MRCP UK EXAMINATIONS

ABDOMINAL

THALASSEMIA

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
What is the amino acid substitution in patients with sickle cell anemia?
A
adenine for thymine
B
lysine for valine
C
valine for glutamic acid
D
glutamic acid for valine
Explanation: 

Detailed explanation-1: -Sickle cell anemia is caused by homozygous sickle mutation (Hb SS). The sickle mutation causes substitution of a valine for glutamic acid as the seventh amino acid of the beta globin chain.

Detailed explanation-2: -Valine is a hydrophobic amino acid, whereas glutamic acid is hydrophilic: as position 6 of the globin is externally situated, the solubility of the HbS molecule is much reduced compared to HbA, especially in the deoxygenated state. Deoxy-HbS polymerizes the contact points between molecules involving the 6 valines.

Detailed explanation-3: -Sickle-cell anemia is caused by a point mutation in the -globin chain of hemoglobin, replacing the amino acid glutamic acid with the less polar amino acid valine at the sixth position of the chain. The mutation occurs in exon 1 and changes the nucleic acid sequence from GAG to GTG.

There is 1 question to complete.