Haemoglobin structure and function Flashcards

1
Q

What is the structure of haemoglobin?

A
  • Globular haemoprotein

* Made up of 1/3 of red blood cell

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2
Q

What are haemoproteins?

A

• Group of specialized protein containing haem as a tightly bound prosthetic group
○ Complex of protoporphyrin IX and Fe2+
○ Iron held in centre of haem to the 4 nitrogen of a porphyrin ring

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3
Q

Where is haemoglobin synthesized?

A
  • 65% synthesised in erythroblasts

* 35% at the reticulocyte stage

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4
Q

How is haemoglobin synthesis regulated?

A

○ Stimulated by tissue hypoxia
○ Hypoxia causes kidney to increase production of EPO
§ Increases RBC and Hb production

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5
Q

Normal concentration of Hb in adult males

A

• Adult male:

13.5-16.5g/dl

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6
Q

Normal concentration of Hb in adult females

A

• Adult female:

○ 12.5-15g/dl

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7
Q

Where does haem synthesis occur?

A

• Occurs largely in mitochondria

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8
Q

What are the chain of events in haem synthesis?

A

• Chain of events:
○ Iron delivery and supply:
§ Iron delivered to the reticulocyte by transferrin
○ Synthesis of protoporphyrins:
§ Occurs in mitochondria of RBC precursor
§ Mediated by EPO and vitamin B6
○ Protoporphyrin+iorn=haem

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9
Q

Where does globin synthesis occur?

A

• Occurs in polyribosomes

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10
Q

what coordinates optimal efficiency of Hb assembly?

A

• Optimal efficiency of Hb assembly is coordinated by the rates of haem and globin

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11
Q

What does proper globin synthesis depend on?

A

• Proper globin synthesis depends on genes

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12
Q

What are globin chains arranged in?

A

• 8 functional globin chains, arranged in 2 clusters:
○ B cluster-short arm of chromosome 11

A cluster-short arm of chromosome 16

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13
Q

When does globin synthesis start?

A

• Starts from 3rd week of gestation

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14
Q

Embryonic Hb and what chains they’re composed of

A
• Embryonic:
	○ Hb gower I
		§ 2 zeta and 2 epsilon chains
	○ Hb portland
		§ 2 zeta and 2 gamma chains
	○ Hb Gower II
		§ 2 alpha and 2 epsilon chains
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15
Q

Fetal Hb and what chains they’re composed of

A
• Fetal:
	○ HbF
		§ 2 alpha and 2 gamma
	○ HbA
		§ 2 alpha and 2 beta
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16
Q

Adult Hb and what chains are they composed of

A

○ HbA
○ HbA2
§ 2 alpha and 2 delta chains

HbF

17
Q

Comment on the expression of alpha and beta in adult Hb

A

• Expression of alpha and beta closely balanced in adult Hb

18
Q

What will mutations and deletion lead to in adult Hb?

A

• Mutations and deletions may lead to:
○ Abnormal synthesis of globin chain as in sickle cell diseases
○ Reduced rate of synthesis of normal alpha or beta globin chains as in thalassaemia’s

19
Q

what is the function of Hb?

A
  • Carry oxygen from lungs to tissue

* Remove CO2

20
Q

Buffering action of Hb

A

• Buffering action

○ Maintains pH of blood when oxyhaemoglobin changes to deoxyhaemoglobin

21
Q

How many O2 can a Hb bind?

A

○ One Hb can bind to 4 O2 molecules

22
Q

How many seconds required for oxgenation of Hb?

A

○ Less than 0.01 sec required for oxygenation

23
Q

What happens once Hb is oxygenated?

A

When oxygenated, (2,3)-DPG is pushed out; the beta chains move closer

24
Q

What happens to beta chains when Hb deoxygenated?

A

○ Beta chains are pulled apart when O2 unloaded, permitting entry of (2,3)-DPG resulting in lower affinity of O2

25
What does amount of O2 bound to haemoglobin and released to tissue depend on?
* PO2 * PCO2 * Affinity of haemoglobin to O2
26
What is oxygen affinity?
• Ease with which haemoglobin binds and releases oxygen
27
What is the Bohr effect?
Alteration in blood pH, shifting oxygen dissociation curve
28
What happens to bohr curve in acidic pH?
• In acidic pH, curve shifts right | ○ Results in enhanced capacity to release O2 where its needed
29
Hb-oxygen dissociation curve(Right shift)
``` • Right shift: ○ Increased p50 ○ Decreased affinity O2 ○ Hb willing to release O2 to tissue ○ Like anaemia, acidosis: RBC act more efficiently to deliver O2 to target ```
30
Hb-oxygen dissociation curve(Left shift)
• Left shift: ○ Decreased p50 ○ Increased affinity O2 ○ Hb less willing to release O2 to tissue ○ Like presence of abnormal Hb's, alkalosis
31
Normal position of curve in Hb-oxygen dissociation curve depends on:
○ Concentration of 2,3-DPG ○ pH ○ CO2 in RBC ○ Structure of Hb
32
Standard conditions in Hb-oxygen dissociation curve
○ 37 degrees celcius ○ pH is 7.4 ○ BE=0
33
How is CO2 transported?
* Dissolution in the plasma * Formation of carbonic acid Binding to carbaminohaemoglobin
34
Mutations in globin
• Gives rise to ○ Target cells ○ Sickle cells