F. Morle et al., A NEW ALPHA-CHAIN VARIANT HB SALLANCHES [ALPHA-2 104(G11) CYS-]TYR] ASSOCIATED WITH HBH DISEASE IN ONE HOMOZYGOUS PATIENT, British Journal of Haematology, 91(3), 1995, pp. 608-611
We identified a new alpha-chain variant (alpha(Sal)) associated with h
aemolytic anaemia and low level of HbH in one homozygous patient. This
new mutation is located in codon 104 (TGC --> TAC) of the alpha 2 glo
bin gene and results in a Cys --> Tyr replacement. In vitro and in viv
o biosynthetic studies suggest that the mechanism leading to HbH disea
se in this homozygous patients is mostly related to a significant inst
ability of alpha(Sal):beta dimers rather than to the hyperinstability
of the alpha Sal chain itself only.