Description
The HBB c.410G>A (p.Gly137Asp) variant has been reported in the published literature in heterozygous individuals appearing normal without clinical or hematological abnormalities, including those also carrying Hb E and Hb C (PMIDs: 14282052 (1965), 1634366 (1992), 23297836 (2013), and 25244406 (2014)). However, some compound heterozygous patients that carry either Hb S or Hb Grady present with mild hemolytic anemia (PMID: 6500990 (1984) and 26351951 (2016)). This variant has also been seen in patients affected with deletional alpha thalassemia intermedia (PMID: 22145566 (2012)). Functional studies indicate that this variant is mildly unstable, has decreased oxygen affinity, and diminished cooperativity (PMID: 932531 (1976)). The frequency of this variant in the general population, 0.00018 (3/16256 chromosomes (Genome Aggregation Database, http://gnomad.broadinstitute.org)), is uninformative in the assessment of its pathogenicity. Analysis of this variant using bioinformatics tools for the prediction of the effect of amino acid changes on protein structure and function yielded predictions that this variant is damaging. Based on the available information, we are unable to determine the clinical significance of this variant.
# | Sample | Method | Observation |
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Origin | Affected | Number tested | Tissue | Purpose | Method | Individuals | Allele frequency | Families | Co-occurrences |
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1 | unknown | unknown | not provided | not provided | not provided | | not provided | not provided | not provided | not provided |