The use of recombinant Hb has provided the advantage that any amino acid su
bstitution can be made at sites not represented by natural mutants or that
cannot be modified by chemical procedures, We have recently reported the ex
pression of human sickle Hb (HbS) in the yeast Saccharomycescerevisiae that
carries a plasmid containing the human alpha- and beta-globin cDNA sequenc
es; N-terminal nascent protein processing is correct and a soluble correctl
y folded Hb tetramer is produced. The yeast system produces a recombinant s
ickle Hb that is identical by about a dozen biochemical and physiological c
riteria with the natural sickle Hb purified from the red cells of sickle-ce
ll anaemia patients. Most importantly, the gelling concentration of this re
combinant sickle Hb is the same as that of the HbS purified from human sick
le red cells, The misfolding of Hb reported for the Escherichia coli-expres
sed protein is not apparent for Hb expressed in yeast by any of the criteri
a that we have used for characterization. These findings indicate that this
system is well suited to the production of HbS mutants to explore those ar
eas of the HbS tetramer whose roles in the gelation process are not yet def
ined and to measure quantitatively the strength of such interactions at cer
tain inter-tetrameric contact sites in the deoxy-HbS aggregate. This articl
e reviews our studies on a number of sickle Hb mutants, including polymeriz
ation-enhancing HbS mutants and polymerization-inhibiting HbS mutants.