BIOCHEMISTRY - Blood and Proteins Flashcards
What are the two main functions of albumin?
Non-specific transporter
Maintains oncotic pressure
What is the role of transferrin?
Binds to and transports Fe3+ in the blood
What is the role of ceruloplasmin?
Binds to and transports Cu2+ in the blood
What is the difference between plasma and serum?
Plasma is in vivo (in the body)
Serum is in vitro (in a test tube left to clot)
Which three lipids make up the erythrocyte membrane?
Phospholipids
Sphingolipids
Cholesterol
List the peripheral proteins of the erythrocyte membrane
Spectrin
Ankryn
Actin
Protein 4.1
What is the function of the erythrocyte peripheral membrane proteins?
Provide strength and structure
What can occur when there is a defect in protein 4.1?
Elliptical erythrocytes that a more susceptible to lysis
List the integral membrane proteins of the erythrocyte membrane
Glycophorin A
GLUT 1
Sodium potassium ATPase pump
Anion exchanger
What are the function of Glycophorin A ?
- Prevents aggregation of the erythrocytes to one another and to the blood vessel walls
- Determines blood types
What property in Glycophorin A determines blood types?
Carbohydrate bound to the glycophorin A protein
What is the function of GLUT 1?
Brings glucose into the cell for glycolysis and the pentose phosphate pathway
What is the function of the anion exchanger?
Exchanges bicarbonate produced from dissociation of carbonic acid with chloride to maintain the pH
What type of metabolism occurs in erythrocytes?
Anaerobic (no mitochondria)
How is ATP generated in erythrocytes?
Glycolysis
How does glycolysis differ in erythrocytes?
2,3 BiPglycerate forms which is a negative allosteric effector of haemoglobin/O2 affinity, allowing for more O2 to reach the tissues
How is NADPH produced in erythrocytes?
Pentose phosphate pathway
Why is NADPH important in erythrocytes?
NADPH maintains glutathione in its reduced state
What is methaemoglobin?
Oxidised haemoglobin
What are the three consequences of methaemoglobin formation?
Doesn’t bind to/transport O2
Heinz body formation
Cell death
What is the function of glutathione in erythrocytes?
Glutathione is readily oxidised to prevent the oxidation of the iron found in haemoglobin, preventing the formation of methaemoglobin
Which substances ensure the regeneration of glutathione in erythrocytes?
NADPH
Glutathione reductase enzyme
List the clinical signs of methaemoglobinaemia
Cyanosis (purple mucous membranes) due to lack of O2
Exercise intolerance
Vomiting
Chocolate brown blood
Anaemia (occasionally)
What is the function of proximal histidine in regards to haem?
Proximal histidine anchors the Fe2+ in place
What is the function of distal histidine in regards to haem?
Distal histidine protects the O2 binding site through preventing oxidation of the Fe2+ and preventing carbon monoxide poisoning by lowering haem affinity for carbon monoxide
Describe myoglobin structure
Myoglobin has one polypeptide chain, one haem group and one O2 binding site
Describe haemoglobin structure
Haemoglobin is an allosteric enzyme with four polypeptide chains, four haem groups and four O2 binding sites
What is the function of myoglobin?
O2 storage in the tissues
What is the function of haemoglobin?
Transport of O2 to the tissues
Why do the functions of myoglobin and haemoglobin differ?
Myoglobin isn’t allosteric so has a much higher O2 affinity than haemoglobin so does not release O2 under normal physiological conditions and thus is more useful for O2 storage rather than transport
What are the differences between the structure of adult haemoglobin and foetal haemoglobin?
Adult haemoglobin is made up of 2 alpha and 2 beta chains whereas foetal haemoglobin is made up of 2 alpha and 2 gamma chains (has a higher O2 affinity)
How is oxygen transferred in the maternal/foetal circulation?
Adult haemoglobin has less O2 affinity compared to foetal haemoglobin, so more O2 is released from the adult haemoglobin and bound to the higher affinity foetal haemoglobin
List the negative allosteric effectors of haemoglobin/O2 affinity
CO2
H+
2,3 BiPglycerate (2,3-BPG)
What is the function of the negative allosteric effectors of haemoglobin/O2 affinity?
Negative allosteric effectors bind to the haemoglobin, lowering the haemoglobin affinity for O2, increasing the O2 release into the tissues
moves the oxygen dissociation curve to the right
Where does 2,3 BiPglycerate bind to the haemoglobin?
The 2,3-BPG binds to the central compartment of haemoglobin
What are the three places where haem is synthesised?
Liver
Erythroblasts
Reticulocytes