In humans the a-globin genes are duplicated and closely linked. Whereas The number and arrangement of the human a-globin genes has been established by utilizing the techniques of molecular hybridization and restriction endonuclease analysis. In most populations the a loci are duplicated and closely linked on chromosome 16 (1-4), each diploid cell containing four a-globin genes. Deletion of variable numbers of a genes occurs in subjects from several racial groups (2, 5-7) and is associated with a decrease or absence of a-globin synthesis characteristic of the different a-thalassemia syndromes (8). In Chinese and Thai populations, the reduction in a-chain synthesis is generally proportional to the number of genes deleted; individuals with a-thalassemia 2 ("silent carrier"), a-thalassemia 1 (a-thalassemia trait), Hb (15); (ii) interaction with a-thalassemia determinants cis or trans to the variant locus (16); and (iii) heterogeneity in the number of a-globin genes that does not produce an imbalance in globin chain synthesis-i.e., variable gene dosage (9,17,18). Subjects synthesizing 31% or 55% Hb J Mexico appear to fit the first model because these individuals possess four a genes (15) Hb G Philadelphia (a68 Asn-Lys) is the most common a-chain variant and occurs in approximately 1 in 5000 American Blacks (21). Most studies indicate that Hb G heterozygotes synthesize either 33% or 50% of the abnormal chain (17,22), although there is a single report of individuals who synthesize approximately 20% Hb G (18). Genetic studies suggest that in most subjects the aG locus is the only functional a locus on the affected chromosome (16,22,23). Whether inheritance of the aG-bearing chromosome confers a-thalassemia has been the subject of debate. Rieder et al. (23) tTo whom reprint requests should be addressed.