Normal hemoglobin is a tetramer, consisting of two molecules of ß hemoglobin and two molecules of a hemoglobin. In sickle-cell disease, as a result of a single amino acid change, the mutant hemoglobin tetramers associate with each other and assemble into large fibers. Based on this information alone, we can conclude that sickle-cell hemoglobin exhibits
A) altered primary structure.
B) altered secondary structure.
C) altered tertiary structure.
D) altered quaternary structure.
E) altered primary structure and altered quaternary structure; the secondary and tertiary structures may or may not be altered.
Answer: E
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