Is Sickle Cell Anemia Dominant Or Recessive

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Is Sickle Cell Anemia Dominant Or Recessive

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Sometimes we also ask how is sickle cell anemia diagnosed?

Sickle cell disease is an important genetic cause of hemolytic anemia 


A form of anemia due to increased erythrocyte destruction, instead of the reduced mature erythrocyte production seen with iron, folic acid, and vitamin B 12 deficiency.

Patients with sickle cell disease are homozygous for the aberrant β-hemoglobin S (HbS) allele or heterozygous for HbS and a second mutated β-hemoglobin gene such as hemoglobin C ( HBC ) or β-thalassemia. Why is sickle cell anemia classified as a recessive disorder?

Sickle cell disease has an increased prevalence in individuals of African descent because the heterozygous trait confers resistance to malaria.

In the majority of patients with sickle cell disease, anemia is not the major problem; the anemia is generally well compensated even though such individuals have a chronically low hematocrit (20–30%), a low serum hemoglobin level (7–10 g/dL), and an elevated reticulocyte count.

Instead, the primary problem is that deoxygenated HbS chains form polymeric structures that dramatically change erythrocyte shape, reduce deformability, and elicit membrane permeability changes that further promote hemoglobin polymerization.

Abnormal erythrocytes aggregate in the microvasculature—where oxygen tension is low and hemoglobin is deoxygenated—and cause venous-occlusive damage. The clinical manifestations of sickle cell disease reflect organ damage by venous-occlusive events.

In the musculoskeletal system, this results in characteristic, extremely painful bone and joint pain. In the cerebral vascular system, it causes ischemic stroke. Damage to the spleen increases the risk of infection, particularly by encapsulated bacteria such as Streptococcus pneumonia.

In the pulmonary system, there is an increased risk of infection and, in adults, an increase in embolism and pulmonary hypertension. Supportive treatment includes analgesics, antibiotics, pneumococcal vaccination, and blood transfusions.

In addition, the cancer chemotherapeutic drug hydroxyurea (hydroxycarbamide) reduces venous-occlusive events. It is approved in the United States for treatment of adults with recurrent sickle cell crises and approved in Europe in adults and children with recurrent vaso-occlusive events.

As an anticancer drug used in the treatment of chronic and acute myelogenous leukemia, hydroxyurea inhibits ribonucleotide reductase and thereby depletes deoxynucleoside triphosphate and arrests cells in the S phase of the cell cycle (see Chapter 54 ). Some people might also be asked, is there a cure for sickle cell anemia?

In the treatment of sickle cell disease, hydroxyurea acts through poorly defined pathways to increase the production of fetal hemoglobin γ (HbF), which interferes with the polymerization of HbS.

Clinical trials have shown that hydroxyurea decreases painful crises in adults and children with severe sickle cell disease. Its adverse effects include hematopoietic depression, gastrointestinal effects, and teratogenicity in pregnant women.


( 1 ). Answer by Harshul Diwanji, Studying Biology – Genetic for entrances, and due to the keen interest

Actually, sickle cell anemia does not follow the dominant-recessive pattern of inheritance at all.
Its inheritance is a deviation from the classical Mendelian pattern of gene inheritance.
It follows a pattern called Co-dominance. In this pattern, both the alleles equally, express themselves.

In sickle cell anemia, the wild type (old/ancient/original) gene mutated from Hb(a) to Hb(s).
These alleles/genes, however, are not related as dominant-recessive. Of course, if the genotype is homozygous for Hb(s) then the person suffers from sickle cell anemia.

But if the genotype is heterozygous, i.e Hb(a)Hb(s); then the person doesn't have the disease. They may have a lower hemoglobin count or may develop sickle cell anemia through some chain of infections or such.

As it is a co-dominantly inherited disease, it isn't very common. But I wouldn't go as far as to call it rare... just uncommon.

I hope that answers your query.

( 2 ). Answer by Kavya Tiku
Pleiotropy: A phenomenon in which a gene affects more than a single character is called pleiotropy.

The best example of pleiotropy is sickle cell anemia in which the red blood corpuscles obtain the shape of a Sickle. Sickle cell anemia is caused in recessive homozygotes.

The gene responsible for sickle cell anemia is denoted by Hbs(s is located on subscript of Hb). It is caused due to the substitution of valine molecule instead of glutamine on Beta chain of Haemoglobin.

The effects of sickle cell anemia are:—

1. Kidney failure
2. Increased heartbeat
3. Mental retardation etc.