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Genetics Teaching Vignettes: High School

Title: Sickle Cell Anemia, A Case Study
Teacher: Jeanne Ting Chowning
School: BioLab, Seattle, WA
Grade Level: 10-12

Download: This vignette and all associated activities, masters, and worksheets can be downloaded in PDF at the GEP download page.

Summary:
Sickle cell anemia is an example of a genetic disease that can serve as a vehicle for teaching many biology concepts. Using a case study approach, opportunities arise to make connections not only to various aspects of genetics and molecular biology, but to physiology, evolution and societal and ethical issues as well.

Instructional Materials (included at this website):

List of Classroom Activities:

Description:
Before beginning the unit, briefly review the circulatory system and the normal functions of its components, which were covered earlier in the semester. Then begin the sickle cell unit with the prelab activities described in "Mystery of the Crooked Cell." Students are presented with the symptoms of a patient with an "unknown" disease and must hypothesize its cause after completing four 10ñ20 minute prelab exercises, which include: examining slides of diseased and normal red blood cells (RBCs), modeling the occlusion of capillaries by sickled RBCs with hands-on manipulatives, using balloons and beads to build simple models of RBCs containing either normal or mutant hemoglobin, and determining the inheritance pattern of the disease based on the patientís family history.

Extending the analysis of blood and hemoglobin in the prelab activities, students view the three-dimensional structure of hemoglobin on the Internet. Students watch Blood is Life, a video that teaches about blood from the perspective of a young school teacher with sickle cell anemia. Students complete the Sickle Cell Anemia: Blood Video Questions and Translation Practice Worksheet, which reviews key concepts in the video and provides practice in conceptual transcription and translation of the b globin gene, both normal and mutant.

Sickle cell disease provides a clear example of how changes in DNA can result in an altered protein. Dry labs or exercises such as the Translation Practice Worksheet can be used to illustrate this connection. How can the disease be diagnosed? How can people with a family history of the disease learn whether they carry the trait? Discuss how the answers to these questions can be found by using restriction enzymes to analyze the DNA that codes for b globin and how hemoglobin itself can be analyzed by protein electrophoresis. Students can simulate a restriction analysis of wildtype and mutant b globin genes by eletrophoresing dyes through an agarose gel, as described in Sickle Cell Anemia: Diagnosis Using Simulated Restriction Analysis of DNA.

These activities lead naturally to the topic of genetic testing and a discussion of the ethical concerns that surround such testing. Use current newspaper and magazine articles related to genetics issues to get students thinking and stimulate discussion. Or watch one of several videos that deal with these issues, such as Children By Design, which includes segments on genetic testing, gene therapy, and medical selection of disease-free early embryos for implantation. To make decisions about genetics-related ethical issues, such as denying a person insurance coverage or employment based on his or her genotype, an ethical decision-making model like that developed by the Hastings Center can be used (see Appendix I and Cool Tools for a full description of the Hastings Center Model). In a role-playing activity that lets students practice their communications skills, students analyze prenatal karyotypes and write letters to the parents from the point of view of a doctor explaining the diagnosis and outlining the options. (Photographs of chromosome spreads for students to use in constructing karyotypes can be found in many biology textbooks and lab manuals or on the Internet; see Other Materials.) Note that because sickle cell anemia is not caused by a chromosomal abnormality, another genetic condition (e.g. Down syndrome) should be chosen for this activity.

Sickle cell anemia, which is inherited as an autosomal codominant, also provides the opportunity to discuss classical Mendelian genetics. Further connections can be made to meiosis, gamete formation, and environmental influences that can affect phenotype. Lastly, sickle cell anemia provides an outstanding opportunity to build a connection between genetics and evolution. Students learn the mechanisms by which allele frequencies in a population change over time in response to selective forces (such as malaria) by using laboratory simulations and analyzing disease distribution data. In the Allele Frequencies and Sickle Cell Anemia Lab (Appendix II), students randomly draw red and white beans from "gene pool" containers to model the changes in b globin allele frequencies in a population in response to the selective pressure of malaria.

Genetics Concepts:
A number of the nine genetics concepts are addressed by this unit, including:

Classical Genetics/Central Dogma:

  • Genotype gives rise to phenotype. (concept #4)
  • The two inherited alleles for a gene determine the phenotype for the trait. (#1)
  • The DNA information provides instructions for building proteins. (#5)

Molecular Biology:

  • The genetic information is encoded in DNA. (#2)

Evolution:

  • Changes in DNA, or mutations, cause new alleles to arise, leading to variation among organisms within a population (#7)

Applications:

  • Genetics research has applications in many different fields. (#8)

Ethics:

  • Genetics research raises many ethical, legal, and social issues. (#9)

Essential Learnings:
To correlate the genetics concepts above to the Science Essential Learnings, see the table, Mapping of Genetics Concepts to Science Essential Academic Learning Requirement 1.

References:

  • *"Teaching Biology Around Themes: Teach Proteins and DNA Together," S. Offner, American Biology Teacher 54, #2 (1992).
  • *"Making the Chromosome-Gene-Protein Connection," C. Mulvihill, American Biology Teacher 58, #6 (1996).
  • *"Mystery of the Crooked Cell: An Investigation and Laboratory Activity About Sickle-Cell Anemia," D. A. DeRosa and B. L. Wolfe, American Biology Teacher 61, #2, 137-148.
  • Slides of normal and sickled red blood cells. Order from Triarch Inc. (800-848-0810).
  • Three-dimensional Hemoglobin on the Internet. (Requires the Chime plug-in.) http://info.bio.cmu.edu/Courses/BiochemMols/BuildBlocks/Hb.html.
  • Blood is Life. 45 min. video. Order from Films for the Humanities & Sciences (800-257-5126).
  • Children By Design. Video, Secret of Life series.
  • New Choices, New Responsibilities: Ethical Issues in the Life Sciences. B. Jennings, K. Nolan, C. Campbell, S. Donnelley, E. Parens, L. Turner, E. DeVaro, 1997. Decision-making framework for bioethical issues. (Reviewed in this guide, see Appendix I and Cool Tools.)
  • Karyotypes to print out for Karyotype and Prenatal Diagnosis Activity can be found at:
    http://gslc.genetics.utah.edu/units/disorders/karyotype

*Note: American Biology Teacher has agreed to send out reprints of these articles upon request. To contact ABT, visit their website at: http://www.nabt.org/publications_journals.html.

Last updated 02/03/03