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Cited by 172

The DOI matches its Crossref record; 5 of the 5 references it cites were found in a registry or an index.

Delay in the Fetal Globin Switch in Infants of Diabetic Mothers

Perrine, Susan P., Greene, Michael F., Faller, Douglas V.·1985·New England Journal of Medicine

Abstract

In the normal fetus, a switch from production of hemoglobin F (alpha 2 gamma 2) to hemoglobin A (alpha 2 beta 2) occurs at 28 to 34 weeks of gestation. In the fetus with beta-hemoglobinopathy or beta-thalassemia, this switch proceeds despite the morbidity that results when production of beta-globin is abnormal or reduced. Since insulin has recently been shown to induce renewed expression of some inactive genes, we studied globin biosynthesis during the natural evolution of the fetal globin switch under conditions of hyperinsulinemia, which occurs in infants of diabetic mothers. Such infants develop in a hyperglycemic environment, which produces reactive hyperinsulinemia. The normal increase in beta-globin production from pre-switch levels did not occur in 9 of 10 such infants at term, as compared with 11 normal infants, in whom the switch occurred by 36 to 39 weeks of gestation (P less than 0.0001). The delay in the switch from gamma-globin to beta-globin in this unique clinical setting may allow identification of physiologic factors that can modulate developmental gene suppression.

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Metadata

Authors
Perrine, S. P., Greene, M. F., & Faller, D. V.
Venue
New England Journal of Medicine
Published
1985-02-07
Volume
312
Issue
6
Pages
334-338
ISSN
  • 0028-4793 (ISSN-L)
  • 1533-4406
OpenAlex
W2056046551
Cited by
172
References
5
FWCI
4.98
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Delay in the Fetal Globin Switch in Infants of Diabetic Mothers. https://app.cochat.ai/papers/10.1056/nejm198502073120602
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Perrine, S. P., Greene, M. F., & Faller, D. V. (1985). Delay in the Fetal Globin Switch in Infants of Diabetic Mothers. New England Journal of Medicine. https://doi.org/10.1056/nejm198502073120602

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.