Class 12 · Principles of Inheritance and Variation

Sickle-Cell Anaemia Inheritance Pattern — NEET Biology

✅ Asked in NEET 2026
📖 NCERT Source

Sickle-cell anaemia: This is an autosome linked recessive trait that can be transmitted from parents to the offspring when both the partners are carrier for the gene (or heterozygous). The disease is controlled by a single pair of allele, HbA and HbS. Out of the three possible genotypes only homozygous individuals for HbS (HbSHbS) show the diseased phenotype. Heterozygous (HbAHbS) individuals appear apparently unaffected but they are carrier of the disease as there is 50 per cent probability of transmission of the mutant gene to the progeny, thus exhibiting sickle-cell trait. The defect is caused by the substitution of Glutamic acid

🖼️Related NCERT figure: Comparison diagram showing normal red blood cells and sickle-cell red blood cells with their molecular basis. Shows normal disc-shaped red blood cells versus crescent-shaped sickle cells, along with the genetic and protein differences between normal Hb (A)gene and sickle-cell Hb(S) gene, including mRNA sequences and amino acid peptide chains. (Figure 4.15 Micrograph of the red blood cells and the amino acid composition of the relevant portion of β-chain of haemoglobin: (a) From a normal individual; (b) From an individual with sickle-cell anaemia)
NCERT Biology · Class 12 · Chapter 4 · Paragraph 86
How NTA Uses This Concept

NTA tests whether students understand that only homozygous (HbSHbS) individuals show sickle-cell disease, while heterozygous (HbAHbS) carriers appear normal but can transmit the mutant gene. The common mistake is assuming heterozygous individuals show the disease phenotype or that they have a 50% chance of getting sick themselves—they don't. What to remember: Sickle-cell is autosomal recessive, so you need two copies of HbS allele to express the disease. Heterozygous carriers have a 50% probability of passing the HbS allele to offspring, not developing symptoms. This distinction between genotype and phenotype in recessive disorders is repeatedly tested across NEET exams.

Solve This NEET Question

This paragraph was tested 3 times in NEET.

Q1 of 3NEET 2026 (cancelled)

Which disorder is caused by substitution of Glutamic acid by Valine at the sixth position of the beta globin chain of haemoglobin?

Q2 of 3NEET 2021

In a cross between a male and female, both heterozygous for the sickle cell anaemia gene, what percentage of the progeny will be diseased? (NEET 2021)

Q3 of 3NEET 2020

Select the correctly matched pair: (NEET 2020)

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