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Modulation of the phenotypic diversity of sickle cell anemia
1Department of Medicine, University of Mississippi School of Medicine, Jackson 39216, USA.
Abstract:
Sickle cell anemia is noted for being phenotypically heterogeneous. This suggests that there are genetic influences that moderate the effects of the sickle hemoglobin mutation. In this review I focus on genetically determined modulation of hemoglobin concentration and fetal hemoglobin levels. Each of these variables has important influences upon sickle hemoglobin polymerization and the resulting pathophysiology.
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