Full 2L QBank
Medicine Sickle Cell Disease, G6PD deficiency and other Hemolytic Anemia 392e434d

Basic defect in HbS is?

A
Altered function
B
Altered solubility
C
Altered stability
D
Altered O2 binding capacity
High-Yield Explanation
Basic defect in HbS is altered solubility. A molecule of hemoglobin S (HbS) contains two normal a globin chains and two mutant b globin chains- glutamate at position 6 is substituted with valine. This replaces the polar glutamine residue with a nonpolar valine. The replacement of glutamate by valine generates a sticky patch on the surface of HbS. The sticky patch is present on both oxygenated and deoxygenated HbS but deoxygenated HbS also contains a complementary site for the sticky patch. When HbS is deoxygenated the sticky patch present on its surface binds to the complementary patch on another deoxygenated HbS molecule. Binding of a number of deoxygenated HbS leads to formation of long fibrous polymers of HbS. This stiffens and disto the red cells producing rigid misshaped erythrocytes.

Related Medicine MCQs

Practice 2,00,000+ NEET PG Questions Free

Timed mock tests, mistake queue analytics, audio lectures & zero attempt limits on i❤️Exams.

Start Free Mock Test Now