Somatic mutations are more likely to occur in cells that divide often, such as skin and blood cells, because there are more opportunities for DNA replication errors
Caused by a tiny mutation that substitutes the amino acid valine for the glutamic acid that is normally the sixth amino acid in the beta globin polypeptide chain
Changes the surfaces of hemoglobin molecules so that in low-oxygen conditions they attach at many more points than they would if the wild type glutamic acid were at the site
Aggregated hemoglobin molecules form ropelike cables that make red blood cells sticky and able to deform, and then bend the cells into rigid, fragile sickle shapes
Cells lodge in narrow blood vessels, cutting off local blood supplies
Sickling speeds up and spreads as the oxygen level falls
The result is great pain in the blocked body parts, particularly the hands, feet, and intestines. The bones ache, and depletion of normal red blood cells causes the great fatigue of anemia
Without enough beta globin chains, not enough hemoglobin molecules are assembled to effectively deliver oxygen to tissues. Fatigue and bone pain arise during the first year of life as the child depletes fetal hemoglobin, and the "adult" beta globin genes are not transcribed and translated on schedule
As severe beta thalassemia progresses, red blood cells die because the excess of alpha globin chains prevents formation of hemoglobin molecules. Liberated iron slowly destroys the heart, liver, and endocrine glands
Periodic blood transfusions can control the anemia, but they hasten iron buildup and organ damage. Drugs called chelators that entrap the iron can extend life past early adulthood, but they are costly and not available in some nations
A major component of connective tissue, accounting for more than 60 percent of the protein in bone and cartilage and providing 50 to 90 percent of the dry weight of skin, ligaments, tendons, and the dentin of teeth
Particularly devastating, not only because collagen is nearly everywhere, but because collagen has an extremely precise conformation that is easily disrupted, even by slight alterations that might have little effect in proteins with other shapes
Consists of many repeats of the amino acid sequence glycine-X-Y (where X is frequently proline and Y is often hydroxyproline)<|>Three procollagen chains entwine, with two identical chains encoded by one gene and the other encoded by a second gene with a different amino acid sequence<|>Enzymes snip off the ragged ends of the polypeptides, forming mature collagen<|>The collagen fibrils continue to associate with each other outside the cell, building the fibrils and networks that hold the body together