“…A large body of work has demonstrated that this element is required for wild-type levels of transcription of transfected ,3-globin-like genes in HeLa, L, and 3T6 cells (12,39,54). Similarly, this element is also required for transcription of transfected ,B-globin genes in erythroid cells (7,49). More striking, several different naturally occurring single base substitution (point) mutations in the CACCC element of the human 3-globin promoter that are known to decrease transcription cause 1-thalassemia (Table 1) (18,32,40,41,43,51).…”