Haemoglobin Practical Flashcards

1
Q

What is electrophoresis?

A

Method of analysing molecules by measuring their migration in an electric field. We often use some sort of support (e.g. agarose for DNA, polyacrylamide for proteins) which acts as a sieve through which the molecules migrate.

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2
Q

What is spectrophotometry?

A

Way of analysing molecules on the basis of their spectral properties

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3
Q

What is the function of RBCs?

A

Carry oxygen from lungs to tissues.
Transfer CO2 from tissues to lungs.
(Each contains Hb)

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4
Q

Where can we find Hb?

A

Exclusively in RBCs.

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5
Q

How much Fe does each gram of Hb contain?

A

3.4mg

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6
Q

Normal Hb concentration in adults?

A

120-165 g/L

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7
Q

In what other proteins can the haem group be found?

A

Myoglobin, cytochromes, peroxides, catalase

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8
Q

Describe the structure of 1 haem group.

A

Combination of porphyrin ring with central iron atom

(Iron usually in Fe2+ form and is able to combine reversibly with oxygen).

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9
Q

List the functional globin chains.

A

Alpha cluster - alpha and zeta globin genes

Beta cluster - beta, gamma, delta and epsilon genes

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10
Q

How many functional globin chains are there?

A

8 split into alpha (3) and beta (5) clusters

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11
Q

Structure of HbA

A

2 alpha and 2 beta globins (96-98%)

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12
Q

Structure of HbA2

A

2 alpha and 2 delta globins (1.5-3.2%)

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13
Q

Structure of HbF

A

2 alpha and 2 gamma globins (0.5-0.8%)

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14
Q

What type of Hb is the vast majority in a healthy adult?

A

HbA

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15
Q

Describe the secondary and quaternary structure of HbA.

A

Secondary - 75% of the alpha and beta chains are in the form of alpha helices.

Quaternary:
Approximate sphere.
Hydrophilic surface (charged polar side), hydrophobic core. Haem groups found within pockets.

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16
Q

Safety protocols for electrophoresis and spectrophotometry.

A

Human blood therefore always wear gloves.
All sharps go in appropriate sharps bins (yellow)
No eating/drinking
Lab coats/aprons worn at all times.
Use blue trays to pass equipment between yourselves.

17
Q

What one word describes the binding of oxygen to Hb and explain what this means?

A

COOPERATIVE
Binding o​f 1 O2 molecule to a haem group results in a change in the conformation of the other subunits, affecting their ability to bind oxygen. In Hb, this is a positive cooperative effect, meaning that as oxygen binds to one haem group, the affinity of the remaining haem groups for oxygen is increased. This is exemplified by the sigmoidal nature of the oxygen association curve for haemoglobin shown below.

18
Q

In which organ is Hb oxygenated?

A

Lungs

19
Q

Is there a higher pO2 in the lungs or tissues surrounding by circulation outside of lungs?

A

Lungs (100 torr)

Elsewhere pO2 is ~20 torr

20
Q

How does the positive cooperatively displayed by the binding of O2 effect the amount of O2 that can be taken up by Hb?

A

Almost 2x as much oxygen than would be possible in the absence of cooperativity.

21
Q

What molecule has a higher affinity for oxygen than Hb and why?

A

Myoglobin
Saturates at lower pO2.
However, the lack of cooperativity means that it is poor at releasing oxygen under the same conditions.

22
Q

Where is myoglobin (protein) found?

A

Muscle

23
Q

How many haem groups per molecule can myoglobin bind?

A

1 haem per molecule

24
Q

Where are the 2 main peaks for oxyHb found on a spectrophotometry curve (absorbance against wavelength)?
Compare this with the peaks in the results for deoxyHb.

A

540 and 580 nm (plus one at 412nm)

In the deoxyHb, the spectrum changes, with a single peak in this range at 560 nm (plus one at 430 nm).

25
Q

What colour difference would you see between oxyHb and deoxyHb?

A

Deoxy-Hb having a blueish-purple tinge compared to oxy-Hb. If insufficient dithionite was added then the spectrum are likely to have overlaid each other.

26
Q

Why is spectrophotometry medically relevant?

A

Used when checking the respiratory status of newborn infants. The spectrum also changes for other forms of Hb, which might need to be examined for diagnostically.

27
Q

What is a pulse oximeter?

A

Non-invasive way of measuring oxygen saturation levels. Relies on the difference in absorbance of oxyHb and deoxyHb. The oximeter is clipped onto a thin appendage (finger, ear lobe) and the device emits light at two wavelengths, 660nm (red light) and 940nm (infrared light) via a couple of LEDs.

OxyHb absorbs more infrared light but less red light than deoxyHb. The transmitted light at each wavelength is corrected for the pulse of arterial blood by subtraction of the minimum absorbance. The ratio of absorbances at each wavelength can be converted to SpO2 by reference to the Beer-Lambert law.

28
Q

How is carboxyHb generated?

A

Binding of CO to ferrous iron (Fe2+) in haemoglobin.

29
Q

Does Hb have a higher affinity for CO or O2?

A

Hb has a 200-fold greater affinity for CO than O2, therefore it can readily outcompete O2 for binding to the four haem groups of haemoglobin. Even relatively low levels of CO can dangerous. Levels of 0.2% CO can lead to death within an hour or two.

30
Q

How is methaemoglobin (MetHb) generated?

A

Generated when the Fe2+ ion is oxidised to the Fe3+ (ferric) state which results in greatly impaired oxygen binding. This gives the blood a bluish/chocolate colour if present at high levels.

31
Q

How do relatively low levels of MetHb affect the oxygen-dissociation curve?

A

Shift leftwards, which can result in tissue anoxia, as oxygen is not readily released by MetHb.

32
Q

What enzyme reduces MetHb to Hb?

A

Methemoglobin reductase

33
Q

How can methaemaglobinaemia happen?

A

Can be hereditary, e.g. deficiency in methemoglobin reductase or production of a mutant form of Hb known as Hb M, which is resistant to reduction.

Methaemaglobinaemia can also be acquired following exposure to chemicals including aniline residues such as p-chloroaniline, nitrates, and local anaesthetics such as benzocaine.