SummaryIn this study we have characterized by DNA analysis the molecular basis of an a-thalassemia condition found in an infant, with 16% Hb Bart's at birth, who developed an hematologic picture similar to the a-thalassemia carrier state. Restriction endonuclease analysis and hybridization with a and ( specific probes have provided strong evidence that this patient carries a genetic compound of deletion a-thalassemia-2 lesion (-a) and a non-deletion defect ( (~c x ) '~] with both a-structural genes intact on chromosome 16. He inherited the deletion a-thalassemia-2 chromosome (-a) from the father and the chromosome with nondeletion a-thalassemia defect from the mother. Because the deletion of one, two, or three a-globin structural genes is associated with 1-2%, 5-6%, or 25%, Hb Bart's respectively, these findings suggest that the non-deletion chromosome ((c~a)'~] contains two a-globin structural genes that are less active than a single a gene (-a).