The New Cure for Sickle Cell Disease

On the 9th of December, 2023, there was a major breakthrough in global health as the Food and Drug Administration (FDA) approved a powerful therapy for sickle cell disease, an inherited disease of the blood known to affect over 20 million people globally. This novel treatment is called Casgevy, developed by Vertex Pharmaceuticals and CRISPR Therapeutics.

What do we know about sickle cell disease?

Sickle cell disease is a group of inherited blood disorders in which the body produces abnormally-shaped red blood cells that look like crescent moons or sickles. Sickle cells have a shorter-than-normal life span and their premature destruction leads to shortage of red blood cells, a condition known as anaemia.

Unlike normal red cells which are pliant, sickle cells are rigid and sticky. They may clump together and stick to the walls of blood vessels, causing obstruction in small vessels and subsequent reduced oxygen supply to various organs. This happens repeatedly and manifests as periodic episodes of pain, called crisis. Crises can last hours to days, and may result in damage to organs like the eyes, kidneys, lungs, bones, and brain.

Photo Credit: Sickle Cell Foundation Nigeria

Sickle cell disease is a lifelong illness and until yesterday, its only cure was bone marrow transplantation. It involves replacing diseased stem cells in the bone marrow with healthy cells from an eligible donor, usually a relative. This procedure is complex and finding a suitable donor can be difficult.  

The New Cure: What it entails

Casgevy works by making changes to one’s genetic makeup so that their stem cells will no longer produce sickled cells. Although, it is meant to be a one-time treatment, there are a number of steps that are that are involved. These steps are carried out over some months before the patient gets the modified stem cells. It begins with a series of blood transfusion and then extraction of the patient’s bone marrow, after which they are edited in the laboratory.

Casgevy employs the gene-editing too, CRISPR

The “bad” stem cells that remain in the patient are cleared by chemotherapy. Then, the modified stem cells are infused into the patient. The cells are allowed to grow and the patient recovers over a few months.

Although Casgevy has been shown to be effective, its potential long term effects and complications are still unknown. This is largely because it is still new. It is also very expensive costing about $2.2 million and only available in the United States at the moment.

A word from HealthFacts to you

The advent of genetic engineering technology promises a bright future for clinical medicine. However, a lot of these technologies are expensive and mostly limited to high income countries. Hence, efforts in low-and-middle income countries such as Nigeria must be towards disease prevention and control.

Suggested Reading: See the “Do nots” in sickle cell disease!

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  252. One other thing is that an online business administration program is designed for college students to be able to smoothly proceed to bachelor degree programs. The Ninety credit certification meets the lower bachelor diploma requirements so when you earn your own associate of arts in BA online, you should have access to the modern technologies in this particular field. Several reasons why students would like to get their associate degree in business is because they’re interested in the field and want to have the general training necessary just before jumping in a bachelor education program. Many thanks for the tips you really provide in the blog.

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  264. Thanks for your content. One other thing is that if you are advertising your property yourself, one of the difficulties you need to be aware about upfront is when to deal with house inspection reviews. As a FSBO seller, the key concerning successfully moving your property and saving money with real estate agent revenue is awareness. The more you recognize, the softer your home sales effort will be. One area when this is particularly vital is home inspections.

  265. In line with my study, after a foreclosed home is offered at a bidding, it is common for your borrower to still have the remaining unpaid debt on the financial loan. There are many creditors who aim to have all rates and liens cleared by the future buyer. Even so, depending on particular programs, restrictions, and state legislation there may be a few loans which are not easily resolved through the exchange of lending products. Therefore, the duty still rests on the client that has received his or her property in foreclosure. Thanks for sharing your opinions on this website.

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  267. Thanks for giving your ideas with this blog. As well, a fable regarding the banking institutions intentions while talking about property foreclosures is that the bank will not have my payments. There is a certain amount of time the bank will take payments every now and then. If you are very deep inside the hole, they’ll commonly demand that you pay that payment 100 . However, i am not saying that they will not take any sort of installments at all. In case you and the bank can find a way to work some thing out, the actual foreclosure course of action may stop. However, in the event you continue to miss payments under the new plan, the home foreclosure process can pick up exactly where it left off.

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