In sickle-cell anaemia, single base pair substitution in the gene coding for the b-chain causes adenine to replace thymine
DNA triplet changes from CTC to CAC
In the mRNA formed, GUG is coded for instead of GAG, resulting in hydrophobic valine replacing hydrophilic glutamic acid in the 6th amino acid position of the b-chain
This results in a change in 3D conformation of haemoglobin to produce HbS instead of HbA
This decreases solubility of deoxygenated HbS, and at low O2 concentrations, different HbS molecules stick together
HbS molecules polymerise and form rigid fibres
RBC changes from circular biconcave shape to sickle cell shape, and may block capillaries, impeding blood flow.
This deprives organs of oxygen, resulting in organ damage.