About sickle cell disease (SCD)

SCD causes red blood cells to form into a hard sickle or “C” shape due to an abnormal hemoglobin type (a protein that carries oxygen in the blood). This abnormality causes red blood cells to not live as long as normal red blood cells. Sickled red blood cells block blood flow and die early, leaving a shortage of healthy red blood cells. This often causes pain, fatigue, swelling, anemia, and jaundice, among other symptoms.

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Sickle cell disease and genetics

  • SCD is inherited. This inheritance means the gene mutation is passed down from parents to their children, just like traits such as eye color and hair color.
  • If a person carries 1 copy of this mutated gene, they have the sickle cell (SC) trait. If they have 2 copies of the mutated gene, they will have SCD.
  • The chance for disease occurs when 2 people who are carriers of the mutated gene have a child.
  • When 2 individuals with the trait have a child, there is a 25% chance that the child will have the condition, a 50% chance they’ll be a carrier of the trait like their parents, and a 25% chance they will not be a carrier and will not have SCD.
  • If only 1 parent is a carrier of the trait, then their child has a 25% chance of being a carrier of the trait.
  • If 1 parent has SCD and the other has the trait, there is a 50% chance that the child will have SCD and a 50% chance they will be a carrier of the trait.
  • When both parents have SCD, there is a 100% chance their child will also have SCD.
  • If only 1 parent has SCD, then there is a 100% chance their child will be a carrier of the trait but will not have SCD.

SCD inheritance for two carriers of the trait