In this report we examine the (AC)n(AT)xTymotif residing -530 bp 5′ upstream of the β-globin gene in Chinese thalassaemic patients. This motif is a putative binding site for a repressor protein, termed beta protein 1 (BP1) (Berg et al., Nucleic Acids Res 1989;17:8833-8852). Variations in the (AC)n(AT)xTyrepeats affect the binding affinity of BP1, thereby altering the expression of the β-globin gene. Eight different configurations of this repeat motif are identified in our population of Chinese β-thalassaemia patients. A (AC)3(AT)7T5motif was identified among these thalassaemia patients and its influence in β-globin gene expression was studied using stable transfection assay in murine erythroleukemia (MEL) cells. Our data demonstrated that the (AC)3(AT)7T5motif has a moderately strong repressor effect on the expression of the cis-linked β-globin gene. The high affinity of BP1 for this motif may result in the suppression of the transcription of the β-globin gene (Berg et al., Am J Hematol 1991;36:42-47). We postulate that silencer elements in the β-globin promoter play an important role in modifying the clinical presentation of the disease.

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American Journal of Hematology
Erasmus MC: University Medical Center Rotterdam

Chan, P. K., Ma, E., Philipsen, S., & Tan-Un, K. (2007). The study of sequence configuration and functional impact of the (AC) n(AT)xTy motif in human β-globin gene promoter. American Journal of Hematology, 82(5), 342–348. doi:10.1002/ajh.20836