLF mRNA undergoes exon skipping only in primary tissues and that this splice variant (SV) remains at a very low level in both embryonic and adult erythroid cells, as well as during terminal differentiation. The resultant protein is truncated and partially encodes a non-erythroid Krüppel-like factor amino acid sequence. Its overexpression can alter full-length erythroid Krüppel-like factor function at selected promoters. We discuss these results in the context of stress and with respect to recent global studies on the role of alternative splicing during terminal erythroid differentiation.
    MeSH term(s) Alternative Splicing ; Amino Acid Motifs ; Amino Acid Sequence ; Animals ; Base Sequence ; Cell Line, Tumor ; Cell Lineage ; Erythroid Cells/metabolism ; Erythropoiesis/genetics ; Female ; Gene Expression Regulation ; Genes, Reporter ; Humans ; K562 Cells ; Kruppel-Like Transcription Factors/genetics ; Kruppel-Like Transcription Factors/physiology ; Leukemia, Erythroblastic, Acute/pathology ; Mice ; Molecular Sequence Data ; Phlebotomy ; Promoter Regions, Genetic ; Protein Isoforms/genetics ; Protein Isoforms/physiology ; Protein Structure, Tertiary ; RNA, Messenger/biosynthesis ; RNA, Neoplasm/biosynthesis ; Recombinant Fusion Proteins/metabolism ; Spleen/metabolism ; Transcription, Genetic ; Transcriptional Activation
    Chemical Substances Kruppel-Like Transcription Factors ; Protein Isoforms ; RNA, Messenger ; RNA, Neoplasm ; Recombinant Fusion Proteins ; erythroid Kruppel-like factor
    Language English
    Publishing date 2014-10-02
    Publishing country Netherlands
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 185107-x
    ISSN 1873-2399 ; 0531-5573 ; 0301-472X
    ISSN (online) 1873-2399
    ISSN 0531-5573 ; 0301-472X
    DOI 10.1016/j.exphem.2014.08.007
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  9. Article ; Online: EKLF/KLF1-regulated cell cycle exit is essential for erythroblast enucleation.

    Gnanapragasam, Merlin Nithya / McGrath, Kathleen E / Catherman, Seana / Xue, Li / Palis, James / Bieker, James J

    Blood

    2016  Volume 128, Issue 12, Page(s) 1631–1641

    Abstract: The mechanisms regulating the sequential steps of terminal erythroid differentiation remain largely undefined, yet are relevant to human anemias that are characterized by ineffective red cell production. Erythroid Krüppel-like Factor (EKLF/KLF1) is a ... ...

    Abstract The mechanisms regulating the sequential steps of terminal erythroid differentiation remain largely undefined, yet are relevant to human anemias that are characterized by ineffective red cell production. Erythroid Krüppel-like Factor (EKLF/KLF1) is a master transcriptional regulator of erythropoiesis that is mutated in a subset of these anemias. Although EKLF's function during early erythropoiesis is well studied, its role during terminal differentiation has been difficult to functionally investigate due to the impaired expression of relevant cell surface markers in Eklf(-/-) erythroid cells. We have circumvented this problem by an innovative use of imaging flow cytometry to investigate the role of EKLF in vivo and have performed functional studies using an ex vivo culture system that enriches for terminally differentiating cells. We precisely define a previously undescribed block during late terminal differentiation at the orthochromatic erythroblast stage for Eklf(-/-) cells that proceed beyond the initial stall at the progenitor stage. These cells efficiently decrease cell size, condense their nucleus, and undergo nuclear polarization; however, they display a near absence of enucleation. These late-stage Eklf(-/-) cells continue to cycle due to low-level expression of p18 and p27, a new direct target of EKLF. Surprisingly, both cell cycle and enucleation deficits are rescued by epistatic reintroduction of either of these 2 EKLF target cell cycle inhibitors. We conclude that the cell cycle as regulated by EKLF during late stages of differentiation is inherently critical for enucleation of erythroid precursors, thereby demonstrating a direct functional relationship between cell cycle exit and nuclear expulsion.
    MeSH term(s) Animals ; Binding Sites ; Cell Cycle Checkpoints ; Cell Differentiation ; Cell Nucleus/metabolism ; Cells, Cultured ; Embryo, Mammalian/cytology ; Embryo, Mammalian/metabolism ; Erythroblasts/cytology ; Erythroblasts/metabolism ; Erythropoiesis/physiology ; Gene Expression Regulation, Developmental ; Kruppel-Like Transcription Factors/physiology ; Liver/cytology ; Liver/metabolism ; Mice ; Mice, Inbred C57BL ; Mice, Knockout
    Chemical Substances Kruppel-Like Transcription Factors ; erythroid Kruppel-like factor
    Language English
    Publishing date 2016-08-01
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, U.S. Gov't, P.H.S.
    ZDB-ID 80069-7
    ISSN 1528-0020 ; 0006-4971
    ISSN (online) 1528-0020
    ISSN 0006-4971
    DOI 10.1182/blood-2016-03-706671
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  10. Article ; Online: Erythroid transcription factor EKLF/KLF1 mutation causing congenital dyserythropoietic anemia type IV in a patient of Taiwanese origin: review of all reported cases and development of a clinical diagnostic paradigm.

    Jaffray, Julie A / Mitchell, W Beau / Gnanapragasam, Merlin Nithya / Seshan, Surya V / Guo, Xinhuo / Westhoff, Connie M / Bieker, James J / Manwani, Deepa

    Blood cells, molecules & diseases

    2013  Volume 51, Issue 2, Page(s) 71–75

    Abstract: KLF1 is an erythroid specific transcription factor that is involved in erythroid lineage commitment, globin switching and terminal red blood cell maturation. Various mutations of KLF1 have been identified in humans, which have led to both benign and ... ...

    Abstract KLF1 is an erythroid specific transcription factor that is involved in erythroid lineage commitment, globin switching and terminal red blood cell maturation. Various mutations of KLF1 have been identified in humans, which have led to both benign and pathological phenotypes. The E325K mutation, within the second zinc finger of the KLF1 gene, has been shown to cause a new form of congenital dyserythropoietic anemia (CDA) now labeled as CDA type IV. We report the fourth documented case of this mutation, and propose a clinical diagnostic model to better identify this disease in other patients. Our patient is a Taiwanese child who presented to us at 8years of age with severe hemolytic anemia, splenomegaly, elevated fetal hemoglobin (HbF), iron overload, and dyserythropoiesis in the bone marrow. KLF1 sequence analysis revealed a G-to-A transition in one allele of exon 3, which resulted in the substitution of a glutamate 325 by a lysine. Flow cytometry analysis revealed decreased protein expression of CD44 on the red blood cells, and decreased red blood cell deformability as measured using an ektacytometer. Blood typing revealed his red blood cells to be Co(a-b-), In(b-), LW(ab-) and Lu(b+), even though DNA testing predicted that he would be Co(a+b-) and LW(a+b-). This newly discovered CDA combines features of a hemoglobinopathy, RBC membrane defect and hereditary persistence of HbF (HPFH) which are not seen in the previous types of CDA. Increased awareness of this phenotype may improve the more prompt and accurate diagnosis of these patients.
    MeSH term(s) Anemia, Dyserythropoietic, Congenital/diagnosis ; Anemia, Dyserythropoietic, Congenital/genetics ; Anemia, Dyserythropoietic, Congenital/therapy ; Asian Continental Ancestry Group/genetics ; Bone Marrow/pathology ; Child ; DNA Mutational Analysis ; Erythrocyte Membrane/metabolism ; Humans ; Kruppel-Like Transcription Factors/genetics ; Male ; Mutation ; Osmotic Fragility/genetics ; Taiwan
    Chemical Substances Kruppel-Like Transcription Factors ; erythroid Kruppel-like factor
    Language English
    Publishing date 2013-03-20
    Publishing country United States
    Document type Case Reports ; Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 1237083-6
    ISSN 1096-0961 ; 1079-9796
    ISSN (online) 1096-0961
    ISSN 1079-9796
    DOI 10.1016/j.bcmd.2013.02.006
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