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54     Chapter 3    Extensions to Mendel’s Laws


              A Comprehensive Example: Sickle-Cell                 abnormal polypeptide that causes sickling of red blood
              Disease Illustrates Many Extensions to               cells (Fig. 3.9a).
              Mendel’s View of Single-Gene Inheritance
                                                                   Pleiotropy
              Sickle-cell disease is the result of a faulty hemoglobin mol-  S
              ecule. Hemoglobin is composed of two types of polypep-  The Hbβ  allele of the β-globin gene affects more than one
              tide chains, alpha (α)-globin and beta (β)-globin, each   trait (Fig. 3.9b). Hemoglobin molecules in the red blood
                                                                                          S
                                                                                               S
              specified by a different gene: Hbα for α-globin and Hbβ for   cells of homozygous Hbβ  Hbβ  individuals undergo an
              β-globin. Normal red blood cells are packed full of millions   aberrant transformation after releasing their oxygen.
              upon millions of hemoglobin molecules, each of which     Instead of remaining soluble in the cytoplasm, they aggre-
              picks up oxygen in the lungs and transports it to all the   gate to form long fibers that deform the red blood cell from
              body’s tissues.                                      a normal biconcave disk to a sickle shape (see Fig. 3.9a).
                                                                   The deformed cells clog small blood vessels, reducing oxy-
                                                                   gen flow to the tissues and giving rise to muscle cramps,
              Multiple alleles                                     shortness of breath, and fatigue. The sickled cells are also
                                                              A
              The β-globin gene has a normal wild-type allele (Hbβ )   fragile and easily broken. Consumption of fragmented cells
              that gives rise to fully functional β-globin, as well as close   by phagocytic white blood cells leads to a low red blood
              to 400 mutant alleles that have been identified so far.   cell count, a condition called anemia.
              Some of these mutant alleles result in the production    On the positive side, Hbβ  Hbβ  homozygotes are resis-
                                                                                           S
                                                                                                S
              of hemoglobin that carries oxygen only inefficiently.   tant to malaria because the organism that causes the disease,
              Other mutant alleles prevent the production of β-globin,   Plasmodium falciparum, can multiply rapidly in normal red
              causing a hemolytic (blood-destroying) disease called   blood cells but cannot do so in cells that sickle. Infection by
              β-thalassemia. Here, we discuss the most common mu-  P. falciparum causes sickle-shaped cells to break down
                                              S
              tant allele of the β-globin gene, Hbβ , which specifies an     before the malaria organism has a chance to multiply.


              Figure 3.9  Pleiotropy of sickle-cell anemia: Dominance relations vary with the phenotype under consideration. (a) A
              normal red blood cell (top) is easy to distinguish from the sickled cell in the scanning electron micrograph at the bottom. (b) Different levels
                                                                         S
                                                                                A
              of analysis identify various phenotypes. Dominance relationships between the Hbβ  and Hbβ  alleles of the Hbβ gene vary with the phenotype
              and sometimes even change with the environment.
              a (top): © BSIP/Newscom; a (bottom): Source: Janice Haney Carr/CDC
                                          Phenotypes at      Normal        Carrier      Diseased            Dominance
                                      Di	erent Levels of   Hb  Hb  A     Hb  Hb  S     Hb  Hb  S      Relations at Each
                                                                                          S
                                                                            A
                                                              A
                                              Analysis                                                 Level of Analysis
                                          Red blood cell
                                       shape at sea level                            Sickled cells
                                                                                                         A
                                                        Normal         Normal        present          Hb   is dominant
                                                                                                      Hb   is recessive
                                                                                                         S
                                             Red blood cell
                                    concentration at sea level
                                                        Normal         Normal         Lower
                                       -globin polypeptide
                                             production
                                                        A protein      A and S proteins  S proteins    Hb   and Hb   S
                                                                                                          A
                                                                                                       are codominant
                                           Red blood cell
                                     shape at high altitudes           Sickled cells
                                                        Normal         present       Severe sickling
                                                                                                         A
                                                                                                      Hb   and Hb
                                                                                                                S
                                   Red blood cell concentration
                                           at high altitudes                                          show incomplete
                                                        Normal         Lower          Very low, anemia  dominance
                                                                                                         S
                                         Susceptibility                                               Hb   is dominant
                                                                                                         A
                                           to malaria                                                 Hb  is recessive
                                                        Normal
                                                        susceptibility  Resistant     Resistant
                (a)
              (a)                  (b)
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