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Genetic Disorders: Sickle Cell Anemia

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Sickle Cell Anaemia is a heredity disorder in which the red blood cells are affected by altering into a mutated-form of haemoglobin, most commonly at low oxygen levels. The altered-form of haemoglobin are crescent-shape; which are not flexible and can easily block the blood flow in smaller blood vessels and arteries (refer to figure 1). When both alleles inherited carry the sickle cell anaemia disease; 100% of the body’s haemoglobin will mutate into the sickle (crescent) shape. Sickle cell disease is the codominance of only one inherited sickled allele, in which; the carrier can pass the disorder but does not express any significant symptoms or the anaemia itself. Sickle cell anaemia is an autosomal recessive disorder, thus both alleles must …show more content…

These anomalies can happen when each parent passes down heredity chromosomes to offspring, in which the mutated gene is present. Chromosome 11 controls the subunit for beta globin. Sickle cell anaemia modifies chromosome 11 as a result of the alteration of the 6th position in the normal beta chain (refer to figure 2). This mutation causes the amino acid, glutamic acid, to be replaced with valine, which causes the sickle cell disorder. This base change alters the biconvex structure of the haemoglobin (red blood cells) to a crescent shape at low oxygen levels. These unnatural crescent-shaped haemoglobin can easily cause blockages in small blood vessels and arteries, which stops or slows the flow of blood to nearby tissues. Depending on if one or two beta globin are affected by the mutation, the afflicted can either be an autosomal heterozygous carrier (one beta globin) or homozygous recessive (two beta globin).
Sickle cell anaemia has been proven to provide both those afflicted with the disorder and carriers with malarial resistance. In large populations of Africa, sickle cell anaemia is heavily prevalent due to such a high mortality rate of malaria. This is because the sickle cell trait will not be affected by the malaria disease, hence; those unaffected will survive to reproduce and pass down the gene. Statistics obtained from sicklecelldisease.org propose …show more content…

However, if symptoms do arise in young children, it generally includes; painful swelling of the hands and feet (dactylitis), fatigue and yellowing of skin colour (jaundice).
Most adolescents and adults with Sickle Cell anaemia suffer from chronic pain, stemming from frequent pain episodes which occur when oxygen levels are decreased caused by sickle cells blocking blood flow. These pain episodes are commonly known as acute sickle crisis. It is believed that these episodes can be triggered by a secondary illness, temperature, stress and dehydration (G.Gibbons

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