When individuals who carry the sickle cell allele experience low oxygen levels, their red blood cells can become deformed and take on a sickle shape. This occurs because the abnormal hemoglobin (hemoglobin S) polymerizes under low oxygen conditions, causing the cells to become rigid and sticky. As a result, these sickle-shaped cells can block small blood vessels, leading to reduced blood flow and potential pain crises, as well as increased risk of complications like infections and organ damage.
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