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Mitochondrial retention and autophagy dysregulation drive oxidative stress in sickle cell disease erythrocytes
Jagadeesh Ramasamy, Prasanth Kumar Punathil Kannan, Sugasini Dhavamani, Savitha Palanimuthu, Robert Molokie, Angela Rivers
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Sickle cell disease (SCD) is a genetic disorder caused by a mutation in the β-globin gene, producing hemoglobin-S (HbS). Under low oxygen conditions, HbS polymerizes, forming rigid structures that distort erythrocytes into a sickle shape, impairing their function and resulting in hemolysis. This deformation of erythrocytes reduces their lifespan from 90–120 days to 10–20 days. The consequences include impaired oxygen delivery, vascular occlusion, and tissue ischemia, which contribute to the hallmark symptoms of SCD, including chronic pain, anemia, and organ damage.
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