How a Single Base Change Can Cause Disease: Sickle Cell Anaemia

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⚙️ How a Single Base Change Can Cause Disease: Sickle Cell Anaemia

The haemoglobin gene in human chromosome 11 carries the code for producing normal haemoglobin — the protein in red blood cells that carries oxygen. One particular mutation in this gene illustrates how a single base substitution can cascade through protein structure to cause a serious disease.

Step 1 — DNA mutation (substitution): The codon GAG (Glutamic acid) in the haemoglobin gene is mutated to GTG. A single adenine base is replaced by thymine.
Step 2 — Transcription (mRNA change): The mRNA codon changes from GAG to GUG. This is transcribed from the mutant DNA template.
Step 3 — Translation (wrong amino acid): The codon GUG codes for valine rather than glutamic acid. One amino acid out of 146 in the haemoglobin beta chain is different.
Step 4 — Wrong protein shape: Glutamic acid is polar (charged); valine is non-polar (uncharged). This change in chemical properties causes haemoglobin molecules to stick together into long fibres under low-oxygen conditions, rather than remaining soluble.
Step 5 — Disease symptoms: The fibrous haemoglobin distorts red blood cells into a sickle (crescent) shape. Sickle-shaped cells:
  • Cannot carry oxygen efficiently
  • Are fragile and break down quickly → anaemia
  • Can block small capillaries → episodes of pain (crises)
  • Cannot squeeze through narrow vessels like healthy round cells can
Key conclusion: One base change → one wrong codon → one wrong amino acid → protein with different shape and properties → life-threatening disease. This chain of causation is the mechanism OCR A examiners test most frequently.

Quick Check: Why does a deletion mutation typically have a bigger effect on a protein than a substitution mutation?

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