Tuesday 31 August 2021

Sicklecell trait provides resistance to malaria

Sicklecell trait provides resistance to malaria:-



The incidence of sicklecell disease coincides with the high incidence of malaria
in tropical areas of the world (particularly among the black Africans).
Sicklecell trait (heterozygous state with about 40% HbS) provides resistance
to malaria which is a major cause of death in tropical areas. This is explained as
follows
1. Malaria is a parasitic disease caused by Plasmodium falciparum in Africa. The
malarial parasite spends a part of its life cycle in erythrocytes. Increased lysis
of sickled cells (shorter life span of erythrocytes) interrupts the parasite cycle.

2. More recent studies indicate that malarial parasite increases the acidity of
erythrocytes (pH down by 0.4). The lowered pH increases the sickling of
erythrocytes to about 40% from the normally occurring 2%. Therefore, the
entry of malarial parasite promotes sickling leading to lysis of erythrocytes.
Furthermore, the concentration of K+ is low in sickled cells which is
unfavourable for the parasite to survive.

Sicklecell trait appears to be an adaptation for the survival of the individuals
in malaria-infested regions. Unfortunately, homozygous individuals, the
patients of sicklecell anemia (much less frequent than the trait), cannot live
beyond 20 years.

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