The molecular defect was defined in 38 delta beta-thalassemic chromoso
mes from 30 unrelated heterozygous and 4 homozygous patients of Greek
origin. Restriction fragment beta-gene cluster haplotypes were studies
in 23 delta beta-thalassemic chromosomes. The molecular lesion was id
entical in all studied cases and corresponds to the 'Sicilian' type of
delta beta-thalassemia. Restriction haplotypes analysis has shown tha
t, with one exception only, all Greek delta beta-thalassemic chromosom
es bear the polymorphic sites which characterize haplotypes I or VII,
the former being probable by indirect evidence. The striking similarit
ies of the molecular lesion and the underlying haplotypes:are consiste
nt with two theories: (1) The deletion occurred once on a chromosome a
nd spread all over Greece and the Mediterranean area thereafter; (2) t
he 5' subhaplotype +---- favors the deletional event in the delta-beta
gene area.