“…At lower oxygen pressures, increased hemoglobin binding to red cell membranes increases reactive oxygen species generation, leading to oxidative stress, prominently observed in the microvasculature (Mohanty et al, 2014). To neutralize this challenge, the molecule 2,3-bisphosphoglycerate, abundantly present in red cells, synthesized from 1,3-bisphosphoglycerate by bisphosphoglycerate mutase, binds to deoxy-hemoglobin, thereby stabilizing it and reducing oxygen affinity (Oslund et al, 2017;Poillon et al, 1995). This may invariably have negative effects in SCD patients, thereby aggravating the already existing precarious condition.…”