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ADVANCING PREDICTIVE


         MEDICINE IN SICKLE CELL


                         DISEASE (SCD)





                                                                                        Prof. Solomon Ofori-Acquah

             Sickle  Cell  Disease  (SCD),  an  inherited               Professor Ofori-Acquah;
             condition affecting the red blood cells, is an          ·   a  study  of  the  genomics  of  severe
             af liction  for  millions  of  people  around  the         malaria complications in SCD led by
             world; those who inherit one sickle cell gene              Professor Julie Makani  of  Muhimbili
             and  one  normal  gene  are  said  to  carry  the          University  of  Health  and  Allied
             sickle  cell  trait  (SCT),  and  typically  do  not       Sciences,  Tanzania  and  Professor
             exhibit symptoms of SCD. With about 75% of                 Gordon  Awandare,  Director  of
             the global SCD burden in sub-Saharan Africa                University  of  Ghana's  West  African
             (SSA),  the  situation  is  particularly  acute            Centre  for  Cell  Biology  of  Infectious
             precisely where malaria is also endemic. The               Pathogens (WACCBIP); and
             relevance  of  the  co-location  of  the  two          ·   an  examination  of  the  genomics  of
             diseases  is  that  the  incidence  of  malaria  in        cardiovascular phenotypes in SCD led
             SCD  can  be  fatal.  Conversely,  SCT  carriers           by Professor Mahmoud Sani of Bayero
             have a survival advantage in malaria endemic               University, Nigeria.
             areas.

             Leading  advances  in  SCD  genetic  medicine
             research  at  the  University  of  Ghana  is
             Professor  Solomon  Ofori-Acquah,  Dean  of
             the  School  of  Biomedical  and  Allied  Health
             Sciences (who also holds a joint appointment
             in  Medicine  and  Human  Genetics  at  the
             University  of  Pittsburgh).  He  directs  the
             Sickle  Cell  Disease  Genomics  Network  of
             Africa  (SickleGenAfrica),  a  multi-country
             research programme that seeks to align the
             survival of individuals with SCD in Africa with
             national norms. Professor Ofori-Acquah and
             his  collaborators  across  the  continent  are
             interrogating  the  entire  human  genome  to
             identify differences in our genes that afford
             some patients an enhanced capacity to  ight
             the by-products of sickle cell destruction in
             order to prevent potential damage to major
             organs.

             The  project  comprises  three  interrelated
             research programmes including:
                 ·  a primary genomics research project
                    that  is  a  genome-wide  association
                    study of hemolysis-modifying factors
                    and their role and mechanism in acute
                    organ damage in SCD patients, led by


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