{"id":1097,"date":"2010-01-05T21:14:00","date_gmt":"2010-01-06T05:14:00","guid":{"rendered":"http:\/\/new.creationbc.org\/?p=1097"},"modified":"2021-10-06T22:28:40","modified_gmt":"2021-10-07T05:28:40","slug":"sickle-cell-anemia-example-of-a-beneficial-mutation","status":"publish","type":"post","link":"https:\/\/creationbc.org\/index.php\/sickle-cell-anemia-example-of-a-beneficial-mutation\/","title":{"rendered":"Sickle-Cell Anemia: Example of a &#8220;Beneficial Mutation&#8221;?"},"content":{"rendered":"<h6><span style=\"color: #808080;\"><em>by Richard Peachey<\/em><\/span><\/h6>\n<h3><span style=\"color: #ff6600;\">What is Sickle-Cell Anemia?<\/span><\/h3>\n<p><span style=\"color: #000000;\">Sickle-cell anemia is a genetic disease common to persons of West and Central African ancestry. It is characterized by severe anemia with symptoms of pallor, muscle cramps, weakness, and susceptibility to fatigue. Additional symptoms include heart enlargement, brain cell atrophy, and severe pain in the abdomen, back, head, and extremities (see diagram below). Many victims of sickle-cell anemia die before the age of twenty, though some survive past fifty.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><img decoding=\"async\" class=\"aligncenter size-large wp-image-2582\" src=\"http:\/\/creationbc.org\/wp-content\/uploads\/sicklecllsymptoms-1024x719.jpg\" alt=\"\" width=\"600\"><\/p>\n<p style=\"text-align: center;\"><span style=\"color: #3366ff;\">Causes of symptoms seen in sickle-cell anemia victims (based on Starr and Taggart, p. 173)<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"color: #000000;\">The symptoms of this disease arise from the tendency of the victim&#8217;s red blood cells to &#8220;sickle,&#8221; that is, to take on irregular shapes. These cells last for only half as long as normal red blood cells; they tend to rupture and are destroyed by the body. In addition, sickled cells often get caught in the capillaries, the narrowest blood vessels, where they clump and produce a blockage. The resulting impaired circulation causes damage to various tissues, in many cases leading to premature death.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><img decoding=\"async\" class=\"aligncenter size-large wp-image-2584\" src=\"http:\/\/creationbc.org\/wp-content\/uploads\/normal-vs-sickled-1024x814.jpg\" alt=\"\" width=\"500\" srcset=\"https:\/\/creationbc.org\/wp-content\/uploads\/normal-vs-sickled-1024x814.jpg 1024w, https:\/\/creationbc.org\/wp-content\/uploads\/normal-vs-sickled-600x477.jpg 600w, https:\/\/creationbc.org\/wp-content\/uploads\/normal-vs-sickled-300x239.jpg 300w, https:\/\/creationbc.org\/wp-content\/uploads\/normal-vs-sickled-768x611.jpg 768w, https:\/\/creationbc.org\/wp-content\/uploads\/normal-vs-sickled-150x119.jpg 150w, https:\/\/creationbc.org\/wp-content\/uploads\/normal-vs-sickled-126x100.jpg 126w, https:\/\/creationbc.org\/wp-content\/uploads\/normal-vs-sickled-105x83.jpg 105w, https:\/\/creationbc.org\/wp-content\/uploads\/normal-vs-sickled.jpg 1289w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/p>\n<p style=\"text-align: center;\"><span style=\"color: #3366ff;\">Normal (A) versus Sickled (B) red blood cells (from McFadden and Keeton, p. 293)<\/span><\/p>\n<p>&nbsp;<\/p>\n<h3><span style=\"color: #008000;\">What Causes Sickle-Cell Anemia?<\/span><\/h3>\n<p><span style=\"color: #000000;\">The primary function of red blood cells is to carry oxygen from the lungs to all tissues of the body. Each red blood cell contains millions of molecules of hemoglobin, the protein that does the work of oxygen transport. The hemoglobin molecule is composed of four polypeptides (chains of amino acids): two alpha (\u03b1) chains, each with 141 amino acids, and two beta (\u03b2) chains, each with 146 amino acids. Each of these four polypeptide chains associates with one iron-containing <em>heme<\/em> group, which has the ability to reversibly bind a single oxygen molecule. Thus the hemoglobin molecule as a whole contains four heme groups and is able to transport four oxygen molecules.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"aligncenter wp-image-2585\" src=\"http:\/\/creationbc.org\/wp-content\/uploads\/hemoglobinmolecule-851x1024.jpg\" alt=\"\" width=\"337\" height=\"406\" srcset=\"https:\/\/creationbc.org\/wp-content\/uploads\/hemoglobinmolecule-851x1024.jpg 851w, https:\/\/creationbc.org\/wp-content\/uploads\/hemoglobinmolecule-600x722.jpg 600w, https:\/\/creationbc.org\/wp-content\/uploads\/hemoglobinmolecule-249x300.jpg 249w, https:\/\/creationbc.org\/wp-content\/uploads\/hemoglobinmolecule-768x924.jpg 768w, https:\/\/creationbc.org\/wp-content\/uploads\/hemoglobinmolecule-150x181.jpg 150w, https:\/\/creationbc.org\/wp-content\/uploads\/hemoglobinmolecule-83x100.jpg 83w, https:\/\/creationbc.org\/wp-content\/uploads\/hemoglobinmolecule-87x105.jpg 87w, https:\/\/creationbc.org\/wp-content\/uploads\/hemoglobinmolecule.jpg 1011w\" sizes=\"(max-width: 337px) 100vw, 337px\" \/><\/p>\n<p style=\"text-align: center;\"><span style=\"color: #3366ff;\">Hemoglobin molecule (from Price, p. 333, based on Cerami and Peterson)<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"color: #000000;\">The cause of sickle-cell anemia is a &#8220;point mutation,&#8221; that is, the alteration of a single nucleotide base within the DNA of the gene coding for the beta-hemoglobin polypeptide. The sixth DNA triplet, CTC, has been changed to CAC (the nitrogenous base <em>thymine<\/em> is replaced by <em>adenine<\/em> in the mutant gene).<\/span><\/p>\n<p><span style=\"color: #000000;\">This mutation in the beta-hemoglobin gene results in the change of just a single amino acid within the polypeptide encoded by that gene. The sixth amino acid in beta-hemoglobin is normally <em>glutamate<\/em>, which has an acidic, very polar, &#8220;hydrophilic&#8221; (water-attracting) side chain. But in the mutant beta-hemoglobin this glutamate is replaced by <em>valine<\/em>, which has a nonpolar, &#8220;hydrophobic&#8221; (water-repelling) side chain. This valine at position six in the mutant polypeptide forms a &#8220;hydrophobic association&#8221; with the nearby valine at position one, causing the abnormal hemoglobin molecule (called &#8220;hemoglobin S&#8221;) to be less soluble in water than the normal version (called &#8220;hemoglobin A&#8221;).<\/span><\/p>\n<p><span style=\"color: #000000;\">As a result of this single altered amino acid in each of the two beta chains, the hemoglobin molecule, when deoxygenated, tends to polymerize and &#8220;crystallize&#8221; (sometimes irreversibly) into long fibrils, stiff rod-like structures that force the red blood cells containing them to twist into bizarre, jagged shapes. When this occurs, the hemoglobin can no longer load and unload oxygen efficiently; even worse, the red blood cells become distorted and obstruct the capillaries. (Normal hemoglobin has a jelly-like consistency, allowing red blood cells to squeeze easily through the narrowest blood vessels.)<\/span><\/p>\n<p><span style=\"color: #000000;\">(For more recent information on the biochemical link between malaria and sickle-cell disease, see the <em>Cell<\/em> articles noted under &#8220;further reading,&#8221; below.)<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><img decoding=\"async\" class=\"aligncenter wp-image-2586\" src=\"http:\/\/creationbc.org\/wp-content\/uploads\/sickledfibrils-1024x1024.jpg\" alt=\"\" width=\"491\" height=\"491\" srcset=\"https:\/\/creationbc.org\/wp-content\/uploads\/sickledfibrils-1024x1024.jpg 1024w, https:\/\/creationbc.org\/wp-content\/uploads\/sickledfibrils-300x300.jpg 300w, https:\/\/creationbc.org\/wp-content\/uploads\/sickledfibrils-100x100.jpg 100w, https:\/\/creationbc.org\/wp-content\/uploads\/sickledfibrils-600x600.jpg 600w, https:\/\/creationbc.org\/wp-content\/uploads\/sickledfibrils-150x150.jpg 150w, https:\/\/creationbc.org\/wp-content\/uploads\/sickledfibrils-768x768.jpg 768w, https:\/\/creationbc.org\/wp-content\/uploads\/sickledfibrils-105x105.jpg 105w, https:\/\/creationbc.org\/wp-content\/uploads\/sickledfibrils.jpg 1473w\" sizes=\"(max-width: 491px) 100vw, 491px\" \/><\/p>\n<p style=\"text-align: center;\"><span style=\"color: #3366ff;\">Sickle cell anemia \u2014 long crystallized fibrils (from Cerami and Peterson, p. 45)<\/span><\/p>\n<p>&nbsp;<\/p>\n<h3><span style=\"color: #993300;\">How Can This Be An Example Of A Beneficial Mutation?<\/span><\/h3>\n<p><span style=\"color: #000000;\">Normal individuals have two &#8220;good&#8221; genes for the beta chain of hemoglobin, one from each parent, in addition to two normal genes for the alpha chain. The genetic trait of normal hemoglobin is designated &#8220;Hb<sup>A<\/sup>,&#8221; and the genotype of the individual is written &#8220;Hb<sup>A<\/sup> Hb<sup>A<\/sup>.&#8221; Such people are said to be <em>homozygous<\/em> for normal hemoglobin; 100% of their hemoglobin will be normal.<\/span><\/p>\n<p><span style=\"color: #000000;\">Individuals with sickle-cell anemia have two mutant beta-hemoglobin genes; their genotype for hemoglobin is written &#8220;Hb<sup>S<\/sup> Hb<sup>S<\/sup>.&#8221; These people are said to be homozygous for the mutated hemoglobin; all of their hemoglobin will contain valine instead glutamate at the sixth position in each beta chain.<\/span><\/p>\n<p><span style=\"color: #000000;\">It is possible, however, for a child to inherit one of each version of the beta-hemoglobin gene. This <em>heterozygous<\/em> genotype is written &#8220;Hb<sup>A<\/sup> Hb<sup>S<\/sup>.&#8221; Such individuals are said to be &#8220;carriers&#8221; or to have &#8220;sickle-cell trait;&#8221; their red blood cells produce about 60% normal hemoglobin and 40% mutant hemoglobin. Some of the cells will be sickled, but only 2 to 4% of the level seen in Hb<sup>S<\/sup> homozygotes. Generally these people lead normal lives, encountering difficulty only in situations of very low oxygen tension, such as at very high altitudes or in situations of extremely strenuous exercise.<\/span><\/p>\n<p><span style=\"color: #000000;\">The mutation is <em>not<\/em> beneficial to those who have two copies of the mutated gene in their cells (the Hb<sup>S<\/sup> homozygotes); they suffer greatly and often die before reaching reproductive age. But heterozygotes (Hb<sup>A<\/sup> Hb<sup>S<\/sup>) do receive a benefit: they are less likely to succumb to malaria. Many African infants with normal hemoglobin die of cerebral malaria, but those with sickle-cell trait have greater resistance.<\/span><\/p>\n<p><span style=\"color: #000000;\">The deadliest form of malaria is caused by the protist <em>Plasmodium falciparum<\/em>, which enters human blood when the person is bitten by a mosquito (genus <em>Anopheles<\/em>). The protist pathogen lodges in human red blood cells, but it decreases the pH of the cells by about 0.4 pH units, causing about 40% of infected cells to sickle. These deformed red blood cells are sequestered and phagocytized by immune system cells; thus the protist is destroyed along with the sickled cells. Although this does not provide complete protection from malaria, it does lessen the severity of the disease.<\/span><\/p>\n<p><span style=\"color: #000000;\">Interestingly, women with sickle-cell trait appear to be more fertile than normal women. The reason for this is not known.<\/span><\/p>\n<h3><span style=\"color: #800080;\">Does This Example Support Macroevolution?<\/span><\/h3>\n<p><span style=\"color: #000000;\">In a limited sense, this mutation can indeed be said to be &#8221;beneficial.&#8221; Heterozygotes (Hb<sup>A<\/sup> Hb<sup>S<\/sup>) are more likely to live to reproductive age and pass on their genes than are the Hb<sup>A<\/sup>homozygotes. They receive significant protection from malaria, and in addition, heterozygote women seem to have greater fertility.<\/span><\/p>\n<p><span style=\"color: #000000;\">But the mutation is nonetheless a <em>loss<\/em> of information. The hemoglobin&#8217;s normal function is impaired, not improved, and the protection from malaria is simply an incidental side benefit \u2014 the pathogen happens to be destroyed along with the person&#8217;s own defective cells. This mutation does not introduce a new level of complexity; there is no new functional information or novel structural feature for evolution to build on. Considered in itself, this mutation is destructive and harmful, as are so many others. It is difficult to see how any genetic change of this sort could lead to a true evolutionary advance.<\/span><\/p>\n<hr>\n<h3><span style=\"color: #ff6600;\"><strong>References<\/strong><\/span><\/h3>\n<p><span style=\"color: #000000;\">Cerami, Anthony, and Charles M. Peterson. 1975. &#8220;Cyanate and Sickle-Cell Disease.&#8221; <em>Scientific American&nbsp;<\/em>232(4):44-50.<\/span><\/p>\n<p><span style=\"color: #000000;\">Davis, Percival, and Dean H. Kenyon. 1993. <em>Of Pandas and People: The Central Question of Biological Origins<\/em>. (2nd edition). Dallas: Haughton Publishing Co.<\/span><\/p>\n<p><span style=\"color: #000000;\">Keeton, William T., and James L. Gould. 1986. <em>Biological Science<\/em>. (4th edition). New York: W. W. Norton &amp; Co.<\/span><\/p>\n<p><span style=\"color: #000000;\">Lehninger, Albert L. 1975. <em>Biochemistry: The Molecular Basis of Cell Structure and Function<\/em>. (2nd edition). New York: Worth Publishers.<\/span><\/p>\n<p><span style=\"color: #000000;\">McFadden, Carol H., and William T. Keeton. 1995. <em>Biology: An Exploration of Life<\/em>. New York: W. W. Norton &amp; Co.<\/span><\/p>\n<p><span style=\"color: #000000;\">McLeod, Kevin Curtis. 1982 (Jun). &#8220;The Sickle Cell Trait.&#8221; <em>Creation Research Society Quarterly&nbsp;<\/em>19:19-26.<\/span><\/p>\n<p><span style=\"color: #000000;\">Price, Peter W. 1996. <em>Biological Evolution<\/em>. Orlando, FL: Saunders College Publishing (Harcourt Brace).<\/span><\/p>\n<p><span style=\"color: #000000;\">Raven, Peter H., and George B. Johnson. 1988. <em>Understanding Biology<\/em>. St. Louis: Times Mirror\/Mosby College Publishing.<\/span><\/p>\n<p><span style=\"color: #000000;\">Starr, Cecie, and Ralph Taggart. 1989. <em>Biology: The Unity and Diversity of Life<\/em>. Belmont, CA: Wadsworth Publishing Co.<\/span><\/p>\n<hr>\n<h3><span style=\"color: #008000;\"><strong>For further reading:<\/strong><\/span><\/h3>\n<p><span style=\"color: #000000;\">&#8220;Sickle cell anemia does not prove evolution!&#8221; by Felix Konotey-Ahulu, a world authority on sickle-cell disease &lt;<\/span><a href=\"http:\/\/creation.com\/sickle-cell-anemia-does-not-prove-evolution\" target=\"_blank\" rel=\"noopener\">http:\/\/creation.com\/sickle-cell-anemia-does-not-prove-evolution<\/a><span style=\"color: #000000;\">&gt;<\/span><\/p>\n<p><span style=\"color: #000000;\">&#8220;An Antioxidant Link between Sickle Cell Disease and Severe Malaria&#8221; by Ashraful Haque and Christian R. Engwerda, <em>Cell<\/em>, Vol. 145 (Apr 29, 2011), pp. 335f. This brief article previews a longer technical report in the same issue, &#8220;Sickle Hemoglobin Confers Tolerance to Plasmodium Infection&#8221; by Ana Ferreira et al. (pp. 398-409).<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>by Richard Peachey What is Sickle-Cell Anemia? Sickle-cell anemia is a genetic disease common to persons of West and Central African ancestry. It is characterized by severe anemia with symptoms of pallor, muscle cramps, weakness, and susceptibility to fatigue. Additional symptoms include heart enlargement, brain cell atrophy, and severe pain in the abdomen, back, head, and extremities (see diagram below). Many victims of sickle-cell anemia die before the age of twenty, though some survive past fifty. &nbsp; Causes of symptoms seen in sickle-cell anemia victims (based on Starr and Taggart, p. 173) &nbsp; The symptoms of this disease arise from the tendency of the victim&#8217;s red blood cells to &#8220;sickle,&#8221; that is, to take on irregular shapes. These cells last for only half as long as normal red blood cells; they tend to rupture and are destroyed by the body. In addition, sickled cells often get caught in the capillaries, the narrowest blood vessels, where they clump and produce a blockage. The resulting impaired circulation causes damage to various tissues, in many cases leading to premature death. &nbsp; Normal (A) versus Sickled (B) red blood cells (from McFadden and Keeton, p. 293) &nbsp; What Causes Sickle-Cell Anemia? The primary function of red blood cells is to carry oxygen from the lungs to all tissues of the body. Each red blood cell contains millions of molecules of hemoglobin, the protein that does the work of oxygen transport. The hemoglobin molecule is composed of four polypeptides (chains of amino acids): two alpha (\u03b1) chains, each with 141 amino acids, and two beta (\u03b2) chains, each with 146 amino acids. Each of these four polypeptide chains associates with one iron-containing heme group, which has the ability to reversibly bind a single oxygen molecule. Thus the hemoglobin molecule as a whole contains four heme groups and is able to transport four oxygen molecules. &nbsp; Hemoglobin molecule (from Price, p. 333, based on Cerami and Peterson) &nbsp; The cause of sickle-cell anemia is a &#8220;point mutation,&#8221; that is, the alteration of a single nucleotide base within the DNA of the gene coding for the beta-hemoglobin polypeptide. The sixth DNA triplet, CTC, has been changed to CAC (the nitrogenous base thymine is replaced by adenine in the mutant gene). This mutation in the beta-hemoglobin gene results in the change of just a single amino acid within the polypeptide encoded by that gene. The sixth amino acid in beta-hemoglobin is normally glutamate, which has an acidic, very polar, &#8220;hydrophilic&#8221; (water-attracting) side chain. But in the mutant beta-hemoglobin this glutamate is replaced by valine, which has a nonpolar, &#8220;hydrophobic&#8221; (water-repelling) side chain. This valine at position six in the mutant polypeptide forms a &#8220;hydrophobic association&#8221; with the nearby valine at position one, causing the abnormal hemoglobin molecule (called &#8220;hemoglobin S&#8221;) to be less soluble in water than the normal version (called &#8220;hemoglobin A&#8221;). As a result of this single altered amino acid in each of the two beta chains, the hemoglobin molecule, when deoxygenated, tends to polymerize and &#8220;crystallize&#8221; (sometimes irreversibly) into long fibrils, stiff rod-like structures that force the red blood cells containing them to twist into [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":1098,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[113,313,290,8],"tags":[],"class_list":["post-1097","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-articles","category-genetics","category-science","category-scientific"],"_links":{"self":[{"href":"https:\/\/creationbc.org\/index.php\/wp-json\/wp\/v2\/posts\/1097","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/creationbc.org\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/creationbc.org\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/creationbc.org\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/creationbc.org\/index.php\/wp-json\/wp\/v2\/comments?post=1097"}],"version-history":[{"count":4,"href":"https:\/\/creationbc.org\/index.php\/wp-json\/wp\/v2\/posts\/1097\/revisions"}],"predecessor-version":[{"id":8046,"href":"https:\/\/creationbc.org\/index.php\/wp-json\/wp\/v2\/posts\/1097\/revisions\/8046"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/creationbc.org\/index.php\/wp-json\/wp\/v2\/media\/1098"}],"wp:attachment":[{"href":"https:\/\/creationbc.org\/index.php\/wp-json\/wp\/v2\/media?parent=1097"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/creationbc.org\/index.php\/wp-json\/wp\/v2\/categories?post=1097"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/creationbc.org\/index.php\/wp-json\/wp\/v2\/tags?post=1097"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}