Hemoglobin (
Hb) Q-Thailand, also known as G-Taichung, Mahidol, Kurashiki-I and Asabara, is an α-
globin chain variant that results from a point mutation (GAC→CAC; Asp→His) at
codon 74 of the α1-globin gene on chromosome 16p with a leftward single α-
globin gene deletion (-α(4.2)). Co-inheritance of
Hb Q-Thailand with α-
thalassemia (mainly --(SEA)) results in
thalassemia intermedia, termed Hb Q-H disease. The aim of the present study was to identify Hb Q-H disease in a Cantonese family. The presence of the Hb variant was confirmed by
cellulose acetate electrophoresis.
DNA analysis, based on polymerase chain reaction and sequencing, was developed to identify the α(Q-Thailand) mutation and common α-
thalassemia gene deletions. Three cases of Hb Q-H disease and two
Hb Q-Thailand carriers were found in the family. The 3-day-old proband with Hb Q-H disease did not show
anemia (Hb 144 g/l), having 25.47% Hb F(Q) (α(Q)₂γ₂) in the total Hb; the other two cases of Hb Q-H disease manifested mild-to-moderate
anemia. None required regular transfusions.