Hemoglobin Forms and Derivatives

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Questions and Answers

What is the molecular structure of fetal hemoglobin?

  • [ζ₂γ₂] (2 zeta, 2 gamma)
  • [ζ₂ε₂] (2 zeta, 2 epsilon)
  • [α₂γ₂] (2 alpha, 2 gamma) (correct)
  • [α₂β₂] (2 alpha, 2 beta)

Which type of hemoglobin is not present in adults?

  • Gower I (correct)
  • Gower II (correct)
  • Portland (correct)
  • Fetal Hgb (correct)

What proportion of fetal hemoglobin is typically found in newborns?

  • 80% (correct)
  • 40%
  • 100%
  • 60%

Which of the following hemoglobin forms has a molecular structure of [ζ₂γ₂]?

<p>Portland (A)</p> Signup and view all the answers

In which stage of life is Gower I hemoglobin found in significant proportions?

<p>Not present in either stage (B)</p> Signup and view all the answers

Flashcards

Portland Hemoglobin

A type of hemoglobin with a molecular structure of [ζ₂γ₂] (2 zeta, 2 gamma), present only in newborns.

Gower I Hemoglobin

A type of hemoglobin with a molecular structure of [ζ₂ε₂] (2 zeta, 2 epsilon), present only at trace amounts in newborns.

Gower II Hemoglobin

A type of hemoglobin with a molecular structure of [α₂ε₂] (2 alpha, 2 epsilon), present only at trace amounts in newborns.

Fetal Hemoglobin

A type of hemoglobin with a molecular structure of [α₂γ₂] (2 alpha, 2 gamma), prevalent in newborns.

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Hemoglobin structure in newborns

Newborns have different hemoglobin forms than adults, with fetal forms like Portland, Gower I, and Gower II with varying proportions, dominated by fetal Hemoglobin.

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Hemoglobin structure in adults

Adults primarily have hemoglobin types not present in significant quantities in newborns.

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Study Notes

Hemoglobin Forms

  • Hemoglobin types vary depending on the stage of life and have different proportions in newborns and adults
  • Portland: 2 zeta, 2 gamma (0% in newborns and adults)
  • Gower I: 2 zeta, 2 epsilon (0% in newborns and adults)
  • Gower II: 2 alpha, 2 epsilon (0% in newborns and adults)
  • Fetal Hgb: 2 alpha, 2 gamma (80% in newborns and <1% in adults)
  • A1/A: 2 alpha, 2 beta (20% in newborns and 97% in adults)
  • A2: 2 alpha, 2 delta (<0.5% in newborns and 2.5% in adults)

Hemoglobin Derivatives

  • Oxyhemoglobin (Hb O₂): Iron bound to oxygen, found in arterial blood (bright red) and is in the relaxed state
  • Deoxygenated hemoglobin: Iron not bound to oxygen, found in venous blood (dark red), and it is in the tense state
  • Carboxyhemoglobin (HbCO): Iron bound to carbon monoxide (CO), colorless gas, produced by humans. A poison that is silent. A killer, causes dizziness, nausea and exhaust from car - 240 times greater affinity to Hb than O2; cherry red color of blood and skin in CO poisoning

Dyshemoglobins

  • Methemoglobin (Hi/Hemoglobin): Iron is in the ferric (Fe³⁺) state, can't bind to O₂, causes chocolate-brown color to blood.
  • Sulfhemoglobin (SHb): Not measured by cyanmethaemoglobin method, mixture of oxidized, partially denatured Hb. Causes include prolonged constipation, bacteremia (C. perfringens), and enterogerous cyanosis; lavender-colored blood.

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