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Q.Comment upon sickle cell anaemia in short.

Uttar Pradesh UpmspUP Board (UPMSP) Intermediate 2022Subjective· 3mImportance★★★★★
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Autosomal recessive point mutation (Glu→Val at position 6 of β-globin) → HbS → sickle-shaped RBCs → anaemia.

Concept. Sickle-cell anaemia is an autosomal recessive, Mendelian (single-gene) disorder of haemoglobin.

Molecular cause. A point mutation in the gene for the β-globin chain changes the codon GAG → GUG, so the 6th amino acid, glutamic acid, is replaced by valine (Glu→Val). This produces abnormal haemoglobin, HbS.

Effect. Under low oxygen tension (deoxygenation), HbS molecules polymerise and the biconcave RBCs collapse into a sickle (crescent) shape. These sickled cells are fragile, break easily (haemolysis → anaemia) and block small blood vessels, causing pain and organ damage.

Inheritance.

  • HbAHbAHb^A Hb^A — normal. …

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