Complementary DNA (cDNA) was prepared with RNA-dependent DNA polymerase from human globin messenger RNA (mRNA). Annealing and translation experiments with total mRNA from circulating cells from a patient with heterozygous betaP/heterozygous beta-delta0 thalassemia (30/,6_0-thalassemia) The common genetic disease 13-thalassemia ((3-thal) is characterized by a reduced production of hemoglobin A (HbA, a2132), which results from the reduced synthesis of ,B-globin chains relative to a-globin chains, thus causing an imbalance in globin chain production and hence abnormal erythropoiesis (1). The (3-thalassemias show heterogeneity, and there are now several well-defined conditions that form this group.In some cases there is a partial deficiency of ,3-chain production (,3+-thal), in others a total deficiency of (3-chain production (,B0-thal), and finally there is a condition in which both the 6 chains of HbA2 (a262) and the 13-chains of HbA are not produced (6500-thal). It has been demonstrated previously that in many of these forms of (3-thalassemia there is a reduction in the amount of ,B-globin messenger RNA (mRNA). This is seen by the lack of mRNA translation activity in vivo and in homologous cell-free systems (2, 3), in heterologous cell-free systems (4-6), and by hybridization with complementary DNA (cDNA) prepared from globin mRNA with viral RNAdependent DNA polymerase (7-9). There is evidence, however, that in at least one variant of (-thalassemia, that originating in the Ferrara region of Italy, inactive globin Abbreviations: Dot, product of Do (initial concentration of cDNA in mol of nucleotide X liter-') and time (sec); Cot, product of CO (initial concentration of total DNA in mol of nucleotide X liter-') and time (sec). mRNA for ,B-globin chains is present (10,11). In all other types studied there appears to be a direct correspondence between the amount of (3-mRNA present and the amount of ,B-globin chain synthesized, both in homozygotes and heterozygotes.The (3, 6, and y-globin genes are thought to be adjacent to one another in a small region of a single chromosome (1,12 Recently it has been shown by cDNA/DNA hybridization techniques that in at least some cases the severe form of athalassemia is the result of a gene deletion involving all or a considerable part of the a-globin genes (13,14). In the present study we have applied similar techniques to see if the (3-globin genes are present in an individual heterozygous for both 30°-and 6300-thalassemia ((0/6(3O-thalassemia