There are a number of mutations affecting the production of fetal haemoglobin, HbF , and normal adult haemoglobin, HbA .
- The HbA allele codes for the normal β-globin polypeptide of haemoglobin.
- The HbS allele, caused by a base substitution mutation, codes for an abnormal β-globin polypeptide.
- The base substitution results in the amino acid glutamine, which has a polar R group, to be replaced by valine, which has a non-polar R group, in the polypeptide.
The abnormal haemoglobin molecules ( HbS ) form fibres in low partial pressures of oxygen ( pO2 ). The fibres cause red blood cells to become sickle shaped and the cells can block blood capillaries.
Individuals with adult haemoglobin molecules that are all abnormal ( HbS ) have sickle cell anaemia. This is a painful chronic condition that can be life-threatening.