HISTORY:
The symptoms of Sickle Cell Anemia were observed for over five thousand years in Africa. The first reported case of sickle cell anemia however was in 1846, when an autopsy of a runaway slave showed an absence of a spleen. However, it was first discovered by Ernest Irons, an intern of Dr James B Herrick in the United States in 1910. He viewed an anemic patient’s blood under the microscope and observed “elongated and sickle shaped” red blood cells. However, cases of these sickle shaped red blood cells were of African patients only. In 1922, the disease was named “sickle cell anemia” by Vernon Mason. Hahn and Gillespie discovered in 1927 that red blood cells are made into sickle shaped cells by the change in their molecular structure in the absence of oxygen. In 1948, Watson suggested that infants did not show symptoms of sickle cell anemia because of the presence of fetal hemoglobin, HbF. In 1949, it was shown that the disease was inherited and that only people homozygous for the gene got the disease. In 1951, Linus Pauling and his colleagues showed that sickle cell anemia was caused by abnormality in hemoglobin and had a different chemical structure than normal hemoglobin molecules. They proved the change in structure of sickled cells through gel electrophoresis of hemoglobin from normal blood cells and sickled blood cells. They published the paper “Sickle Cell Anemia, a molecular disease” that spread awareness of the disease. The actual amino acid change however was
Sickle Cell Disease is an illness that affects people all across the globe. This paper will give a description of the sickness through the discussion of the causes, symptoms, and possible cures. Sickle Cell Disease (SCD) is a "group of inherited red blood cell disorders."(1) These disorders can have various afflictions, such as pain, damage and a low blood count--Sickle Cell Anemia.
Sickle cell anemia occurs when a person inherits two abnormal genes (one from each parent) that cause their red blood cells to change shape. Instead of being flexible and round, these cells are more rigid and curved in the shape of the farm tool known as a sickle - that's where the disease gets its name. The shape
Sickle Cell Disease is an autosomal recessive genetic disease that occurs due to a mutation in the β-globin gene of hemoglobin. Autosomal meaning that it is not linked to a sex chromosome, so either parent can pass on the gene to their child. This mutation is a result of a single substitution of amino acids, Glutamic for Valine at position 6 of a β globin chain. The presence of this mutation causes
When Malaria is present and infects red blood cells, parasites can infect cells carrying defective hemoglobin which may result in death. Allele frequency changes over time depending on the pressures or circumstances facing a particular population. African populations are especially impacted by both malaria and sickle cell anemia. Depending on the impacted population, allele frequency often shifts and well suited organisms are likely to survive and allele frequencies can increase. When a population is effected by disease or other circumstances, allele frequency may decrease or change. HbA (normal hemoglobin) and HbS (defective hemoglobin) have varying frequencies and while the HbS gene is present in populations it is
It has always been assumed that genetics and lifestyle play a major role in the presence of health disparities and health care issue that affects African-Americans. This paper provides a historical background to a key disease more prevalent in the African American community, Sickle Cell Anemia, the history behind the disease, genetic mechanisms that influences once probability of inheritance and in-depth treatment on how to manage, prevent and sustain a healthy lifestyle when dealing with sickle cell anemia. Sickle cell anemia is a hereditary disease that alters important aspects of the body physiologically and can be inherited via genes. Sickle cell disease (SCD) was first identified in 1910 and has existed in the continent of Africa for five
According to the 2016 edition of the Oxford dictionary, to define someone or a group of people as vulnerable means that they are susceptible to physical or emotional harm (Vulnerable, 2016). One of the most recognized populations of vulnerable people are children; furthermore, by adding an inherited disease process, that decreases the immune system, would only increase the vulnerability of the population. Children with sickle cell anemia are highly susceptible to being attacked both physically and emotionally by foreign invaders that threaten their already fragile immune systems. During the process of “making hemoglobin, which carries oxygen in our red blood cells, a defect can occur when the amino acid glutamate is replaced by valine. This simple substitution can cause the red blood cell to sometimes collapse, assuming the characteristic sickle shape. The red blood cells, normally very elastic and able to conform to the shape of tiny capillary blood vessels, become rigid and can block the blood vessels, depriving tissue of oxygen and resulting in severe pain” (Stone, 2015). Sickle cell children must endure an incredible amount of pain, many hospitalizations, a pain management regimen, and the inability to experience the normal, everyday life that most of their peers participate in each day. Health care for sickle cell children is focused toward management because there is no cure and as their bodies run out of healthy red blood
Sickle cell disease (SCD) occurs in 1 out of every 365 African American births compared to 1 out of 16,000 Hispanic-American births (1). SCD is a group of red blood cell disorders in which patients have a sickle or moon-shaped red blood cell due to an abnormal S hemoglobin. While sickle cell disease is relatively rare in American births, this is an alarming statistic among people of Sub-Saharan (west and central) African descent. An interesting fact is that SCD occurs more often among people from parts of the world where malaria is or was common, such as Sub-Saharan Africa (1). In addition, it is believed that people who carry the sickle cell trait are less likely to have
Sickle-cell Anemia is a genetic disorder that causes sever pain in the lower back, legs, arms, abdomen, and chest. Red blood cells carry oxygen to the body. The body uses oxygen to make energy. Inside the red blood cell is a protein called hemoglobin, which hooks on to the oxygen. People with sickle-cell anemia have abnormal hemoglobin known as hemoglobin S. Hemoglobin S changes the blood cells into the shape of a sickle. These abnormal sickle cells stick to the blood vessel walls causing blockages. These blockages do not allow blood to flow. This is what causes the pain. People get sickle cell disease when a parent has a mutated hemoglobin gene. Their child has a chance of inheriting the sickle-cell trait or getting sickle-cell Anemia.
Discussions in regards to race can be fraught with extreme opinions, to examine this subject in a more dispassionate light it is helpful to first define the terms. Race is distinctly different from ethnicity or culture, but is often combined in both writing and thought. From a biological perspective, the description of race in human populations is meaningless, but examined from a cultural basis it can make an enormous difference to a population’s wellbeing, or survival, based solely on their difference in morphology.
The red fluid that circulates in our veins and arteries is none other than blood! Is blood important? But of course it is! Blood’s main function is to act as the body’s transport system and also plays a major role in the body’s defense system against infections (America’s Blood Centers, 2012). Among many things, blood contains red blood cells, the component that carries oxygen to cells, and carbon dioxide away. (ABC, 2012). However, blood disorders pose a threat to the health of the body, sometimes requiring the host to have blood transfusions in order to survive (National Institute of Health, 2012). A particular blood disorder of interest is sickle cell anemia, a condition that affects 300,000 people born every year!
The sickle cell disease is an inherited blood disorder that affects red blood cells. People with sickle cell have red blood cells that have mostly hemoglobin's, Sometimes these red blood cells become sickle-shaped or crescent shaped and have trouble going through small blood vessels. When sickle-shaped cells block small blood vessels, less blood can get to that part of the body. Tissue that does not get a normal blood flow eventually becomes damaged. This is what causes the problems of sickle cell disease.
Herrick. He had a West Indian student who was 20 years old come in to see him, Herrick didn’t know why or how it was caused but the doctor knew the symptoms. Sickle cell Anemia is when the body makes sickle shaped red blood cells and a sickle is basically the shape of a crescent, normal red blood cells are in the shape of a disc and looks like a doughnut without the hole in the middle of it. A normal red blood cell can move through a blood vessel easily while a sickle shaped cell are stiff and sticky and gets stuck in the blood vessel, also the sickle cell does not last as long as the regular blood cell does. A German scientist named Felix Hoppe-Seyler had shown that the red substance inside the red blood cell takes up and release oxygen in which humans need oxygen to process their food. The red substance inside the red blood cell he named hemoglobin because the substance was a two- part, iron containing protein in which the two parts of the hemoglobin are heme which is the part that combines with oxygen, picking it up in the lungs. Since the cell is shaped as a sickle they can create a blockade in the body which can cause a stroke or heart attack if causing blockage of blood vessels to the brain or heart.
Thousands of years ago, a genetic mutation occurred in people from the Mediterranean basin, India, Africa, and the Middle East. As the Malaria Epidemic attacked people of these countries, carriers of the defective hemoglobin gene survived. Carrying one defective gene means that a person has a sickle cell trait. Two parents with the trait will produce a child with sickle cell anemia. People of these countries migrated and spread to other areas. In the Western Hemisphere, where malaria is not much of a problem, having the abnormal hemoglobin gene has lost its advantage. Any child born from parents that each has the trait will be born with the disease.
Sickle cell anemia is an anemia that is inherited and mostly affects people whose heritage can be traced back to places where malaria was prevalent. There are approximately 100,000 Americans that have the disease and many more with the trait. Several of my family members are afflicted by this medical condition that causes red blood cells to take on an irregular shape.
Sickle Cell Anemia is a group of disorders that cause red blood cells to become misshapen and break down. Sickle cell disease is the most common inherited blood disorder in the United States, affecting 70,000 to 80,000 Americans (Ashley-Koch, Yang and Olney). Sickle Cell Anemia causes your red blood cells to be thin, stiff, and shaped like a sickle. But your red blood cells are supposed to be round and soft. A person that is diagnosed with sickle cell anemia, their blood cells start to become clogged, causing blood clots, which can cause a great amount of health issues including: infections, stroke, and acute chest syndrome. People get sickle cell anemia by inheriting a mutated gene from both of their parents. On the down side, there is not currently an effective cure for sickle cell anemia, there are several different therapeutic approaches to treating and attempting to cure the disease and help people who are affected with sickle cell anemia better manage their symptoms. There have also been several great scientists that dedicated a lot of research to help find a cure for sickle cell anemia.