Blood Composition and Haemopoiesis
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Questions and Answers

What is the life span of a red blood cell (RBC)?

  • 90 days
  • 60 days
  • 150 days
  • 120 days (correct)
  • Which of the following factors is NOT required for the process of hemopoiesis?

  • Insulin (correct)
  • Thrombopoietin
  • Colony stimulating factors
  • Erythropoietin
  • What is the main role of the haem group in proteins such as hemoglobin?

  • Protein synthesis
  • Energy production
  • Carbon dioxide transport
  • Oxygen binding (correct)
  • Which of the following conditions is considered an inherited hemolytic anemia?

    <p>Sickle cell anemia</p> Signup and view all the answers

    What happens to senescent red blood cells (RBCs) within the body?

    <p>They are destroyed by macrophages.</p> Signup and view all the answers

    What role does iron play in the activity of haemoglobin?

    <p>It is tightly bound to the protein</p> Signup and view all the answers

    What percentage of myoglobin's structure is composed of alpha-helices?

    <p>75%</p> Signup and view all the answers

    Which statement accurately describes myoglobin?

    <p>It is primarily a storage protein</p> Signup and view all the answers

    Where is the haem group located in myoglobin?

    <p>In a crevice near the surface lined with non-polar residues</p> Signup and view all the answers

    What happens to the haem iron during oxygenation of myoglobin?

    <p>It moves closer into the plane</p> Signup and view all the answers

    What percentage of whole blood is composed of plasma?

    <p>55%</p> Signup and view all the answers

    Which process is specifically involved in the production of red blood cells?

    <p>Erythropoiesis</p> Signup and view all the answers

    Where does haematopoiesis primarily occur in adults?

    <p>Pelvis and sternum</p> Signup and view all the answers

    What is the role of haemoglobin in the blood?

    <p>Binds and carries oxygen</p> Signup and view all the answers

    Which of the following does NOT represent a component of the formed elements in blood?

    <p>Plasma proteins</p> Signup and view all the answers

    What is the typical pH range of blood?

    <p>7.35 - 7.45</p> Signup and view all the answers

    Which of the following best describes the function of blood?

    <p>Carries nutrients and waste products</p> Signup and view all the answers

    What is the main liquid component of blood called?

    <p>Plasma</p> Signup and view all the answers

    How many polypeptide chains does hemoglobin contain?

    <p>4 polypeptide chains</p> Signup and view all the answers

    What type of hemoglobin is produced mainly during fetal development?

    <p>HbF</p> Signup and view all the answers

    Which chromosome carries the gene for the alpha-like chains of hemoglobin?

    <p>Chromosome 16</p> Signup and view all the answers

    How does myoglobin compare to hemoglobin in terms of oxygen affinity?

    <p>Myoglobin has a higher affinity for O2 than hemoglobin</p> Signup and view all the answers

    What is indicated by the sigmoidal shape of the hemoglobin oxygen dissociation curve?

    <p>Cooperative binding of O2</p> Signup and view all the answers

    At what point does hemoglobin dissociate from oxygen more readily than myoglobin?

    <p>At a higher partial pressure of oxygen</p> Signup and view all the answers

    Which hemoglobin variant is considered a minor adult form?

    <p>HbA2</p> Signup and view all the answers

    What is the role of the non-covalent interactions between the subunits of hemoglobin?

    <p>To enable the molecule to change shape during binding</p> Signup and view all the answers

    What effect does a low pH or increased pCO2 have on hemoglobin's affinity for oxygen?

    <p>It decreases oxygen affinity.</p> Signup and view all the answers

    What is the primary role of 2,3-BPG in relation to hemoglobin?

    <p>It decreases hemoglobin's affinity for oxygen.</p> Signup and view all the answers

    How does the Bohr effect benefit oxygen delivery in the body?

    <p>It improves oxygen unloading in tissues.</p> Signup and view all the answers

    What happens to the hemoglobin structure when it binds oxygen?

    <p>It transitions from the T form to the R form.</p> Signup and view all the answers

    What effect does the presence of 2,3-BPG have on the oxygen dissociation curve?

    <p>It shifts the curve right.</p> Signup and view all the answers

    In what situation would you expect elevated levels of 2,3-BPG in erythrocytes?

    <p>In cases of low oxygen levels or anemia.</p> Signup and view all the answers

    What type of interactions does 2,3-BPG utilize to bind with deoxy-Hb?

    <p>Ionic bonds.</p> Signup and view all the answers

    What indicates a high oxygen affinity in hemoglobin?

    <p>The R (relaxed) conformation.</p> Signup and view all the answers

    Which growth factor is NOT required for the process of hemopoiesis?

    <p>Lactoferrin</p> Signup and view all the answers

    Which of the following statements is true regarding red blood cell (RBC) lifecycle?

    <p>Senescent RBCs are removed by macrophages.</p> Signup and view all the answers

    What role does myoglobin serve in the body compared to hemoglobin?

    <p>Storing oxygen in muscles.</p> Signup and view all the answers

    Which component of hemoglobin is responsible for its oxygen binding capability?

    <p>Iron in the haem group</p> Signup and view all the answers

    What is the fate of globin after the breakdown of senescent red blood cells?

    <p>It is reused as amino acids.</p> Signup and view all the answers

    What is the primary role of myoglobin in muscle tissue?

    <p>Serving as a reservoir for oxygen</p> Signup and view all the answers

    What distinguishes myoglobin from hemoglobin regarding structure?

    <p>Myoglobin contains 153 amino acids</p> Signup and view all the answers

    How does the binding of oxygen affect the positioning of the haem iron in myoglobin?

    <p>Positions the haem iron 0.1 Å out of plane</p> Signup and view all the answers

    Which statement accurately describes the haem group in haemoglobin?

    <p>It is essential for the activity of haemoglobin</p> Signup and view all the answers

    What effect does a conformational change in myoglobin have upon oxygen binding?

    <p>Causes structural movement through Helix F</p> Signup and view all the answers

    What percentage of whole blood is formed elements?

    <p>45%</p> Signup and view all the answers

    Which substances are carried away from body tissues by blood?

    <p>Wastes and hormones</p> Signup and view all the answers

    At what sites does haemopoiesis primarily occur in adults?

    <p>Pelvis, cranium, vertebrae, and sternum</p> Signup and view all the answers

    During which process is oxygen primarily produced?

    <p>Erythropoiesis</p> Signup and view all the answers

    What temperature does blood typically maintain in the human body?

    <p>38°C</p> Signup and view all the answers

    What component of blood does not contain coagulation factors?

    <p>Serum</p> Signup and view all the answers

    Which component makes up the majority of the formed elements in blood?

    <p>Erythrocytes</p> Signup and view all the answers

    What does the pH range of blood indicate about its nature?

    <p>Alkaline</p> Signup and view all the answers

    What is the advantage of hemoglobin's sigmoidal oxygen dissociation curve compared to myoglobin's hyperbolic curve?

    <p>It enables hemoglobin to release oxygen more readily at higher partial pressures.</p> Signup and view all the answers

    Which hemoglobin variant is predominantly expressed during fetal development?

    <p>Hb F</p> Signup and view all the answers

    What structural feature influences the cooperative binding of oxygen in hemoglobin?

    <p>The non-covalent interactions between polypeptide subunits.</p> Signup and view all the answers

    Which genes are responsible for the expression of the beta-like chains of hemoglobin?

    <p>Chromosome 11</p> Signup and view all the answers

    What is the characteristic shape of myoglobin's oxygen dissociation curve?

    <p>Hyperbolic</p> Signup and view all the answers

    Which factor affects the affinity of hemoglobin for oxygen when there is an increase in carbon dioxide levels?

    <p>Decreased affinity due to the Bohr effect</p> Signup and view all the answers

    How does the presence of 2,3-BPG affect the oxygen dissociation curve of hemoglobin?

    <p>It shifts the curve to the right, decreasing affinity.</p> Signup and view all the answers

    What is the key difference in oxygen binding between hemoglobin and myoglobin?

    <p>Hemoglobin can bind multiple oxygen molecules while myoglobin binds one.</p> Signup and view all the answers

    What is the effect of the Bohr effect on hemoglobin's affinity for oxygen?

    <p>Decreases affinity at low pH</p> Signup and view all the answers

    How does an increase in 2,3-BPG concentration affect oxygen delivery?

    <p>Increases oxygen delivery to tissues</p> Signup and view all the answers

    What is the primary role of 2,3-BPG in relation to deoxy-Hb?

    <p>It increases the release of oxygen by stabilizing the T form</p> Signup and view all the answers

    What change occurs in the hemoglobin structure upon oxygen binding?

    <p>The R form is stabilized and the dimeric structure is disrupted</p> Signup and view all the answers

    What occurs during the cooperativity of hemoglobin in relation to oxygen binding?

    <p>Binding of one oxygen molecule facilitates the binding of additional oxygen molecules</p> Signup and view all the answers

    What is indicated by an increased P50 value in the context of hemoglobin?

    <p>Lower oxygen affinity</p> Signup and view all the answers

    Which statement best represents how pH affects hemoglobin's role in oxygen delivery?

    <p>Higher pH diminishes oxygen unloading in tissues</p> Signup and view all the answers

    What effect does 2,3-BPG have on the oxygen dissociation curve?

    <p>Shifts the curve to the right</p> Signup and view all the answers

    What is primarily recycled from senescent red blood cells during their breakdown?

    <p>Globin as amino acids and iron reutilized</p> Signup and view all the answers

    Which stem cell characteristic facilitates the exit of cells from the bone marrow into circulation?

    <p>Loss of Cell Adhesion Molecules (CAMs)</p> Signup and view all the answers

    What characterizes the life span of an erythrocyte throughout its cycle?

    <p>Consistent at approximately 120 days with a fixed destruction rate</p> Signup and view all the answers

    Which growth factor is integral for the process of erythropoiesis?

    <p>Erythropoietin</p> Signup and view all the answers

    What is a defining feature of anaerobic metabolism compared to aerobic metabolism?

    <p>Inefficiency leading to alternative energy sources</p> Signup and view all the answers

    What structural characteristic differentiates myoglobin from hemoglobin?

    <p>Myoglobin is a singular polypeptide chain.</p> Signup and view all the answers

    How does the oxygenation of myoglobin affect the positioning of the haem iron?

    <p>It moves from 0.3 Å to 0.1 Å out of plane.</p> Signup and view all the answers

    What is the primary function of haem in myoglobin and hemoglobin?

    <p>To hold iron in place for oxygen binding.</p> Signup and view all the answers

    Which two characteristics are true about the structure of myoglobin?

    <p>It contains non-helical regions and is composed of 8 helices.</p> Signup and view all the answers

    What is the functional significance of the histidines E7 and F8 in myoglobin?

    <p>They are involved in the binding of oxygen.</p> Signup and view all the answers

    What percentage of whole blood is composed of formed elements?

    <p>45%</p> Signup and view all the answers

    Where does erythropoiesis primarily occur in children?

    <p>Marrow of long bones</p> Signup and view all the answers

    Which statement accurately describes the function of blood concerning metabolic waste?

    <p>It transports metabolic waste away from tissues.</p> Signup and view all the answers

    What is the primary temperature at which blood operates in the human body?

    <p>38°C</p> Signup and view all the answers

    Which sites are primarily involved in the haematopoietic function in adults?

    <p>Pelvis, cranium, vertebrae, and sternum</p> Signup and view all the answers

    What is the primary role of erythropoiesis?

    <p>Production of red blood cells</p> Signup and view all the answers

    Which component does blood typically NOT carry away from tissues?

    <p>Nutrients</p> Signup and view all the answers

    What type of blood cells constitutes the majority of formed elements?

    <p>Erythrocytes</p> Signup and view all the answers

    Which of the following hemoglobin types is characterized by the presence of the zeta chain?

    <p>Hb Gower 1</p> Signup and view all the answers

    What characteristic shape does the oxygen dissociation curve of hemoglobin exhibit?

    <p>Sigmoidal</p> Signup and view all the answers

    What structural feature of hemoglobin allows for cooperative binding of oxygen?

    <p>Non-covalent interactions between subunits</p> Signup and view all the answers

    Which hemoglobin variant has the highest oxygen affinity?

    <p>Hb F</p> Signup and view all the answers

    How many oxygen molecules can one molecule of hemoglobin bind at most?

    <p>4</p> Signup and view all the answers

    In terms of gene expression, which chromosome is responsible for the beta-like chains of hemoglobin?

    <p>Chromosome 11</p> Signup and view all the answers

    What insight does a hyperbolic oxygen saturation curve provide regarding a protein's oxygen binding properties?

    <p>Represents independent binding of oxygen</p> Signup and view all the answers

    Which hemoglobin variant is expressed primarily during embryonic development?

    <p>Hb Gower 1</p> Signup and view all the answers

    Which form of hemoglobin has a higher affinity for oxygen?

    <p>R-form</p> Signup and view all the answers

    What is the effect of increased pCO2 on hemoglobin's oxygen affinity?

    <p>Decreases oxygen affinity</p> Signup and view all the answers

    How does the presence of 2,3-BPG influence the oxygen transport function of hemoglobin?

    <p>It creates salt bridges that stabilize deoxy-Hb.</p> Signup and view all the answers

    What physiological advantage does the Bohr effect provide for oxygen delivery?

    <p>Oxygen is released more easily at low pH.</p> Signup and view all the answers

    What role does the T-form of hemoglobin play in oxygen release?

    <p>It stabilizes the deoxy form, allowing easier oxygen unloading.</p> Signup and view all the answers

    If the concentration of 2,3-BPG is elevated, what is the expected effect on oxygen delivery?

    <p>Oxygen delivery to tissues increases.</p> Signup and view all the answers

    What is the effect of a rightward shift in the oxygen dissociation curve?

    <p>Increased unloading of oxygen in tissues.</p> Signup and view all the answers

    Which condition favors the loading of oxygen in the lungs?

    <p>Higher pH and lower pCO2.</p> Signup and view all the answers

    Study Notes

    Blood Composition

    • Blood is a vital fluid that circulates throughout the body, carrying oxygen, nutrients, and hormones to cells while removing waste products.
    • It comprises plasma, a complex aqueous solution containing dissolved gases, salts, proteins, carbohydrates, and lipids, and formed elements, primarily red blood cells (RBCs), platelets, and white blood cells (WBCs).
    • The volume of blood in a 70kg man is approximately 5.6 litres.
    • Whole blood, when allowed to clot, leaves behind a fluid called serum, which lacks coagulation factors.

    Haemopoiesis

    • Haematopoiesis is the process of producing new blood cells, including RBCs, WBCs, and platelets.
    • In adults, haematopoiesis occurs primarily in the marrow of the pelvis, cranium, vertebrae, and sternum.
    • Extramedullary haematopoiesis may occur in the liver, thymus, and spleen if necessary.
    • Stem cells in the bone marrow differentiate into a variety of blood cell types, with a single stem cell producing over a million mature cells.

    Erythropoiesis

    • Erythropoiesis is the process of producing RBCs, typically resulting in 16 mature RBCs from a single proerythroblast.

    Erythrocytes (RBCs)

    • RBCs are anucleate, have a discoid shape, and have a lifespan of about 120 days.
    • Anaemia is a condition characterized by a decrease in hemoglobin concentration below the reference range for age and sex.
    • The two most common inherited haemolytic anaemias are glucose-6-phosphate dehydrogenase (G6PD) deficiency and sickle cell anaemia.

    The Life Cycle of RBCs

    • Senescent RBCs are removed by macrophages in the spleen, liver, and bone marrow.
    • Haem components are recycled:
      • Globin is broken down into amino acids for reuse.
      • Iron is reutilised in the production of new haem.
      • Porphyrin is excreted in bile.

    Oxygen Binding to Proteins

    • Haem groups, composed of protoporphyrin IX and ferrous iron (Fe2+), are essential for oxygen binding by haemoglobin and myoglobin.
    • Iron is held in position by 4 nitrogen atoms.
    • Fe2+ can form two additional bonds, one with an oxygen molecule and one with a histidine residue in the protein.

    Myoglobin

    • Myoglobin is a globular protein that acts as an oxygen reservoir in heart and skeletal muscle cells.
    • It consists of 153 amino acids and has a molecular weight of 17kDa.
    • Myoglobin's structure consists of:
      • 75% alpha-helices.
      • 8 helices, labelled A-H.
      • Non-helical regions.
      • Hydrophilic exterior.
      • Hydrophobic interior, except for histidines E7 and F8.

    Haemoglobin

    • Haemoglobin (Hb) is a tetrameric protein found in RBCs, responsible for oxygen transport throughout the body.
    • Hb consists of four polypeptide chains, each with a haem group, allowing for the binding of four oxygen molecules.
    • The subunits are held together by non-covalent interactions.

    Haemoglobin Variant Forms

    • HbA is the main adult form of haemoglobin, composed of two alpha and two beta chains (a2b2).
    • HbA2 is a minor adult form, composed of two alpha and two delta chains (a2d2).
    • HbF is the fetal form of haemoglobin, composed of two alpha and two gamma chains (a2g2).

    The Oxygen Dissociation Curve

    • Myoglobin has a hyperbolic oxygen dissociation curve, indicating that all sites are fully saturated when oxygen pressure is high.
    • Haemoglobin's oxygen dissociation curve has a sigmoidal shape, reflecting the co-operative binding of oxygen to the four subunits.

    Co-operativity in Haemoglobin

    • Co-operativity refers to the phenomenon where the binding of oxygen to one haem group increases the affinity of the remaining haem groups for oxygen.
    • The binding of the fourth oxygen molecule to haemoglobin is approximately 300 times stronger than the binding of the first.

    Structural Changes Due to Oxygenation

    • Deoxy-Hb exists in a tense (T) conformation, having low affinity for oxygen.
    • The binding of oxygen to Hb causes a conformational change to a relaxed (R) conformation, increasing its affinity for oxygen.

    Allosteric Effects

    • Allosteric effects influence Hb's oxygen binding affinity, including:
      • Haem-Haem interaction (cooperativity).
      • The Bohr Effect.
      • 2,3-Bisphosphoglycerate (2,3-BPG).

    The Bohr Effect

    • The Bohr Effect describes the phenomenon where Hb's oxygen affinity decreases in the presence of low pH or high carbon dioxide concentrations.
    • The effect shifts the oxygen dissociation curve to the right, facilitating oxygen release in tissues and oxygen uptake in the lungs.

    2,3-BPG

    • 2,3-BPG is a molecule present in RBCs that binds to deoxy-Hb, stabilising its T conformation, and reducing its affinity for oxygen.
    • Binding of 2,3-BPG to Hb creates salt bridges with positively charged amino acids, which need to be broken during oxygenation.
    • The removal of 2,3-BPG from Hb significantly increases its oxygen affinity.
    • 2,3-BPG shifts the oxygen dissociation curve to the right, promoting oxygen release in tissues.

    2,3-BPG and Anaemia

    • High 2,3-BPG levels in anemia increase oxygen delivery to tissues, compensating for reduced hemoglobin levels.

    Blood Composition

    • Blood - an organ distributed throughout the body, circulating through the heart, arteries, veins, and capillaries
    • Approximately 7-8% of body weight
    • Average volume in a 70kg man: 5.6L
    • Temperature: 38°C
    • Slightly alkaline: pH 7.35 - 7.45
    • Two main components: Plasma (~55%) and Formed Elements (~45%)
      • Plasma: liquid component containing dissolved solutes, such as gases, salts, proteins, carbs, and lipids
      • Formed elements: red cells (erythrocytes), platelets, white cells (leukocytes)
    • Serum: remaining fluid after clotting
    • Serum lacks coagulation factors

    Blood Functions

    • Carries oxygen, nutrients, hormones, water, and solutes to tissues
    • Carries waste matter, carbon dioxide, and heat away from tissues

    Haemopoiesis

    • Production and development of new blood cells
    • Three main processes: Erythropoiesis (red blood cell production), Leucopoiesis (white blood cell production), Thrombopoiesis (platelet production)
    • Significantly more red blood cells than white blood cells in circulation

    Sites of Haemopoiesis

    • In children: long bone marrow (femur, tibia)
    • In adults: pelvis, cranium, vertebrae, sternum
    • Extramedullary haematopoiesis: liver, thymus, and spleen may resume haematopoietic function
    • Maturation, activation, and some proliferation of lymphoid cells occurs in spleen and lymph nodes

    Key Features of Haemopoiesis

    • Single stem cell produces >10^6 mature cells
    • Stem cells grow and divide in bone marrow
    • Lose Cell Adhesion Molecules (CAMs) allowing cells to enter circulation
    • Requires growth factors: Erythropoietin, colony stimulating factors, interleukins, thrombopoietin

    Erythropoiesis

    • Typically one proerythroblast gives rise to ~16 mature red blood cells

    Erythrocytes (RBCs)

    • Anucleate, discoid shape
    • ~120-day lifespan
    • 1% destroyed per day

    Anaemia

    • Decreased Hb concentration below the reference range for age and sex:
      • Female: 11.5 – 16.0 g/dL
      • Male: 13.5 – 17.5 g/dL

    Inherited Haemolytic Anaemias

    • Glucose-6-phosphate dehydrogenase (G6PD) deficiency
    • Sickle cell anaemia

    Life Cycle of RBCs

    • Lifespan: ~120 days
    • Senescent RBCs removed by macrophages
    • Haemoglobin components recycled:
      • Globin: amino acids are reutilized
      • Iron: reutilized
      • Haem: excreted in bile

    Aerobic Metabolism

    • Multi-cellular organisms require oxygen for aerobic metabolism and storage
    • Specialized proteins for oxygen transport: Myoglobin and Haemoglobin

    Haem Group

    • Oxygen binding in proteins depends on the haem group
    • Tightly bound to the protein
    • Essential for haemoglobin activity
    • Iron (Fe2+) held in position by four nitrogens
    • Fe2+ can make two more bonds

    Structure of Myoglobin

    • Oxygen reservoir in heart and skeletal muscle cells
    • 153 amino acids, 17kDa compact protein
    • Structure: 75% alpha-helix, 8 helices labelled A-H, non-helical regions (AB, BC etc.)
    • Exterior: hydrophilic
    • Interior: hydrophobic except histidines E7 & F8

    Schematic of Oxygen Binding Site

    • Haem sits in a crevice near the surface lined with non-polar residues
    • E7: distal His
    • F8: proximal His

    Conformational Change with Oxygen Binding

    • Deoxy-Mb: Haem iron lies 0.3 Å out of plane
    • Oxy-Mb: Haem iron lies 0.1 Å out of plane
    • Oxygenation moves the haem iron, which moves His F8
    • Helix F moves, causing other structural changes

    Differences in Haemoglobin and Myoglobin

    • Myoglobin: storage protein, binds O2 avidly, dissociates slowly, not co-operative, 1 polypeptide
    • Haemoglobin: transports O2 to tissues, transports CO2 and protons away from tissues, 4 polypeptide chains, each chain has a haem group

    Gene Expression of the Alpha and Beta Chains

    • Genes for alpha and beta chains:
      • Alpha-like chains: chromosome 16
        • Hb Gower 1 (z2e2)
        • Hb F (a2g2)
        • Hb A2 (a2d2)
        • Hb A (a2b2)
      • Beta-like chains: chromosome 11
        • e
        • Gg
        • Ag
        • d
        • b

    Hb Variant Forms and Gene Expression

    • Hb type | Expression | Chains
      • HbA | Adult | a2b2
      • HbA2 | Minor adult form | a2d2
      • HbF | Foetal | a2g2
      • Hb Gower 1 | embryonic | z2e2
      • Hb Gower 2 | embryonic | a2e2
      • Hb Portland | embryonic | z2g2

    Oxygen Dissociation Curve

    • Myoglobin: hyperbolic shape, reversible binding of a single oxygen, all sites are full at 100% saturation
    • Haemoglobin: sigmoid saturation curve, indicative of co-operative binding
    • Myoglobin has a higher affinity for O2 than haemoglobin
    • PO2 (partial pressure of oxygen) reflects the amount of oxygen dissolved in blood

    O2 Binding to Hb - Sigmoidal Saturation Curve

    • Indicates co-operative binding, 'cross-talk' between subunits
    • Hb dissociates at a higher partial pressure than Mb, allowing O2 delivery from Hb to Mb

    Haem Interactions

    • Sigmoidal shape of O2 binding curve due to structural changes initiated at one haem and transmitted to other haem groups
    • Affinity of the 4th O2 bound is 300 times greater than the 1st O2 bound

    Structural Changes due to Oxygenation

    • Tense (T) form: Deoxy-Hb, low affinity, ab dimers held together by ionic bonds
    • Relaxed (R) form: Oxy-Hb, high affinity, ab dimers held together by hydrophobic interactions

    Allosteric Effects

    • Haem-Haem interaction: cooperativity
    • Bohr Effect
    • 2,3 Bisphosphoglycerate

    The Bohr Effect

    • O2 is released more easily at low pH or increased pCO2
    • Decreases oxygen affinity, stabilizes the deoxy (T) form
    • Differential pH gradients (lungs have higher pH than peripheral tissues) favour unloading of O2 in tissues and loading of O2 in lung
    • Shifts curve right = P50 increased

    2,3-BPG

    • Present in erythrocytes at ~equimolar concentrations to Hb
    • Binds to deoxy-Hb only, decreasing its affinity for O2
    • Binding stabilizes the taut (T) conformation
    • Forms salt bridges with positively charged residues on the beta subunits in a central cavity, which are broken during oxygenation
    • Hb without 2,3-BPG has high oxygen affinity

    2,3-BPG - Effects

    • Deoxy-Hb + 2,3-BPG : P50 = 26 Torr
    • Deoxy-Hb alone: P50 = 1 Torr
    • No 2,3-BPG = high O2 affinity
    • 2,3-BPG shifts curve right (allowing O2 release in tissues)
    • Elevated 2,3-BPG increases O2 delivery in tissues

    Summary

    • Blood is a crucial organ, carrying oxygen, nutrients, and waste products throughout the body.
    • Haemoglobin, the oxygen-carrying protein in red blood cells, features co-operative binding of oxygen, enabling efficient delivery to tissues.
    • Allosteric regulation, including the Bohr effect and 2,3-BPG, fine-tunes oxygen delivery by influencing haemoglobin's affinity for oxygen.
    • These processes are essential for maintaining the body's oxygen supply and supporting aerobic metabolism.

    Blood Composition and Function

    • Blood is a vital tissue that circulates throughout the body, composed of plasma and formed elements.
    • Plasma comprises 55% of blood volume: an aqueous solution holding gases, salts, proteins, carbohydrates, and lipids.
    • Formed elements, making up 45% of blood, include red blood cells (erythrocytes), platelets, and white blood cells (leukocytes).
    • When blood clots, the remaining fluid is called serum.
    • Blood carries oxygen, nutrients, hormones, and waste products to and from tissues, regulating temperature and fluid balance.

    Haemopoiesis: The Production of Blood Cells

    • Haemopoiesis is the process by which new blood cells are produced, categorized as erythropoiesis (red blood cell production), leucopoiesis (white blood cell production), and thrombopoiesis (platelet production).
    • In adults, haemopoiesis primarily occurs in the bone marrow of the pelvis, cranium, vertebrae, and sternum.
    • Extramedullary haematopoiesis, occurring in the liver, thymus, and spleen, can occur in times of need.
    • Haemopoiesis requires growth factors such as erythropoietin, colony-stimulating factors, interleukins, and thrombopoietin.

    Erythropoiesis: The Creation of Red Blood Cells

    • Erythropoiesis, the production of red blood cells, starts with proerythroblasts and results in approximately 16 mature red blood cells per cell.

    Erythrocytes (Red Blood Cells)

    • Erythrocytes are anucleate, disc-shaped cells crucial for oxygen transport.
    • Erythrocytes have a lifespan of about 120 days, with 1% destroyed daily.
    • Anaemia is characterized by a decrease in hemoglobin concentration below the reference range for age and sex.

    Life Cycle of Red Blood Cells

    • Senescent red blood cells are removed by macrophages, recycling their components.
    • Globin, a protein component, is broken down into amino acids for reuse.
    • Iron is reutilized in the body.
    • Haem is excreted in the bile.

    Aerobic Metabolism and Oxygen Transport

    • Oxygen is vital for aerobic metabolism, the most efficient form of energy production in multicellular organisms.
    • Myoglobin and hemoglobin are specialized proteins for oxygen storage and transport.

    Haem Group

    • Haem, a critical component in oxygen-binding proteins, is not part of the polypeptide chain.
    • It is tightly bound to the protein and essential for the functioning of hemoglobin.
    • It has an iron atom (Fe2+) held in position by four nitrogen atoms.
    • Fe2+ can form two additional bonds, which is crucial for oxygen binding.

    Structure of Myoglobin

    • Myoglobin is a storage protein for oxygen in heart and skeletal muscle cells.
    • It consists of 153 amino acids and has a compact structure with 75% alpha-helices and 8 labelled helices.
    • It is hydrophilic on its exterior and hydrophobic on its interior.
    • It has two histidine residues (E7 and F8) that are crucial for oxygen binding.

    Oxygen Binding Site in Myoglobin

    • The haem group sits in a crevice near the surface of myoglobin, lined by non-polar residues.
    • The distal histidine residue (E7) and the proximal histidine residue (F8) contribute to oxygen binding.

    Conformational Change During Oxygen Binding

    • Deoxy-myoglobin has the haem iron 0.3Å out of plane.
    • Oxy-myoglobin has the haem iron 0.1Å out of plane.
    • Oxygenation moves the iron atom, which in turn pulls the proximal histidine residue, altering the conformation of the protein.

    Differences Between Myoglobin and Haemoglobin

    • Myoglobin avidly binds oxygen and dissociates slowly, acting as a storage molecule.
    • Myoglobin is not cooperative.
    • Myoglobin has a single polypeptide chain.

    Haemoglobin

    • Haemoglobin is a tetrameric protein with four polypeptide chains, each containing a haem group, allowing it to bind four oxygen molecules.
    • The subunits are held together by non-covalent interactions.
    • Haemoglobin has two main functions: transporting oxygen to tissues and transporting carbon dioxide and protons away from tissues.

    Gene Expression of Alpha and Beta Chains

    • Alpha and beta chains are encoded on different chromosomes.
    • Alpha-like chains are encoded on chromosome 16, while beta-like chains are encoded on chromosome 11.
    • Alpha and beta chains are expressed in a developmental manner:
      • Hb Gower 1 (embryonic): z2e2
      • Hb Gower 2 (embryonic): a2e2
      • Hb Portland (embryonic): z2g2
      • Hb F (foetal): a2g2
      • Hb A2 (adult): a2d2
      • Hb A (adult): a2b2

    Oxygen Dissociation Curve

    • The oxygen dissociation curve for myoglobin is hyperbolic, reflecting reversible binding of a single oxygen molecule.
    • The oxygen dissociation curve for hemoglobin is sigmoid, indicating cooperative binding.
    • Haemoglobin's sigmoid shape arises from structural changes that occur when oxygen binds to one haem unit, affecting the affinity of other haem units for oxygen.
    • Hemoglobin has a lower affinity for oxygen than myoglobin, facilitating oxygen delivery from hemoglobin to myoglobin.

    Structural Changes Due to Oxygenation

    • Deoxy-hemoglobin (T-form) has a low affinity for oxygen.
    • Oxy-hemoglobin (R-form) has a high affinity for oxygen.
    • The transition between the T and R forms involves the breaking of ionic bonds between the alpha-beta dimers and the formation of hydrophobic interactions.

    Allosteric Effects

    • Haem-Haem interaction refers to the cooperative binding of oxygen to hemoglobin subunits.
    • The Bohr effect describes the decreased oxygen affinity of hemoglobin at lower pH or higher pCO2 levels.
    • 2,3-Bisphosphoglycerate (2,3-BPG) is a molecule present in red blood cells that binds to deoxy-hemoglobin, stabilizing the T-form and decreasing its oxygen affinity.

    The Bohr Effect

    • The Bohr effect allows hemoglobin to release oxygen more readily in tissues with low pH or higher pCO2 levels.
    • This effect is crucial for efficient oxygen delivery to tissues.

    2,3-Bisphosphoglycerate (2,3-BPG)

    • 2,3-BPG binds to deoxy-hemoglobin, promoting the release of oxygen in tissues with low oxygen levels.
    • Increased levels of 2,3-BPG in situations like low oxygen or anemia increase oxygen delivery to tissues.
    • In the absence of 2,3-BPG, hemoglobin has a significantly higher oxygen affinity.
    • 2,3-BPG shifts the oxygen dissociation curve to the right, facilitating oxygen release.

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    Description

    Explore the vital functions and composition of blood in this quiz. Learn about the components that make up blood, including plasma and formed elements, and understand the process of haematopoiesis where new blood cells are produced. This quiz covers crucial concepts related to human physiology and blood production.

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