Erythrocyte Biochemistry Flashcards

1
Q

During phase 1 of the developmental pathway of erythropoiesis, what is unregulated?

A

Ribosome synthesis!

So we can make a bunch of hemoglobin

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2
Q

Describe the structure of Hemoglobin

A

2 alpha-globin chains
2 beta-globin chains

One heme per subunit with a central Fe2+

Hydrophobic

F8 histidine»proximal histidine—bound to heme
E7 histidine»distal histidine—stabilizes O2 that binds to heme

Conformational change when O2 binds»flattens

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3
Q

What chains are found in HbF and HbA?

A

Hb F»alpha2, gamma2

HbA»alpha2, beta2

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4
Q

What kind of research is being done to treat sickle cell?

A

Inducing expression of HbF

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5
Q

What do they use to induce HbF currently

A

Hydroxyurea, but this is toxic.

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6
Q

Myoglobin vs hemoglobin

A

Myoglobin is a monomer and has a hyperbolic oxygen dissociation curve.

Hemoglobin is a tetramer of subunits. It has a sigmoidal oxygen dissociation curve due to positive cooperativity.

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7
Q

What does 2,3-BPG do?

A

Reduces O2 affinity so that Hb gives up more O2 to tissues.

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8
Q

What can also contribute to changing affinity in hemoglobin?

A

pH of actively respiring tissues is lower, making affinity for O2 lower, so it will oxygenate the tissue.

Histidine 146 pick up H+ from acidic tissues to help heme let go of O2

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9
Q

27% of iron is stored in the body.

How?

A
As ferritin (H20 soluble)
And as hemosiderin (H2O insoluble)
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10
Q

Describe the steps of iron absorption

A
  • Ferric reductase (dcytb) converts non heme Ferric (Fe3) to ferrous (Fe2) with the help of vitamin C
  • divalent transporter 1 takes Fe2+ into the cell.
  • ferry port in exports Fe2 out of the cell.
  • ferroxidase changes fe2 to fe3
  • chelates, now Fe3+Fe3 as transferrin. This is the man form of iron in the body.
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11
Q

What protein allows Fe2+ to be transferred to the basolateral side of the enterocyte?

What peptide hormone regulates this protein?

A

Ferroportin

Hepcidin marks ferroportin for endocytosis, decreasing the amount of iron that is absorbed.

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12
Q

How is transferrin brought into the cell?

A

Receptor mediated endocytosis!

Transferrin binds, internalized by clathrin coated pits.

Endosome can dock on the mitochondria and deposit iron directly into it.

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13
Q

What does an iron deficiency cause?

A

Hypochromic microcytic anemia.

Not enough Hb in the cell, doesn’t stain very well.

Treat with dietary iron supplement.

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14
Q

Describe Hereditary Hemochromatosis

A

Autosomal recessive mutation that causes dysfunctional regulation of iron absorption.

Causes iron overload.

Normal body iron is 3-5g.
Affected have 15g

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15
Q

Describe the regulation of iron via hepcidin in low and high iron levels.

A

Iron high: hepcidin expression up, ferroportin levels down, iron absorption low.

Iron Low: hepcidin expression down, ferroportin levels up, iron absorption high.

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16
Q

What two vitamins are intregal to RBC production?

What does a deficiency of these cause?

A

Cobalamin and folic acid.

Cause megaloblastic anemia.

Impairs DNA synthesis.

17
Q

Describe megaloblastic macrocytic anemia cells

A
  • large erythrocytes
  • normal Hb content in relation to size
  • normochromic cells on stain
  • in bone marrow—large cells, hyper-segmented neutrophils
18
Q

How many parts does folate have?

A

3!

19
Q

What is the active form of folate?

What can it do?

A

THF, Tetrahydrofolate

It can grab and donate carbons.

20
Q

What sucks about methyl-THF?

A

It cannot be converted back to THF without cobolamin

21
Q

Why do we need cobolamin to absorb folic acid in the intestine?

A

In the intestine, dietary folic acid is reduced to methyl-THF, and needs cobolamin to make it into its active form again.

22
Q

What does cobalamin do with the methyl it takes off methyl-THF?

A

Transfers it to homocysteine to make methionine via methionine synthase

23
Q

Describe how B12 is absorbed

A
  • dietary B12 binds to R-binder proteins made by the gastric mucosa
  • proteases made by the pancreas degrade R-binder.
  • B12 now binds to intrinsic factors made by parietal cells.
  • intrinsic factor carries B12 to the ileum where it will be absorbed.
24
Q

How is cobalamin circulated through the blood?

A

It is carried by transcobalamin

25
Q

How do we tell if pernicious anemia is caused by lack of intrinsic factor, poor diet, or malabsorption?

A

The Schilling test!

  1. Give pt oral dose of Co-labeled B12.
  2. Collect urine after 24 hours.
  3. Look for radioactive B12. If absent , NOT ABSORBED. If present, NORMAL ABSORPTION, DEFICIENT DIET.
  4. Give pt oral dose of Co-labeled B12 + intrinsic factor
  5. Collect urine after 24 hours
  6. If radioactive B12 present, due to lack of intrinsic factor.