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Hemoglobin A2 (HBA2) Alpha-Globin Gene Deletion, 3.7-kb, Triple-Gene — Whole Blood, Qualitative

Published: August 9, 2026Updated: August 16, 2026

A blood-based genetic test that looks for a specific 3.7-kb deletion affecting the HBA2/HBA1 alpha-globin genes.

Quick summary

["Detecting this deletion may indicate alpha-thalassemia, but the number of affected gene copies and other genetic findings determine clinical significance."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
85091-7
Short code
HBA2 alpha 3.7kb triple Bld Ql
Synonyms
HBA2 alpha 3.7kb triple Bld Ql
Category
liver
Sample
whole-blood
Container
Lavender-top (EDTA)
Units
N/A
Ref low
44
Ref high
147
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
molgen
CPT
84075
SNOMED
27550007
Specimen volume
3 mL
Stability
Room temperature: 4h, Refrigerated: 24h
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

What is this test?

This is a qualitative genetic test performed on whole blood. It looks for a specific 3.7-kb deletion in the alpha-globin gene region, which includes the HBA2 and HBA1 genes. A triple-gene pattern means three alpha-globin gene copies are affected by the deletion.

Why might I need this test?

This test may be used to investigate alpha-thalassemia, particularly when blood counts suggest a hemoglobin disorder, when another test suggests reduced hemoglobin A2, or when a close relative has an alpha-globin deletion. It may also be included in genetic counseling or carrier evaluation.

How is the test performed?

A blood sample is collected, and the laboratory analyzes DNA for the targeted 3.7-kb deletion using a molecular testing method. The result is qualitative, meaning the report indicates whether the targeted deletion was detected; the exact laboratory method should appear on the test report.

How do I prepare for the test?

No fasting or medication changes are usually required for this blood test. Follow any specific instructions from the ordering clinician or laboratory, especially if testing is being coordinated with other family or genetic studies.

Reference range

Adult: 44-147 U/LN/A

Specimen: whole-blood

No special preparation required. Avoid fatty meals before the test if possible.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Alpha-Globin 3.7-kb Deletion Test

Frequently asked questions

Is HBA2 the same thing as hemoglobin A2?
No. HBA2 is the name of a gene that codes for part of the alpha-globin protein, while hemoglobin A2 is a measured hemoglobin variant. Genetic testing for an HBA2-region deletion is different from measuring the amount of hemoglobin A2 in the blood.
Does a positive result mean I have alpha-thalassemia?
It means the targeted alpha-globin deletion was detected and may be consistent with alpha-thalassemia. Your clinician will consider the number of affected gene copies, blood count, other test results, and family history to determine the diagnosis and significance.
Does this test detect every type of alpha-thalassemia?
No. It looks for one specific 3.7-kb deletion pattern. Other alpha-globin deletions, point variants, or changes elsewhere in the hemoglobin genes may require additional testing.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy