What is Sickle Cell Disease (SCD)?

May 10, 2024

Recently, a 12-year-old boy from USA, became the first person in the world with sickle cell disease to begin a commercially approved gene therapy that may cure the condition.

About Sickle Cell Disease (SCD):

  • It is an inherited blood disorder. It is marked by flawed hemoglobin. 
    • Hemoglobinis the molecule in red blood cells (RBCs) that carries oxygen to the tissues of the body.
  • People with SCD have atypical hemoglobin molecules called hemoglobin S, which can distort RBCs into a sickle, or crescent, shape. SCD interferes with the delivery of oxygen to the tissues.
  • How does it affect blood flow?
    • Normally, RBCs are disc-shaped and flexible enough to move easily through the blood vessels.
    • In SCD, RBCs become crescent- or “sickle”-shaped due to a genetic mutation.
    • These sickled RBCs do not bend or move easily and can block blood flow to the rest of the body.
  • What causes it?
    • 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.
  • Treatment:
    • 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.