Clinically relevant updates of the HbVar database of human hemoglobin variants and thalassemia mutations

HbVar (http://globin.bx.psu.edu/hbvar) is a widely-used locus-specific database (LSDB) launched 20 years ago by a multi-center academic effort to provide timely information on the numerous genomic variants leading to hemoglobin variants and all types of thalassemia and hemoglobinopathies. Here, we report several advances for the database. We made clinically relevant updates of HbVar, implemented as additional querying options in the HbVar query page, allowing the user to explore the clinical phenotype of compound heterozygous patients. We also made significant improvements to the HbVar front page, making comparative data querying, analysis and output more user-friendly. We continued to expand and enrich the regular data content, involving 1820 variants, 230 of which are new entries. We also increased the querying potential and expanded the usefulness of HbVar database in the clinical setting. These several additions, expansions and updates should improve the utility of HbVar both for the globin research community and in a clinical setting

Does Liebig's law of the minimum scale up from species to communities?

International audienceLiebig's law of the minimum, which states that only one element limits the growth of organisms at any given time, is widely used in ecology. This principle is routinely applied to organisms, populations and communities, but can it really be applied indistinguishably across these different scales? Here we show, by prediction of a resource ratio conceptual model and with an experimental test carried out in microcosms with bacteria that, unlike single species, communities are likely to adjust their stoichiometry to that of their resources. This adjustment results from competitive exclusion and coexistence mechanisms, and is sensitive to the overall diversity of species in the community. It guaranties co-limitation, i.e. simultaneous limitation by multiple resources, at the community scale and optimal use of resources and maximization of community biomass for wide ranges of resource ratios. These results question the applicability of the Liebig's law of the minimum at the community level, and the relevance of ecosystem models relying on this principle

Amyl nitrite inhalation, a "volatile" anemia

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Short in-Frame Insertions/Deletions in the Coding Sequence of the α-Globin Gene. Consequences of the 3D Structure and Resulting Phenotypes: Hb Choisy as an Example

International audienceA small group of hemoglobin (Hb) variants result from 'in-frame' deletion/insertion (del/ins). We describe a new variant of this group (Hb Choisy), found on the a1 gene, which is the exact counterpart of a previously published deletional variant, Hb J-Biskra [codons 51-58 (or codons 52-59) (-24 bp) (-TCTGCCCAGGTTAAGGGCCACGGC); HBA1: c.157_180del (or HBA2)]. In Hb J-Biskra, the sequence Ser-Ala-Gln-Val-Lys-Gly-His-Gly located from positions a52(E1) to a59(E8) is deleted, while in Hb Choisy the same sequence (Ser-Ala-Gln-Val-Lys-Gly-His-Gly) is inserted at position a52(E1). The variant carrying the insertion appears to be less damaging than the one with the deletion. A possible explanation could be that the additional sequence is located in the C to E interhelical region, and is less disturbing to the general structure of the globin chain. This insertion/deletion (ins/del) is likely favored by the repetition, at an interval of 16 nucleotides, of an eight nucleotide sequence. Comparison of variants of this group, found in the HbVar database, shows that structural modifications resulting from insertions are frequently less damaging than that caused by deletions. ARTICLE HISTOR

Erythrocyte density in sickle cell syndromes is associated with specific clinical manifestations and hemolysis.

International audienceDense, dehydrated red blood cells (DRBCs) are a characteristic feature of sickle-cell disease (SCD). DRBCs play a role in the pathophysiology of SCD acute and chronic organ damage because of heightened tendency to undergo polymerization and sickling because of their higher hemoglobin S concentration. Relations between red cell density (assessed with phthalate density-distribution profile method) and several hematologic, biochemical, genetic parameters, and clinical manifestations were studied in a large cohort of homozygous patients. The percentage of DRBCs was significantly higher in patients who experienced skin ulcers, priapism, or renal dysfunction. Presence of α-thalassemia deletions was associated with fewer DRBCs. A multivariable analysis model showed DRBCs to be positively associated with hemolytic parameters such as lactate dehydrogenase and bilirubin and negatively with fetal hemoglobin. The percentage of DRBCs decreased by 34% at 6 months of hydroxycarbamide (xydroxyurea) therapy. Thus, DRBCs are associated with specific clinical manifestations and biologic markers and may be a useful addition to the biologic and clinical evaluation of patients with SCD, because they can easily be measured in a hematocrit tube

Hb Angers: A new α2‐globin variant [α2 (140)(HC2) Tyr → Ser; HBA2 : C.422 A>C] with increased oxygen affinity leading to erythrocytosis

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Clinical and biological specificity of beta-thalassemia intermedia: a case report

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One hundred spots parallel monitoring of DNA interactions by SPR imaging of polymer functionalized surfaces applied to the detection of cystic fibrosis mutations

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