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Saving Children with Sickle Cell

Doctors Show That Drug That Helps Adults With Sickle Cell Anemia Will Help Kids, Too

July 1, 2011

Doctors have found that a drug that relieves the symptoms of sickle cell anemia in adults can also be used for children. Up to 100,000 Americans are afflicted by this disease, which causes red blood cells to look like half moons or sickles instead of the normal round shape. For young children, having sickle cell anemia can mean horrible pain, organ damage, and even stroke. In this study, infants and children who got the drug had significantly less pain, less swelling, and fewer hospitalizations and transfusions than children who did not. Doctors hope the results will lead to FDA approval of the drug for infants and children.

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Science Insider

ABOUT SICKLE CELL DISEASE: Sickle cell disease is a hereditary blood disorder that affects red blood cells. People with this disease have red blood cells that mostly contain an abnormal type of hemoglobin. Hemoglobin is the main substance of the red blood cells, helping them carry oxygen from the air in our lungs to the different parts of the body. Normal red blood cells are smooth and round so they can squeeze through the blood vessels; they also live for about 120 days before new cells replace them. People with sickle cell disease have misshapen red blood cells, usually hard and pointed, and shaped like a sickle (crescent). This makes it more likely for them to get stuck in small blood vessels and block the flow of blood, so that tissue throughout the body becomes oxygen deprived and damaged. These abnormal red blood cells also don't live as long as normal ones -- only about 16 days -- and the body simply can't make enough new red blood cells to keep up. With fewer red blood cells in the body, people with the disease can suffer from anemia, gallstones, and jaundice, among other complications.

INHERITING SICKLE CELL DISEASE: Having sickle cell disease is not the same thing as carrying the sickle cell trait. People with sickle cell trait are generally healthy; they don't have the disease, they merely carry the gene that causes the disease. And they can pass this gene on to their children. All sickle cell conditions are inherited from parents, just like blood type, and hair and eye color. If one of the parents has sickle cell anemia and the other is not a carrier of the trait, all of the children will have the sickle cell trait, sothere is a 50 percent chance of the child having the condition. And if both parents have the sickle cell trait, they have a 25 percent chance of having a baby with sickle cell anemia.

The Biophysical Society contributed to the information contained in the TV portion of this report.

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University of Miami Miller School of Medicine

To Go Inside This Science:

Floyd Daniel Armstrong, Ph.D.
Professor, Pediatrics & Psychology, and Associate Chair,
Department of Pediatrics
Director, Mailman Center for Child Development
University of Miami
Miller School of Medicine
darmstrong@miami.edu

Ellen Weiss
Biophysical Society
eweiss@biophysics.org
Phone:240-290-5606


© 2011 American Institute of Physics