Published in Volume
52, Issue 8
(August 1973)J Clin Invest.
1973, The American Society for
Hemoglobin Brigham (α2Aβ2100 Pro→Leu). HEMOGLOBIN VARIANT ASSOCIATED WITH FAMILIAL ERYTHROCYTOSIS
Division of Hematology of the Department of Medicine, Peter Bent Brigham Hospital, Boston, Massachusetts 02115
Division of Hematology of the Department of Medicine, Children's Hospital Medical Center, Boston, Massachusetts 02115
Department of Medicine, Boston, Massachusetts 02115
Department of Pediatrics, Boston, Massachusetts 02115
State University of New York at Buffalo, Buffalo, New York 14214
Published August 1973
Erythrocytosis associated with the presence of a hemoglobin with increased oxygen affinity has been reported for 10 hemoglobin variants, most of which demonstrate altered electrophoretic mobility. Several members of a family were found to have erythrocytosis, and both the whole blood and the hemoglobin exhibited increased oxygen affinity. Phosphate-free hemoglobin solutions had a normal Bohr effect and reactivity to 2,3-diphosphoglycerate. The electrophoretic properties of the hemoglobin were normal, but on peptide mapping of a tryptic digest of the isolated β-chains, a normal βT11 peptide and an abnormal βT11 with greater Rf were seen. Analysis of the abnormal peptide showed the substitution of leucine for the normal proline at β100 (helical residue G2).
The hemoglobin variant, designated Hb Brigham, serves to emphasize the necessity for detailed evaluation of the structure and function of hemoglobin in familial erythrocytosis even with electrophoretically “normal” hemoglobin.
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