Sickle Cell anaemia Flashcards

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1
Q

What is the cause of sickle cell?

A
  • missense mutation in the HBB gene.
  • this results in an abnormal beta subunit in haemoglobin due to glutamate amino acid being replaced by valine amino acid on position 6 of the beta subunit.
  • phenylalanine and leucine are also found on the amino acid , they form sticky ends with valine because valine is hydrophobic. This results in polymerisation of a the molecule.
  • now known as HBS.
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2
Q

On what chromosome does the missense mutation of the HBB gene occurs?

A
  • chromosome 11
  • on the p arm of the chromosome (11p15.5)
  • sickle cell mutation is a single base substitution of Adenine to thymine ( GAG - GTG).
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3
Q

Why when testing for sickle cell , we cannot use red blood cells?

A
  • because red blood cells do not have a nucleus so they do not contain DNA.
  • so we cannot test for the HBB gene single base substitution
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4
Q

Why can we not use isolated RNA to test for sickle cell ?

A
  • because PCR does not work on RNA due to taq polymerase not recognising RNA. Only DNA. So In this case we will need to use reverse transcriptase to create a double stranded DNA - then use PCR.
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5
Q

What is the main method we use to test for sickle cell ?

A

PCR

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6
Q

What is destroyed as a result on the sick cell mutation ?

A
  • destroys the mst11 restriction site so restriction endonucleuse can no longer recognise this site.
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7
Q

Sickle cell anaemia is an autosomal ……. trait

A

Recessive

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8
Q

Sickle cell trait

A

A person who is heterozygous for sickle cell

  • they will have a very low concentration of sickle celled red blood cells but will not exhibit sickle cell phenotypically
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