Sickle cell trait (genotype HbAS) offers a high level of resistance to difficult and severe malaria [1-4], however, the exact mechanism is yet understood.
Because it is partially protected from anemia and malaria, genotype AS has the highest fitness of the three. Because the loss of S alleles from anemia is balanced off by the loss of A alleles from malaria, both alleles are kept in a state of balanced polymorphism.
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