Globular Hemeproteins and Hemoglobin

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Questions and Answers

Which characteristic is commonly associated with globular proteins?

  • Good water solubility and spherical shape (correct)
  • Hydrophobic core and hydrophilic surface
  • Fibrous and structural role
  • Repeating sequence of amino acids

What is the primary function of hemeproteins?

  • Regulation of gene expression
  • Transport and storage of gases (correct)
  • Catalysis of metabolic reactions
  • Structural support in cells

What is the significance of the iron (Fe) ion in the heme group of hemoglobin and myoglobin?

  • It facilitates protein folding.
  • It stabilizes the quaternary structure.
  • It directly binds to oxygen. (correct)
  • It catalyzes the breakdown of heme.

In the context of hemoglobin function, what is the role of erythrocytes?

<p>Encasing hemoglobin to prevent its degradation and facilitating oxygen transport (D)</p> Signup and view all the answers

What is the significance of protoporphyrin IX in the structure of heme?

<p>It forms the central ring structure that coordinates the iron ion. (A)</p> Signup and view all the answers

In heme, what is the coordination number of the iron (Fe) ion, and what ligands does it bind?

<p>6, binding to four nitrogen atoms of the porphyrin ring, a protein, and oxygen (B)</p> Signup and view all the answers

Which of the following compounds contains a heme group?

<p>Myoglobin (B)</p> Signup and view all the answers

What is the primary structural characteristic of myoglobin?

<p>A single polypeptide chain containing several alpha-helices (A)</p> Signup and view all the answers

What stabilizes the structure of myoglobin?

<p>Hydrogen bonds and ionic interactions (D)</p> Signup and view all the answers

How does the binding of oxygen to myoglobin differ from that to hemoglobin?

<p>Myoglobin binds oxygen non-cooperatively, and hemoglobin binds oxygen cooperatively. (B)</p> Signup and view all the answers

What structural characteristic distinguishes hemoglobin from myoglobin?

<p>Hemoglobin consists of multiple subunits, whereas myoglobin consists of a single subunit. (B)</p> Signup and view all the answers

What does the tense (T) state of hemoglobin signify?

<p>Low oxygen affinity (C)</p> Signup and view all the answers

What triggers the conversion of hemoglobin from the T-state to the R-state?

<p>Binding of the first oxygen molecule (D)</p> Signup and view all the answers

What is the significance of cooperative binding in hemoglobin?

<p>It enhances the efficiency of oxygen loading and unloading by hemoglobin. (B)</p> Signup and view all the answers

How does hemoglobin's oxygen binding affinity change as blood travels from the lungs to the body tissues?

<p>Decreases due to lower oxygen concentrations and increased carbon dioxide concentrations (B)</p> Signup and view all the answers

What is the effect of a lower pH on hemoglobin's affinity for oxygen?

<p>Decreases oxygen affinity, promoting oxygen release (A)</p> Signup and view all the answers

Which factor directly contributes to the Bohr effect, influencing oxygen binding affinity of hemoglobin?

<p>Increased proton concentration (D)</p> Signup and view all the answers

How does 2,3-bisphosphoglycerate (BPG) affect hemoglobin's oxygen affinity?

<p>Decreases oxygen affinity by binding to the T-state (B)</p> Signup and view all the answers

What is the physiological adaptation that occurs in individuals living at high altitudes regarding 2,3-BPG levels?

<p>Increased 2,3-BPG levels to facilitate oxygen unloading in tissues (B)</p> Signup and view all the answers

If a patient presents with carbon monoxide poisoning, how does carbon monoxide affect hemoglobin's oxygen-binding properties?

<p>Increases hemoglobin's affinity for oxygen and shifts the oxygen dissociation curve to the left (C)</p> Signup and view all the answers

What is the primary mechanism by which carbon dioxide is transported in the blood?

<p>As bicarbonate ion (HCO3-) (D)</p> Signup and view all the answers

How does carbon dioxide (CO2) affect the oxygen-binding affinity of hemoglobin?

<p>Decreases oxygen-binding affinity by stabilizing the T state (C)</p> Signup and view all the answers

How does carbon monoxide (CO) binding affect the oxygen dissociation curve of hemoglobin?

<p>Shifts the curve to the left, indicating increased oxygen affinity (D)</p> Signup and view all the answers

What happens to the oxygen dissociation curve when 2,3-BPG levels increase?

<p>Shifts to the right, indicating lower oxygen affinity (C)</p> Signup and view all the answers

Which derivative of hemoglobin is formed when hemoglobin binds to carbon monoxide?

<p>Carbonylhemoglobin (C)</p> Signup and view all the answers

What is the primary characteristic of glycohemoglobin (HbA1c)?

<p>Hemoglobin non-enzymatically glycosylated (B)</p> Signup and view all the answers

Which hemoglobin has the highest percentage in a typical healthy adult?

<p>HbA (C)</p> Signup and view all the answers

What is a common characteristic of hemoglobinopathies?

<p>Genetic disorders affecting the structure or quantity of hemoglobin (B)</p> Signup and view all the answers

What is the underlying cause of sickle cell anemia?

<p>Mutation in the beta-globin gene (D)</p> Signup and view all the answers

In sickle cell anemia, what change occurs in the hemoglobin molecule?

<p>Glutamic acid is replaced by valine. (D)</p> Signup and view all the answers

Why do valine residues cause problems in sickle cell anemia?

<p>They cause hemoglobin molecules to aggregate hydrophobically. (C)</p> Signup and view all the answers

What is a common symptom associated with sickle cell anemia?

<p>Hemolytic anemia and painful crises (D)</p> Signup and view all the answers

In Hemoglobin C disease, which amino acid substitution occurs in the beta-globin chain?

<p>Glutamic acid is replaced by lysine. (B)</p> Signup and view all the answers

How does Hemoglobin C (HbC) disease typically manifest clinically?

<p>Mild hemolytic anemia (A)</p> Signup and view all the answers

What distinguishes thalassemia from other hemoglobinopathies?

<p>Reduced production of normal hemoglobin chains (D)</p> Signup and view all the answers

Which genetic defect causes beta-thalassemia?

<p>Mutation in the beta-globin gene (B)</p> Signup and view all the answers

If an individual is described as having beta-thalassemia minor (beta-thalassemia trait), what genetic condition do they have?

<p>Heterozygous for the beta-thalassemia gene (D)</p> Signup and view all the answers

What is the key characteristic of alpha-thalassemia?

<p>Reduced production of alpha-globin chains (A)</p> Signup and view all the answers

In alpha-thalassemia, what condition results in hydrops fetalis?

<p>Four gene deletions (C)</p> Signup and view all the answers

What change occurs in the iron (Fe) ion in methemoglobinemia that impairs its function?

<p>Iron is oxidized from Fe2+ to Fe3+. (B)</p> Signup and view all the answers

What is the primary functional consequence of methemoglobinemia?

<p>Inability to bind oxygen (A)</p> Signup and view all the answers

What factor makes newborns more susceptible to developing methemoglobinemia?

<p>Half the capacity of NADH-cytochrome b5 reductase (D)</p> Signup and view all the answers

In deoxyhemoglobin, what is the iron (Fe) ion coordinated to?

<p>Four nitrogens of heme and the proximal histidine (B)</p> Signup and view all the answers

What condition may occur if iron in hemoglobin is oxidized to $Fe^{3+}$?

<p>Methemoglobinemia (C)</p> Signup and view all the answers

Under what conditions would hemoglobin typically exhibit the highest affinity for oxygen?

<p>High pH, low carbon monoxide levels, low altitude, and low 2,3-bisphosphoglycerate levels (B)</p> Signup and view all the answers

Which property of globular proteins is most crucial for their function in the bloodstream?

<p>Good water solubility (D)</p> Signup and view all the answers

How does the binding of the first oxygen molecule to hemoglobin affect the affinity for subsequent oxygen molecules?

<p>It increases the affinity for subsequent oxygen molecules through cooperative binding. (D)</p> Signup and view all the answers

What is the role of the distal histidine residue in the binding of oxygen to heme?

<p>It stabilizes the binding of oxygen to the iron ion through hydrogen bonding. (A)</p> Signup and view all the answers

How does carbon dioxide contribute to the unloading of oxygen from hemoglobin in tissues?

<p>By decreasing the pH in the tissues leading to a conformational change in hemoglobin. (B)</p> Signup and view all the answers

What is the effect of increased levels of 2,3-bisphosphoglycerate (BPG) on hemoglobin's affinity for oxygen, and under what conditions might this occur?

<p>Decreases oxygen affinity; occurs at high altitudes (A)</p> Signup and view all the answers

How does carbon monoxide (CO) affect the oxygen-binding properties of hemoglobin?

<p>It increases oxygen binding affinity and shifts the oxygen dissociation curve to the left, impairing oxygen release in tissues. (C)</p> Signup and view all the answers

Why does fetal hemoglobin (HbF) have a higher affinity for oxygen than adult hemoglobin (HbA)?

<p>HbF does not bind 2,3-BPG as effectively as HbA, leading to a higher oxygen affinity. (A)</p> Signup and view all the answers

How does the Bohr effect explain the relationship between carbon dioxide levels and oxygen affinity?

<p>Increased carbon dioxide lowers the pH, reducing the oxygen affinity. (A)</p> Signup and view all the answers

In sickle cell anemia, a mutation causes a change in the beta-globin chain of hemoglobin. How does this mutation lead to the sickling of red blood cells?

<p>It creates a 'sticky' hydrophobic patch that promotes polymerization of deoxyhemoglobin. (B)</p> Signup and view all the answers

Which characteristic distinguishes thalassemias from other hemoglobinopathies such as sickle cell anemia?

<p>Thalassemias result from decreased production of normal hemoglobin chains, whereas other hemoglobinopathies often involve structurally abnormal hemoglobin variants. (D)</p> Signup and view all the answers

What is the underlying cause of Beta-Thalassemia?

<p>Mutations in the beta-globin gene, reducing or abolishing beta-globin production. (B)</p> Signup and view all the answers

Why is methemoglobin unable to effectively transport oxygen?

<p>The iron ion in methemoglobin is in the $Fe^{3+}$ state, which cannot bind oxygen. (D)</p> Signup and view all the answers

Which of the following adaptations would likely occur in an individual who has moved from sea level to a high-altitude environment?

<p>Increased 2,3-BPG levels, reducing hemoglobin's oxygen affinity (D)</p> Signup and view all the answers

How does the binding of oxygen to myoglobin differ from the binding of oxygen to hemoglobin, and why does this difference matter?

<p>Myoglobin binds oxygen more tightly than hemoglobin, ensuring efficient oxygen storage in muscle tissue, whereas hemoglobin facilitates oxygen transport in the blood. (D)</p> Signup and view all the answers

Which condition would result in a rightward shift of the oxygen dissociation curve for hemoglobin?

<p>Increased body temperature and decreased pH (C)</p> Signup and view all the answers

Flashcards

Globular Proteins

Proteins characterized by their spherical shape, water solubility, and dynamic catalytic, regulatory, or transport roles.

Globular Heme Proteins

Globular proteins containing a heme group as a prosthetic group, functioning as electron carriers, enzyme active site components, and in O2/CO transport/storage.

Hemoglobin

A hemoprotein found in erythrocytes (red blood cells) that carries oxygen throughout the body.

Normal Hemoglobin Levels

The normal concentration of hemoglobin in the blood for adult males is 13.5 – 16.5 g/dL and 12 – 15 g/dL for adult females.

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Structure of Heme

It contains protoporphyrin IX and ferrous iron (Fe2+), with a conjugated system of double bonds that gives it a red color.

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Heme group compounds

Hemoglobin (Hb) and myoglobin (Mb), cytochromes, catalases, and peroxidases.

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Myoglobin

A heme protein in heart and skeletal muscle, acting as an oxygen reservoir and carrier, consisting of a single polypeptide chain.

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Myoglobin's a-helical content

80% of the peptide chain arranged into eight alpha-helical segments (A-H) which are terminated by proline or beta-bends and loops.

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Polar/Nonpolar Residue Location

Hydrophobic amino acids form the interior, stabilized by hydrophobic interactions; charged amino acids are on the surface, forming H bonds with water.

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Heme Binding in Myoglobin

Heme is located in a crevice lined with non-polar amino acids, except for two histidine residues. Proximal histidine binds Fe2+, and distal histidine stabilizes O2 binding.

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Hemoglobin Function

Found exclusively in red blood cells, it functions in oxygen transportation.

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Hemoglobin A (HbA)

The predominant form in adults consists of four polypeptide chains: α2β2.

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Hemoglobin Conformations

Hemoglobin can exist in two forms: T-form (tense) with lower oxygen affinity and R-form (relaxed) with higher affinity.

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Hb subunits

Subunits of hemoglobin are held together by electrostatic interactions.

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Cooperative Binding

The binding of O2 to one subunit of hemoglobin increases the affinity of remaining subunits.

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Conformational Changes

Shape changes cause neighboring chains bind oxygen more easily.

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O2 Binding Process

When blood is in the lungs, oxygen easily binds to hemoglobin subunits. In the body, hemoglobin releases oxygen as carbon dioxide levels increase.

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Oxygen Dissociation Curve

Plots degree of saturation (Y) against partial pressure of oxygen (PO2), showing higher affinity for myoglobin.

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Myoglobin's Dissociation Curve

Myoglobin's curve is hyperbolic, reflecting its single O2 binding site. Mb releases O2 into muscle cell.

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Hemoglobin's Dissociation Curve

Hemoglobin's curve is sigmoidal. Cooperative binding and heme-heme interaction increase O2 affinity.

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Allosteric Effects on Hb

Ability of Hb to bind O, determined by heme-heme interactions, pH, PCO2, and 2,3-disphosphoglycerate availability. Does NOT affect myoglobin.

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Heme-Heme Interactions

Changes in one heme group are transmitted to others, increasing affinity for last O2. Loading/unloading at different partial pressures.

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Bohr Effect

The effect where increased PCO2 or decreased pH reduces oxygen affinity of hemoglobin, enhancing oxygen release.

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The protons and pH

Source of protons comes from acids and cell metabolism

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2,3-BPG Effect

2,3-bisphosphoglycerate (BPG) regulates oxygen affinity. Increased levels shift curve to the right. Stabilizes deoxyHb and reduces affinity.

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Methemoglobin HbM

It contains Fe 3+ instead of Fe2+ , which cannot bind to oxygen. Oxidation is caused by drugs/free radicals or B-chain mutations.

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hemoglobin with carbon monoxide

Oxyhemoglobin: Hb with O2. Deoxyhemoglobin: Hb without O2. Increased affinity of Hb for 220x CO.

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Hemoglobinopathies

Group of genetic conditions due to abnormal hemoglobin production or structure.

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Hb C disease

glutamic acid is replaced by lysine

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Thalassemia

Defect of the rate of synthesis of Hb chains, causing premature RBC death.

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Study Notes

  • Globular proteins are generally characterized by a spherical shape and good water solubility.
  • They often play a catalytic/regulatory/transport role
  • Globular heme proteins contain heme as a prosthetic group.
  • Functions of globular hemeproteins include:
    • Electron carriers
    • Part of the active enzyme site
    • Transport of O2 and CO
    • Storage of O2

Hemoglobin

  • Is a hemoprotein found in the cytoplasm of erythrocytes.
  • The normal concentration of hemoglobin in the blood for adult males is 13.5 – 16.5 g/dL and for adult females 12 – 15 g/dL.
  • Actual blood carries very little oxygen in solution.
  • Hemoglobin is required to carry oxygen in the blood.

Structure of Heme

  • Heme contains Protoporphyrin IX and ferrous iron (Fe2+).
  • Heme consists of a conjugated system of double bonds, which gives it a red color.
  • It contains 4 nitrogen atoms.
  • It has 1 iron cation (Fe2+) bound in the middle of tetrapyrrole structure by coordination covalent bonds.
  • Iron can form six bonds: four with porphyrin nitrogens, plus two additional bonds.
  • The additional bonds are one above and one below the planar porphyrin ring.

Properties of Iron in Heme

  • Iron can form six bonds: 4x pyrrole ring (A,B,C,D), 1x link to a protein and 1x link to an oxygen.

Heme Group Location

  • Heme groups can be found in hemoproteins, hemoglobin (Hb), myoglobin (Mb), cytochromes, catalases, and peroxidases.

Structure and Function of Myoglobin

  • Myoglobin is a heme protein present in heart and skeletal muscle.
  • Myoglobin works as both an oxygen reservoir and an oxygen carrier.
  • Consists of a single polypeptide chain that is similar the polypeptide chains of hemoglobin
  • Approximately 80% of the peptide is in 8 stretches of α-helix which are labeled A to H.
  • The helical stretches are terminated by Pro or ẞ-bends and loops which are stabilized by H bonds and ionic bonds.
  • The interior is made up of hydrophobic amino acids stabilized by hydrophobic interactions.
  • The surface has charged amino acids, which form H bonds with water.
  • Heme is in crevice lined with non-polar amino acids, except 2 Histidine (His) residues.
  • Proximal histidine binds directly to Fe2+ of heme
  • Distal histidine stabilizes binding of O2 to Fe2+

Proximal and Distal Histidines

  • Proximal His F8 is found above heme
  • Distal His E7 is found below heme

Structure and Function of Hemoglobin

  • Hemoglobin is found exclusively in red blood cells (RBCs) and functions in the transportation of O2.
  • Hemoglobin A (HbA) is the predominant form in adults, consisting of 4 polypeptide chains α2β2.
  • Each subunit is similar to myoglobin.
  • Hemoglobin can transport oxygen (O2) and carbon dioxide (CO2).
  • O2 binding properties are affected by allosteric effectors, different from myoglobin.

Process of Oxygen Binding to Hemoglobin

  • Hemoglobin can exist in 2 different forms: T-form and R-form.
  • T-form (T = tense) has a lower oxygen affinity than the R-form.
  • The subunits of Hb are held together by electrostatic interactions.
  • The binding of the first O2 molecule to subunit of the T-form leads to a local conformational change that weakens the association between the subunits → R-form („relaxed“) of Hb.
  • Increased oxygen partial pressure results in the conversion of T-form to R-form.
  • Hb + ↑pO2 ↔ HbO2
  • Binding of O2 is cooperative.
  • Hemoglobin binds O2 weakly at low oxygen pressure and tightly at high pressure.
  • Oxygen binding at the four heme sites in hemoglobin does not happen simultaneously.
  • Once the first heme binds oxygen, this introduces small changes in the protein structure which nudge the neighboring chains into a different shape, making them bind oxygen more easily.
  • When blood is in the lungs, oxygen easily binds to the first subunit and then quickly fills up the remaining ones.
  • Then, as blood circulates through the body, the oxygen level drops while the carbon dioxide level increases.
  • As soon as the first oxygen molecule drops off, hemoglobin releases its bound oxygen, changing its shape and prompting the remaining three oxygens to be quickly released.
  • This prompts the release of the remaining three oxygens.
  • This enables hemoglobin to pick up the largest possible load of oxygen.

Oxygen Dissociation Curve

  • Myoglobin → one heme binds one O2
  • Hemoglobin → 4 heme’s binds 4 O2
  • Hemoglobin binding indicates degree of saturation (Y) from 0 to 100%
  • For myoglobin, P50 is 1 mm Hg.
  • For hemoglobin P50 is 26 mm Hg
  • The oxygen-dissociation curve for Hb is steepest at the oxygen concentrations that occur in the tissues.
  • This permits oxygen delivery to respond to small changes in pO2.

Myoglobin Oxygen Dissociation Curve

  • The O2 dissociation curve is hyperbolic
  • This reflects that myoglobin binds single O2
  • Mb + O2 ↔ MbO2 they exist in equilibrium
  • There is an exchange between Hb and Mb, Mb and muscle cells depending on equilibrium
  • Myoglobin binds O2 released from Hb, releases when O2 drops
  • Myoglobin then releases the O2 into the muscle cell if there is an O2 demand.

Hemoglobin Oxygen Dissociation Curve

  • O2 dissociation curve is sigmoidal
  • Cooperative bind of O2 (increased affinity for Hb with more binding)
  • Heme-heme interaction where the binding of O2 at one heme increases affinity for O2 at others

Allosteric Effects and Binding of Oxygen

  • The ability of Hb to bind O2 depends on allosteric("other site”) effectors, including PO2, pH of environment, PCO2, and 2,3-disphosphoglycerate availability.
  • Allosteric factors do not affect myoglobin.

Oxygen Unloading in Tissues

  • An increase in PCO2 will cause increased unloading of O2.

Heme-Heme Interactions and Oxygen Affinity

  • Structural changes in one heme group are transmitted to others
  • The affinity for the last O2 is ~300X the affinity for the first O2
  • More O2 can be delivered to tissues with small changes in PO2
  • A sigmoidal curve gives increasing affinity of O2 for Hb with increasing partial pressure while a hyperbolic curve is a straight line in that range

Binding of Carbon Dioxide Regulation

  • Most of the carbon dioxide (CO2) in the blood is transported as bicarbonate.
  • CO2 + H2O ↔ H2CO3
  • H2CO3 ↔ HCO3 + H+
  • Some CO2 binds to the terminal –NH2 of the α and β chains forming carbaminoHb.
  • The binding of CO2 stabilizes the “taut” form of Hb (deoxyHb).

Binding of Carbon Monoxide (CO)

  • Carbon monoxide (CO) binds reversibly to the Fe2+ the same way that O2 does.
  • CO + Hb ↔ HbCO (carbon monoxy Hb)
  • Hemoglobin Affinity for carbon monoxide is 220X the affinity for oxygen
  • Binding of CO to Hb increases affinity of remaining sites for O2
  • The O2 dissociation curve shifts to left and becomes hyperbolic
  • If there is greater than 60% carbon monoxy Hb, the condition is fatal
  • This condition is treated with O2 therapy

Bohr Effect on Hemoglobin and Oxygen

  • The release of oxygen from hemoglobin is enhanced when the pH is lowered or when the hemoglobin is in the presence of an increased pCO2
  • In both cases, there are decreased oxygen affinity of hemoglobin.

Source of Lower pH Protons

  • There are two general sources of protons: lactic acid produced by anaerobic metabolism in muscles and increased production of CO2 by cell utilization of O2 through respiration:
  • CO2 + H2O ↔ H2CO3 ↔ H+ + HCO3
  • In the lungs, the equilibrium of this reaction is towards the left because CO2 is lost through exhaling
  • A decreased affinity of Hb for O2 under the Bohr effect conditions results is a greater off loading (release) of O2 in the tissues.

Regulatory Effects of Bisphosphoglycerate (BPG)

  • 2,3-bisphosphoglycerate (BPG) is an important regulator of Hb binding O2.
  • BPG is the most abundant organic phosphate in red blood cells as much as the concentration of hemoglobin.
  • BPG is synthesized from intermediate of glycolysis.
  • BPG binds to deoxyhemoglobin stabilizing it.
  • BPG decreases affinity of Hb for O2.
  • Blood stripped of 2,3-BPG has a high affinity for O2.
  • 2,3-BPG shifts the O2-dissociation curve to the right allowing decreased affinity of Hb for and effective unloading of O2 in tissues.
  • The effect is to similar to the Bohr effect but no difference exists between lungs and tissues

BPG Response to Hypoxia

  • 2,3-BPG levels increase during response to chronic hypoxia or anemia.
  • Chronic hypoxia can be caused by pulmonary emphysema, high altitudes, or chronic anemia.
  • Increased 2,3-BPG shifts O2 dissociation further to right allowing greater unloading of O2.

Hemoglobin Derivatives

  • Oxyhemoglobin (oxyHb) results from hemoglobin (Hb) with O2.
  • Deoxyhemoglobin (deoxyHb) result from hemoglobin without O2.
  • Carbonylhemoglobin (HbCO) – CO binds to Fe2+ in heme in case of CO poisoning or smoking; CO has 200x higher affinity to Fe2+ than O2.
  • Carbaminohemoglobin (HbCO2)- CO2 is non-covalently bound to globin chain of Hb. HbCO2 transports CO2 in blood (about 23%).
  • Glycohemoglobin (HbA1c) is formed spontaneously by nonenzymatic reaction with Glucose. People with Diabetes have more HbA1c than normal (> 7%). Measurement of blood HbA1c is useful to get info about long-term control of glycemia.

Minor Hemoglobin Components for Normal Adults

  • HbA which has the chain composition α2β2 make up 90%
  • HbF which has the chain composition α22 make up <2%
  • HbA2 which has the chain composition α2δ2 make up 3-9%
  • HbA1c which has the chain composition is α2β2 make up 2%-5%

Hemoglobinopathies

  • Hemoglobinopathies are a group of genetic disorders caused by the production of a structurally abnormal hemoglobin molecule.
  • Insufficient quantities of normal hemoglobin or very rarely, both of the case.
  • Examples include Sickle cell anemia (HbS), Hemoglobin C disease (HbC) (HbC), hemoglobin SC disease (HbS + HbC) and the thalassemias which have clinical consequences.

Sickle Cell Anemia

  • Sickel Cell Anemia(HbS) causes a chain mutation of glu 6 ->val 6.
  • Because glutamate(glu)is negatively charged while valine (val) is nonpolar, valine residues aggregate together by hydrophobic interactions leading to precipitation of Hb within RBCs
  • RBCs assume sickle-shaped leading to fragility of their walls and a high rate of hemolysis. -Symptoms are hemolytic anemia, painful crises, poor circulation, frequent infections in affected individuals.
  • The lifetime of erythrocyte in sickle cell is less than 20 days, compared to 120 days for normal RBCs.

Hemoglobin C Disease

  • Like HbS, Hb C is a mutant Hb in which glutamic acid in 6th position of ẞ-chain is replaced by lysine.
  • The RBCs will be large oblong and hexagonal.
  • The heterozygous form (HbAC) is asymptomatic.
  • The homozygous form (Hb CC) causes anemia, tissue anoxia and severe pain.

Thalassemia

  • A group of genetic diseases has a defect in the rate of synthesis of one or more of Hb chains, but the chains are structurally normal.
  • There is a defect or absence of one or more of genes responsible for synthesis of a or ẞ chains which leads to premature death of RBCs.
  • In β-thalassemia the synthesis of ẞ chains is decreased or absent in individuals with β globin gene defects.
  • -β -thalassemia minor (β –thalassemia trait) occurs when the synthesis of only one β -globin gene is defective or absent
  • These individuals will make some ẞ chains and usually do not need specific treatment.
  • -β -thalassemia major ( Cooley anemia) occurs if both genes are defective.
  • Babies will be severely anemic during the first or second year of life and so require regular blood transfusion, but bone marrow replacement has proven safer.

α-Thalassemia

  • α-thalassemia is when is which the synthesis of a globin chain is defective or absent.
  • There are four copies of gene responsible for synthesis of a globin chains so patients may have various conditions when these genes are altered:
    • Silent carrier of α-thalassemia with no symptoms: if one gene is defective
  • α-thalassemia trait: if two genes are defective, the presentation will be minor anemia.
  • Hb H disease - if three genes are defective, moderate anemia will be present.
  • Hydrops fetalis - Lacks all 4 genes; the fetus may survive till birth then will die.

Methemoglobin (HbM)

  • Methemoglobin contains Fe3+ instead of Fe2+ in heme groups.
  • Oxidation of Fe converts hemoglobin and myoglobin to metHb and metmyoglobin.
  • Methemoglobin (HbM) can not bind to oxygen
  • Oxidation can be caused by drugs like nitrates, H2O2 or free radicals, or has mutations ina-or ẞ-chain of globin
  • A deficiency of NADH-cytochrome b5 reductase (responsible for the conversion of methemoglobin to hemoglobin) leads to accumulation of HbM
  • RBCs of newborns halve the capacity of this enzyme, therefore they are more susceptible to oxidation

Hemoglobin questions

  • In deoxy hemoglobin (Hb), the Fe (II) is coordinated to four nitrogens in heme and at the proximal Histadine Histadine of Hemoglobin.
  • If iron in hemoglobin is oxidized to 3+, Methemoglobinemia may occur.
  • Hemoglobin will have the highest affinity for oxygen when 2,3-bisphosphoglycerate levels are low.

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