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Sickle Cell Disease

Sickle Cell Disease:

A decade-long study by a Gurugram hospital has found success in curing Sickle Cell Disease among children through bone marrow (stem cell) transplantation, placing India among the leading nations in advanced paediatric transplant outcomes.

  • It is a group of inherited blood cell disorders that affect hemoglobin, the protein that carries oxygen through the body.
  • SCD can cause episodes of severe pain and lead to life-threatening complications.
  • The most common and severe type of SCD is sickle cell anemia.
  • Normally, RBCs are disc-shaped and flexible enough to move easily through the blood vessels.
  • People with SCD have atypical hemoglobin molecules called hemoglobin S, which can distort RBCs into a sickle, or crescent shape.
  • When RBCs sickle, they do not bend or move easily and can block blood flow to the rest of the body.
  • SCD interferes with the delivery of oxygen to the tissues.
  • The cause of SCD is a defective gene, called a sickle cell gene.
  • A person will be born with SCD only if two genes are inherited—one from the mother and one from the father.
  • Symptoms:
    • Early stage: Extreme tiredness or fussiness from anemia, painfully swollen hands and feet, and jaundice.
    • Later stage: Severe pain, anemia, organ damage, and infections.
  • Treatments:
    • A bone marrow transplant (stem cell transplant) can cure SCD.
    • However, there are treatments that can help relieve symptoms, lessen complications, and prolong life.
    • Gene therapy is also being explored as another potential cure.
    • The UK recently became the first country to approve gene therapy treatment for SCD.