Association in cis of β+‐thalassemia and hemoglobin S

A Moroccan woman was investigated because of a typical β‐thalassemia trait associated with a low‐percentage (11%) hemoglobin (Hb) variant. The β‐thalassemia trait was manifested by a microcytosis, a high HbA2 (above 6%), and an increase of the α/β biosynthetic ratio (1.31). The variant was identified to HbS by amino acid analysis of the abnormal peptide (β T1) and by DNA mapping with Sau I (Mst II) restriction endonuclease. No additional amino acid substitution was recorded in the βs‐chain. The reduction of β‐globin synthesis occurred exclusively at the expense of the βs‐chain. These results are consistent with the existence of a βs mutation and a β+‐thalassemia in cis.

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