Hemoglobin Malmö β-97 (FG-4) Histidine→Glutamine: A Cause of Polycythemia

Samuel H. Boyer; Samuel Charache; Virgil F. Fairbanks; Jorge E. Maldonado; Andrea Noyes; Esther E. Gayle

doi:10.1172/JCI106855

^{Department of Medicine, The Johns Hopkins University School of Medicine, Baltimore, Maryland 21205}

^{Department of Laboratory Medicine, the Mayo Foundation, Rochester, Minnesota 55901}

^{Department of Medicine, the Mayo Foundation, Rochester, Minnesota 55901}

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^{Department of Medicine, The Johns Hopkins University School of Medicine, Baltimore, Maryland 21205}

^{Department of Laboratory Medicine, the Mayo Foundation, Rochester, Minnesota 55901}

^{Department of Medicine, the Mayo Foundation, Rochester, Minnesota 55901}

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^{Department of Medicine, The Johns Hopkins University School of Medicine, Baltimore, Maryland 21205}

^{Department of Laboratory Medicine, the Mayo Foundation, Rochester, Minnesota 55901}

^{Department of Medicine, the Mayo Foundation, Rochester, Minnesota 55901}

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^{Department of Medicine, The Johns Hopkins University School of Medicine, Baltimore, Maryland 21205}

^{Department of Laboratory Medicine, the Mayo Foundation, Rochester, Minnesota 55901}

^{Department of Medicine, the Mayo Foundation, Rochester, Minnesota 55901}

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^{Department of Medicine, The Johns Hopkins University School of Medicine, Baltimore, Maryland 21205}

^{Department of Laboratory Medicine, the Mayo Foundation, Rochester, Minnesota 55901}

^{Department of Medicine, the Mayo Foundation, Rochester, Minnesota 55901}

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^{Department of Medicine, The Johns Hopkins University School of Medicine, Baltimore, Maryland 21205}

^{Department of Laboratory Medicine, the Mayo Foundation, Rochester, Minnesota 55901}

^{Department of Medicine, the Mayo Foundation, Rochester, Minnesota 55901}

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Published in Volume 51, Issue 3 on March 1, 1972
J Clin Invest. 1972;51(3):666–676. https://doi.org/10.1172/JCI106855.
© 1972 The American Society for Clinical Investigation

Published March 1, 1972 - Version history

A striking history of familial polycythemia led to a search for an abnormal hemoglobin. None could be demonstrated by routine electrophoretic methods, but the propositus' hemolysate had increased oxygen affinity. Manipulation of the conditions of electrophoresis, and chromatographic methods, permitted identification of hemoglobin Malmö. Studies of hemolysates demonstrated a normal Bohr effect, decreased heme-heme interaction (n=1.58), and a p50 of 1.3 mm Hg at 10°C and pH 7.2. The amino acid substitution occurs in the same position (FG-4) as that of hemoglobin Chesapeake, but in the β-chain rather than the α-chain. The two types of hemolysate have different pathophysiologic properties, and carriers of hemoglobin Malmö exhibit more striking hematologic abnormalities.

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