Which statement accurately describes HbS substitution?

Study for the Ciulla Clinical Chemistry Test. Enhance your knowledge with flashcards and multiple-choice questions. Prepare for the exam with comprehensive study materials and detailed explanations for each question.

Multiple Choice

Which statement accurately describes HbS substitution?

Explanation:
The main idea is that HbS results from a single amino acid change in the beta-globin chain: the sixth residue, normally glutamic acid, is replaced by valine. This Glu-to-Val substitution introduces a hydrophobic patch on deoxygenated hemoglobin, promoting abnormal interactions that cause hemoglobin to polymerize and red cells to sickle. That exact description—valine substituting for glutamic acid at position 6 on the beta chain—matches HbS. The other statements would place the substitution on the alpha chain, or replace Glu with lysine, or refer to the wrong chain and position, which do not describe the HbS mutation.

The main idea is that HbS results from a single amino acid change in the beta-globin chain: the sixth residue, normally glutamic acid, is replaced by valine. This Glu-to-Val substitution introduces a hydrophobic patch on deoxygenated hemoglobin, promoting abnormal interactions that cause hemoglobin to polymerize and red cells to sickle.

That exact description—valine substituting for glutamic acid at position 6 on the beta chain—matches HbS. The other statements would place the substitution on the alpha chain, or replace Glu with lysine, or refer to the wrong chain and position, which do not describe the HbS mutation.

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