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Q.Explain reason of sickle-cell anaemia disease.

Rajasthan RbseRajasthan Board Senior Secondary Examination 2024Subjective· 2mImportance★★★★★
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A single base substitution in the haemoglobin β-chain gene changes one amino acid, producing HbS haemoglobin that makes red blood cells rigid and sickle-shaped under low oxygen.

Sickle-cell anaemia is an autosome-linked recessive genetic disorder caused by the substitution of Glutamic acid by Valine at the sixth position of the beta-globin chain of haemoglobin, resulting from a single base-pair substitution (GAG → GTG) in the beta-globin gene (HBB gene on chromosome 11). This changes normal haemoglobin (HbA) into abnormal haemoglobin (HbS). Under conditions of low oxygen tension, HbS molecules polymerise into long fibres, distorting the red blood cells from their normal biconcave disc shape into a rigid, elongated sickle shape. Sickle cells are fragile and haemolyse (burst) easily, causing chronic anaemia; they also tend to clog narrow blood vessels, causing pain and o …

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