The molecular defect leading to Hb Koln has been analyzed by synthetic oligonucleotides. Thus, DNA of 19 nucleotides, in length corresponding to the normal and mutant beta-globin gene sequences, were used to develop a direct assay for the beta k-gene that codes for this most common form of the unstable hemoglobins. The use of synthetic oligonucleotides established that the Hb Koln mutation is due to a G-to- A transition. The conditions described here should result in the determination of all Hb Koln genotypes with a high level of confidence.

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