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Editorial
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Volume 328:129-131 January 14, 1993 Number 2
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Reversing Ontogeny

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Humans, other primates, and ruminants benefit from having a structurally and functionally distinct hemoglobin during fetal development. In human fetal hemoglobin ({alpha}2({gamma})2), the ({gamma}) subunit differs from the {beta} subunit of adult hemoglobin A ({alpha}2{beta}2) in 39 of its 146 amino acids. Consequently, fetal red cells have a relatively high affinity for oxygen, thereby facilitating the transport of oxygen across the placenta. Shortly before birth, the {beta}-globin gene is turned on with torrential force, whereas ({gamma})-globin-gene expression is reduced to a mere trickle. As a result, in normal persons over six months of age, hemoglobin . . . [Full Text of this Article]

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