KLF1 null neonates display hydrops fetalis and a deranged erythroid transcriptome

ABSTRACT: We describe a case of severe neonatal anemia with kernicterus due to compound heterozygosity for null mutations in KLF1, each inherited from asymptomatic parents. One of the mutations is novel. This is the first described case of a KLF1 null human. The phenotype of severe DAT-negative non-spherocytic hemolytic anaemia (NSHA), jaundice, hepato-splenomegaly, and marked erythroblastosis is more severe than that present in CDA type IV due to dominant mutations in the second zinc-finger of KLF1. There was a very high level of HbF expression into childhood (>70%), consistent with a key role for KLF1 in human hemoglobin switching. We performed RNA-seq on circulating erythroblasts and found human KLF1 acts like mouse Klf1 to coordinate expression of many genes required to build a red cell includin

ORGANISM(S): Homo sapiens

SUBMITTER: Graham Magor 

PROVIDER: E-GEOD-60514 | biostudies-arrayexpress |

REPOSITORIES: biostudies-arrayexpress