Evidence map›Paper›PMID 31115947›Full record

ArticleHuman mutation2019

A novel mutation in the erythroid transcription factor KLF1 is likely responsible for ameliorating β-thalassemia major.

Pavlos Fanis, Ioanna Kousiappa, Marios Phylactides, Andreani Kyrri, Michael Hadjigavriel, Soteroula Christou, Maria Sitarou, Marina Kleanthous

Open access · hybridAbstract read
In one paragraph

Article in Human mutation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.9field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 15 citations in OpenAlex.

  1. Establishment of anAnimal cells and systems · 2025
    Article
  2. Association study of commonJournal of genetics · 2024
    Article
  3. Article
  4. Article
  5. CRISPR-Cas9 to induce fetal hemoglobin for the treatment of sickle cell disease.Molecular therapy. Methods & clinical development · 2021
    Review
  6. Hyperhaemolysis in a pregnant woman with a homozygous βMolecular genetics & genomic medicine · 2021
    Article
  7. Review
  8. Review
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Pavlos FanisMolecular Genetics Thalassaemia Department, The Cyprus Institute of Neurology and Genetics, Nicosia, Cyprus.ORCID 0000-0003-4590-4778
Ioanna KousiappaMolecular Genetics Thalassaemia Department, The Cyprus Institute of Neurology and Genetics, Nicosia, Cyprus.ORCID 0000-0002-7491-5946
Marios PhylactidesMolecular Genetics Thalassaemia Department, The Cyprus Institute of Neurology and Genetics, Nicosia, Cyprus.ORCID 0000-0002-1828-7359
Andreani KyrriPopulation Screening Laboratory, Archbishop Makarios III Hospital, Nicosia, Cyprus.
Michael HadjigavrielThalassaemia Clinic, Limassol General Hospital, Limassol, Cyprus.
Soteroula ChristouThalassaemia Clinic, Archbishop Makarios III Hospital, Nicosia, Cyprus.
Maria SitarouThalassaemia Clinic, Larnaca General Hospital, Larnaca, Cyprus.
Marina KleanthousMolecular Genetics Thalassaemia Department, The Cyprus Institute of Neurology and Genetics, Nicosia, Cyprus.ORCID 0000-0003-0064-7034
Cyprus Institute of Neurology and Genetics · CYArchbishop Makarios III Hospital · CYLarnaca College · CYLimassol General Hospital · CY

Funding

Cyprus Institute of Neurology and GeneticsCyprus Research Promotion Foundation/European Regional Development Fund ΥΓΕΙΑ/∆ΥΓΕΙΑ/0311(ΒΙΕ)39European Commission's Seventh Framework Programme 306201European Commission's Seventh Framework Programme ThalamoSS
6 · The paper itself

Abstract

We describe the identification of a novel missense mutation in the second zinc finger of KLF1 in two siblings who, based on their genotype, are predicted to suffer from beta thalassemia major but are, in fact, transfusion-free and in good health. These individuals, as well as two additional members of the same family also carrying this KLF1 mutation, exhibit high levels of fetal hemoglobin (HbF). KLF1 is an erythroid transcription factor, which plays a critical role in the regulation of the developmental switch between fetal and adult hemoglobin by regulating the expression of a multitude of genes including that of BCL11A. The mutation appears to be the main candidate responsible for the beta thalassemia-ameliorating effect as this segregates with the observed phenotype and also exogenous expression of the KLF1 mutant protein in human erythroid progenitor cells resulted in the induction of γ-globin, without, however, affecting BCL11A levels. This report adds to the weight of evidence that heterozygous KLF1 mutations can ameliorate the severity of the β-thalassemia major phenotype.

Indexed as

Genetic Association StudiesGenetic Predisposition to DiseaseMutationPhenotypeAdultAllelesbeta-Globinsbeta-ThalassemiaBiomarkersDNA Mutational AnalysisErythrocyte IndicesFemaleFetal HemoglobinGenotypeHumansKruppel-Like Transcription Factorsbeta-GlobinsBiomarkerserythroid Kruppel-like factorFetal HemoglobinKruppel-Like Transcription Factorsfetal hemoglobinin silico predictionKLF1zinc fingerβ-thalassemia

Identifiers

PMID31115947
PMCPMC6790707
OpenAlexW2946210258

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.