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HealthRe: Yes, It Is Not Impossible. 'AA' Can Marry 'AS' And Give Birth To 'SS' by sainty2k3(op): 11:29pm On Jul 15, 2017
lisbonabdulahi:
what is the chance of this happening, and when last did we see one
Chances are slim as they are rare but its a possibility
HealthRe: Yes, It Is Not Impossible. 'AA' Can Marry 'AS' And Give Birth To 'SS' by sainty2k3(op): 11:19pm On Jul 15, 2017
lebienconnu:
The HbS heamoglobin is as a result of a point mutation on the chromosome 16 which codes for the beta chain of the haemoglobin. Blood phenotype SS can only ensue if the foetus inherits mutated chr 16 from both parents (homozygotic).

Now, AA vs AS shows that only one of the couple has defective chr 16. It is, therefore, scientifically impossible for AA vs AS to produce SS offspring.

if the mother's ova duplicates before fertilization and later fuses with the sperm cell an abnormal zygote will form leading to complete hydatidiform mole (69 Bleep or 69XXY), an abnormal pregnancy which will definitely abort.

This piece of shit is defying the well proven theory of evolution. This is a very shameful article and I am very angry that it made Nairaland first page taking into cognition the position of this forum in the global media. I am also upset and embittered that this trash was written by a Nigerian.
Sure you didn't read the article
HealthRe: Yes, It Is Not Impossible. 'AA' Can Marry 'AS' And Give Birth To 'SS' by sainty2k3(op): 11:17pm On Jul 15, 2017
Protein0:
grin cool
Check jnrremedy's answer
Yea ,seen smiley , HPLC will be better in diagnosing Thalassemia anyway
HealthRe: Yes, It Is Not Impossible. 'AA' Can Marry 'AS' And Give Birth To 'SS' by sainty2k3(op): 11:15pm On Jul 15, 2017
innosaint27:
grin shocked grin


Oga I use God beg you, never in your life should you again classify Hb Genotype AS as a type of sickle cell disease (SCD). You and the textbook you copied from are totally wrong.


Individuals with HB genotype AS are normal in all sense with those who are AA except that they posses sickle cell trait. This means that, if they get married to another individual who is heterozygote (AS or SC or AC) for the sickle cell trait or homozygote (SS), they stand the risk of producing offsprings with sickle cell disease (SS or SC).

Pls, I repeat those with genotype AS are 100% NORMAL. THEY ARE NOT SICKLERS. THEY ONLY CARRY THE SICKLE CELL TRAIT.

As for the thalasaemias, their prevalence is extremely low in people of African descents. So, what we ought to be bothered about is SICKLE CELL ANAEMIA (HBSS/HBSC)
Sicke cell disease- SS,SC,Sbeta thal. Etc simply put S plus other abnormal haemoglobin

Sicke cell disorders- S plus any other haemoglobin (normal or abnormal) As, SS,SC

Sickle cell anaemia- SS .
HealthRe: Yes, It Is Not Impossible. 'AA' Can Marry 'AS' And Give Birth To 'SS' by sainty2k3(op): 11:11pm On Jul 15, 2017
Protein0:
To sign out, what will beta thalassemia major read on electrophoresis?
Most likely only an A band which might appear faint , then if ur electrophoresis can pick HbA2 you will also see that ban , you are using an acidic medium
HealthRe: Yes, It Is Not Impossible. 'AA' Can Marry 'AS' And Give Birth To 'SS' by sainty2k3(op): 11:01pm On Jul 15, 2017
Protein0:
U r not getting my question.
Was it not d thalassemic trait inherited from partner 1?
It was read as A in d parent, right?
Why as S in d offspring?

Modified, d genotype is Sbeta thalassemia in d child just as partner 1's genotype is Abeta thalassemia.
Correct
HealthRe: Yes, It Is Not Impossible. 'AA' Can Marry 'AS' And Give Birth To 'SS' by sainty2k3(op): 10:59pm On Jul 15, 2017
joyandfaith:
doctors are right because AA and AS cannot produce SS. if it happens doctors know something is missing or wrong.
Pls read what jnrremedy just summarized the point for you to grab
HealthRe: Yes, It Is Not Impossible. 'AA' Can Marry 'AS' And Give Birth To 'SS' by sainty2k3(op): 10:57pm On Jul 15, 2017
chalondk:
Oga you are funny oo.. you mean to tell me if i go a hispital to check for my genotype they would start checking something else and tell me tjat is a my genotype abi??

You are twisting the conversation to say someones genotype is AA but his phenotype is something else.. like that is the talk.

CAN PARTNERS OF GENOTYPE AA AND AS GIVE BIRTH TO AN SS CHILDhuh
When you go to most Nigeria hospital what they actually check is HB phenotype using HB electrophoresis.a genotype will require genetic testing or some further test to confirm what is seen on HB electrophoresis.

To your question if you actually do a genotype , that is the AA And AS was confirmed by DNA analysis , then the possibility of having SS should be zero.
But if all you do yo get the AA and AS is from HB electrophoresis ,the common thing we all do the likelihood of Sbeta thalassemia which will appear as SS both clinically and on electrophoresis is still there is there though rare
HealthRe: Yes, It Is Not Impossible. 'AA' Can Marry 'AS' And Give Birth To 'SS' by sainty2k3(op): 10:51pm On Jul 15, 2017
Protein0:
4. Lets assume this our hypothetical couple have Hb eleterophoresis done and was told that the genotype of partner 1 is AA, and that of partner 2 is AS ,but the one that is called AA is actually Aβ-Thalassaemia as ealier mentioned. there(sic) possible offspring include
I. AA, If the child inherit the normal A from partner 1 and another normal A from partner 2
II. Aβ-Thalassaemia ,If the child inherit β-Thalassaemic A from the partner 1 and normal A from partner 2
III. AS,If the child inherit normal A from partner 1 and S from patner 2
IV. Sβ-Thalassaemia If the child inherit β-Thalassaemic A from partner 1 and S from partner 2
Note that scenario I above will show AA on Hb electrophoresis, scenario ii will show AA on electrophoresis, scenario iii will show AS on electrophoresis and scenario iv will show SS on electrophoresis
I have tried to simplify the medical terms but if you still have a doubt or clarification ask and I will try to shed more light, as much as I can.

According to u, partner 1 is actually Aβ-Thalassaemia (AA on electrophoresis). The β-Thalassaemia copy was read as A on electrophoresis.
Here is my question, why will scenario IV show SS, given that the thalassemic trait (that was read as A in d parent) be read as S in the child?
Thanks
Scsensrio iv, the genotype is actually Sbeta thalassemia( meaning there is inheritance of one S haemoglobin and the other which is supposed to be A is genetically deleted) on HB electrophoresis only S band will be seen leading being tagged as SS
HealthRe: Yes, It Is Not Impossible. 'AA' Can Marry 'AS' And Give Birth To 'SS' by sainty2k3(op): 10:47pm On Jul 15, 2017
funmisticqueen:
I have research on it, but you seem to be contradicting yourself, you are yet to show me SCIENTIFIC SOURCES supporting your claim. This is not evidence based and you are still stubbornly supporting something you can't even explain clearly.
Please what is not clear ?
Is that you are not aware the difference between genotype and phenotype
Or you don't know that HB electrophoresis done gives a phenotype which might not necessarily be the Genotype as it is less sensitive in picking quantitative defect of Globin gene known as thalassemia

You still not clear that someone that is Abeta thalassemia meaning he has one of the A deleted bit the other A is covering up ,such person appears AA on HB electrophoresis
HealthRe: Yes, It Is Not Impossible. 'AA' Can Marry 'AS' And Give Birth To 'SS' by sainty2k3(op): 10:41pm On Jul 15, 2017
lexy2014:
after this expert analysis what is ur expert advice 4 intending married couples and married who are still in d baby factory?
Thank you, to be really sure of the genotype, you need to do genetic studies, but since that's not widely available, You can do both HB electrophoresis and High performance Liquid Chromatography (HPLC) these two we help in proper interpretation
HealthRe: Yes, It Is Not Impossible. 'AA' Can Marry 'AS' And Give Birth To 'SS' by sainty2k3(op): 10:37pm On Jul 15, 2017
jnrremedy:
being a doctor doesn't mean u know everything pls go and update ur knowledge of hemoglobin defects or simply visit sickle cell center in igbobi Lagos.
and yes it is very very possible for a AA and AS couple to give birth to a sickler though not the SS sickler (but electrophoresis will read the genotype as SS)
a lot of doctors/ medical personnel don't know this
Thank God people like you are here, many are publicly displaying ignorance, they also ignored our parlance of 'never say never'. I know I wasn't perfect in describing it in layman's language, but very sure of the info
HealthRe: Yes, It Is Not Impossible. 'AA' Can Marry 'AS' And Give Birth To 'SS' by sainty2k3(op): 10:35pm On Jul 15, 2017
naijaking1:
Classic Sickle cell disease denoted by AS and SS are different and must be differentiated from Thalassemia major and minor.
Sickle cell:
1. Mostly among African and African American
2. Genetic abnormality is substitution of glutamic acid for valine at the 6th beta position
3. Clinical presentations maybe similar, but doesn't have the variations of Thalassamia

Thalassamia:
1. Mostly among people of Mediterranean descent
2. Genetic substitution of glutamic acid for lysine, not valine as in SCD
3. Wide clinic presentations from the instantly fatal absence of both alpha and beta chains of hemoglobin, to mild abnormality of the beta chain at the same 6th position.

This understanding is importance for both medical lab technologists who perform these tests, the nurses who counsel the patients, and the physician in charge of diagnosing and managing these conditions.
They don't test the same on electrophoresis, because their amino acid components are not similar, therefore if your lab has been identifyoing thalassamia in terms of AS, SS, then that is wrong
You probably will not get it wrong of you do HPLC with HB electrophoresis or your electrophoresis can also quantify, but if not genotype Sbeta thal . will have an S only band on electrophoresis while A beta thal will have an A only band on electrophoresis which can be misinterpreted as SS and AA respectively
HealthRe: Yes, It Is Not Impossible. 'AA' Can Marry 'AS' And Give Birth To 'SS' by sainty2k3(op): 10:31pm On Jul 15, 2017
joyandfaith:
op and many here could not understand import of the journal. op is dangerous. hope he is not a doctor sir. if he is mls, I can only pray for people that he would meet. if he is a nurse, no problem, we are still save. if he's not any of above health worker ,ur sin of misinformation is forgiven.
I'm a doctor and an authority in the field of knowledge I shared, you find it difficult to understand ,Yes,but those are facts u can verify
HealthRe: Yes, It Is Not Impossible. 'AA' Can Marry 'AS' And Give Birth To 'SS' by sainty2k3(op): 10:28pm On Jul 15, 2017
funmisticqueen:
If you tried, you didnt suceed, even i had a hard time comprehending it, i had to read it twice to get it which was strange for me.
Yea difficult, bit I'm happy I tried, I hope someone with deep knowledge of this will simplify it further
HealthRe: Yes, It Is Not Impossible. 'AA' Can Marry 'AS' And Give Birth To 'SS' by sainty2k3(op): 10:27pm On Jul 15, 2017
joyandfaith:
op u do not understand the journal at al. besides, the journal there are more information in postgraduate haematology textbook.if you an haematogist or resident in haematology you will know the book. in some, there could be disorder of hemoglobin structure and number which could produce sickle cell and thalassemias respectively. thalassemias is a bad disorder because one or more hemoglobin chains are missing. it is not possible with aa and as to produce ss.pls do not create confusion people. thanks.
You didn't read my post and that is obvious unless you do genetic testing or combine other tests like HPLC with HB electrophoresis you might be misdiagnosing beta thalassemia, and yes inheritance of beta thalassemia can co exist with that of sickle cell as S beta thallasemia genotypically which the HB electrophoresis will still show as 'SS' thought its actually Sbeta thalassemia
HealthRe: Yes, It Is Not Impossible. 'AA' Can Marry 'AS' And Give Birth To 'SS' by sainty2k3(op): 10:23pm On Jul 15, 2017
funmisticqueen:
You just quoted only one study and the study you quoted actually collaborates with what fitnessdoctor said, it doesnt say AA and AS can give birth to SS as you claim.
Please stop misinforming people, always show refrences and more than one please.
Please research more on it rather than discarding a fact Sbeta thalassemia are often misdiagnosed as SS and Abeta thallasemia are often misdiagnosed as AA on electrophoresis, google scholar is your friend,
HealthRe: Yes, It Is Not Impossible. 'AA' Can Marry 'AS' And Give Birth To 'SS' by sainty2k3(op): 10:19pm On Jul 15, 2017
beamtopola:
Pls stop misleading Nigeria, there is no research done on this by usa : a black man can't get it right. It is never possible and its impossible for AA and AS to give birth to SS, nairaland shold stop promoting nonsence. The only phenotype we carry out its ABO where by their is dorminant and hiding gene. Here A+ and B+ can give birth to O. Pls genotype is genotype, and stop misleading Nigeria.
https://www.google.com.ng/amp/www.graphic.com.gh/news/health/aa-and-as-partners-produce-ss-baby-is-that-possible.amp.html
HealthRe: Yes, It Is Not Impossible. 'AA' Can Marry 'AS' And Give Birth To 'SS' by sainty2k3(op): 10:18pm On Jul 15, 2017
darlenese:
I think those people who have experienced this should go for a DNA test, instead of assuming the possibility a theory that has not be propounded by anybody. this assumption isn't correct if it has not be proven, and it shouldn't even be brought to front page in the first place.
https://www.google.com.ng/amp/www.graphic.com.gh/news/health/aa-and-as-partners-produce-ss-baby-is-that-possible.amp.html
HealthRe: Yes, It Is Not Impossible. 'AA' Can Marry 'AS' And Give Birth To 'SS' by sainty2k3(op): 10:14pm On Jul 15, 2017
sgtponzihater1:
While I know where u are driving at. The above explanation will give HBSthal, which is different from HBSS. The former have less sickling events and can lead nearly normal lives with very few crises. But Only mutation would cause AA that married AS to give birth to SS, such phenomenon, while feasible theoretically have never been documented. Weldone anyways.
Good to see someone getting it. The point is on HB electrophoresis SBthal will appear as SS
HealthRe: Yes, It Is Not Impossible. 'AA' Can Marry 'AS' And Give Birth To 'SS' by sainty2k3(op): 10:10pm On Jul 15, 2017
funmisticqueen:
Please quote your refrences for all this information.
If I quote my references I doubt if many will be able to riglt comprehend them.
But I found this
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4459467/#!po=8.82353
HealthRe: Yes, It Is Not Impossible. 'AA' Can Marry 'AS' And Give Birth To 'SS' by sainty2k3(op): 10:05pm On Jul 15, 2017
darlenese:
nonsense and ingredient.


no AS and AA has ever given birth to an SS. carry your rubbish theory and gerrahere.



mshweeeeeeew.
Calm down, these ain't theory , its what we have seen ,life and direct
HealthRe: Yes, It Is Not Impossible. 'AA' Can Marry 'AS' And Give Birth To 'SS' by sainty2k3(op): 10:03pm On Jul 15, 2017
Crixina:
Dear Op, as much as you are trying to be educative...you lost most of us...A post like this should be brought to a layman's understand, the use of some terms there are rather too vague most people's comprehension.
Thanks for that , I tried to break it down to layman's level, ,its obvious some will still not get it
HealthRe: Yes, It Is Not Impossible. 'AA' Can Marry 'AS' And Give Birth To 'SS' by sainty2k3(op): 10:01pm On Jul 15, 2017
sgtponzihater1:
Mumbo jumbo, Mendelian inheritance doesn't support AA and AS having SS, no explanation can justify it.
That is if the AA is actually AA genotype and not A beta thalassemia , note that from the explanation above On HB electrophoresis, whicjbwe all loosely refer tonas genotype all of them will appear as AA
RomanceRe: Facebook Does Not Allow One To Type "Most Beautiful Girl In The World" by sainty2k3(m): 9:25pm On Jul 15, 2017
Just trying to stop you from lying
EducationRe: Female Underwear Found In Unilag Library For Law Students by sainty2k3(m): 9:23pm On Jul 15, 2017
There is some form of quickie in the library, bad pikins
SportsRe: Peter Rufai Forgives Baggio After '94 World Cup Goal (pics) by sainty2k3(m): 9:15pm On Jul 15, 2017
Lol,if I'm Baggio I will be very happy to hear this. The goal he scored 23 years ago still hurting someone's mind smiley
HealthRe: Yes, It Is Not Impossible. 'AA' Can Marry 'AS' And Give Birth To 'SS' by sainty2k3(op): 9:07pm On Jul 15, 2017
nelszx:
Quite educative
Yep, and I think mod Dominique and sissy3 are discussing with mynd44 and lalasticlala wink
CelebritiesRe: "If You Want To See My Eyes Red, Call Me Matthew" - Obasanjo Says. by sainty2k3(m): 7:28pm On Jul 15, 2017
Sir Mathew
HealthRe: Yes, It Is Not Impossible. 'AA' Can Marry 'AS' And Give Birth To 'SS' by sainty2k3(op): 12:17pm On Jul 15, 2017
dreshemokha:
Op. Genetics and health is not mathematics as you just calculated.
And yes it is totally IMPOSSIBLE, a marriage between AA and AS can NEVER produce SS.
Moreover, there is no relationship in inheritance between sickle cell diseases and thalassemias.


Am a doctor with a health blog. Check my signature and visit my blog for robust health info and publications.
Please verify and update ur stuffs , the informations provided and also buttressed by the first comment explains it all. Bothe the qualitative genetic abnormalities that leads to Hb S and the quantitative abnormalities in thalassemia can be co inherited otherwise known as S beta thallasemia . I have seen some cases like this , I'm very sure of this fact and for your information I'm not a mathematician, I simply stated a medical fact
HealthRe: Yes, It Is Not Impossible. 'AA' Can Marry 'AS' And Give Birth To 'SS' by sainty2k3(op):
ChelseaDr:
Op thanks for this because a lot of people may not know this.

It is also important to note that although Sβ-Thalasaemia and Hb SS are both forms of Sickle cell disease, they are completely two different disease conditions with far-reaching impact on the person suffering from them.

While Hb SS is as a result of defect in the quality of haemoglobin, Sβ-thalasaemia is as a result of the quantity of haemoglobins present and to diagnose this one needs quantitative analysis of the haemoglobin chains whereas qualitative analysis is enough to diagnose SS which electrophoresis does.

Again, thank you.
Cheers!!
Thanks for the additions especially the role of quantitative analysis

For people who want to read this from other sources
https://www.google.com.ng/amp/www.graphic.com.gh/news/health/aa-and-as-partners-produce-ss-baby-is-that-possible.amp.html
HealthYes, It Is Not Impossible. 'AA' Can Marry 'AS' And Give Birth To 'SS' by sainty2k3(op): 10:28pm On Jul 14, 2017
YES it is not impossible, couples that are AA/AS can give birth to SS , this is how
1. let me differentiate between haemoglobin genotype and haemoglobin phenotype
To get a particular GENOTYPE you have to do a genetic testing or use two or more of the screening test (the conventional electrophoresis that we do + HPLC or other similar test) to confirm the true genotype while hb PHENOTYPE is the appearance /characteristics of an individual haemoglobin on conventional electrophoresis which we loosely refer to as GENOTYPE
Most times when we call ourselves AA,SS,AS we are actually referring to our Haemoglogin PHENOTYPE and NOT GENOTYPE, as most of us don’t do genetic tests, all we do is haemoglobin electrophoresis
2. lets explain the concept of thalasemic trait. Thalassemias are quantitative defect of haemoglobin which means some one can be AA but the one or both A in this person is is absent otherwise known as thalassemia minor and major respectively. If such person run haemoglobin Electrophoresis( the test that we always loosely regard to as genotype) only A band will be seen and such a person will be regarded as AA. But they are also prone to anaemias and some certain abnormal features in the blood depending on the degree in the reduction in the defective A . such individuals can be Aβ-Thalassaemia(otherwise known as thalassaemic trait) if one of the’ A gene’ is normal, or β-Thalassaemia major if both are affected
3. lets merge the two concepts above and form AND SEE THE DIFFERENT PHENOTYPE THAT EXIST AND THE POSSIBLE CORRESPONDING GENOTYPE
If PHENOTYPE is AA the likely GENOTYPES will be AA , Aβ-Thalassaemia
If PHENOTYPE is SS the likely GENOTYPES will be SS, Sβ-Thalassaemia (MEANING THE OTHER ‘A’ THAT WOULD HAVE MADE THIS AN ‘AS’ IS TOTALLY ABSENT) Others might include SD,SG etc though these are very rare
If PHENOTYPE is AS the likely GENOTYPES will be SA (NOTE – ‘S’ COMES BEFORE ‘A’ BECAUSE THE A IS THALASSAEMIC, THOUGH NOT TOTALLY ABSENT AS THE ONE ABOVE ,IT IS SUSBSTANTIALLY REDUCE), or truely AS
4. Lets assume this our hypothetical couple have Hb eleterophoresis done and was told that the genotype of partner 1 is AA, and that of partner 2 is AS ,but the one that is called AA is actually Aβ-Thalassaemia as ealier mentioned. There possible offspring include
I. AA, If the child inherit the normal A from partner 1 and another normal A from partner 2
II. Aβ-Thalassaemia ,If the child inherit β-Thalassaemic A from the partner 1 and normal A from partner 2
III. AS,If the child inherit normal A from partner 1 and S from patner 2
IV. Sβ-Thalassaemia If the child inherit β-Thalassaemic A from partner 1 and S from partner 2
Note that scenario I above will show AA on Hb electrophoresis, scenario ii will show AA on electrophoresis, scenario iii will show AS on electrophoresis and scenario iv will show SS on electrophoresis
I have tried to simplify the medical terms but if you still have a doubt or clarification ask and I will try to shed more light, as much as I can.

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