Haemoglobin Flashcards

1
Q

Why do we need oxygen- binding proteins?

A
  • Cells require O2 for production of energy
  • O2 only sparingly soluble in blood, thus needs a transport and storage system
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2
Q

What is Hb for and what is Mb for?

A

Haemoglobin= O2 transport (CO2 transport)
Myoglobin (Mb)= O2 store (in muscles & tissues)

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3
Q

What is Haemoglobin (HbA)

A
  • Protein which makes blood red
  • Composed of four protein chains- 2 alpha and 2 beta, each have a ring- like haem group containing an iron atom (4 haem)
  • Oxygen binds reversibly to these iron atoms and is transported through blood
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4
Q

What is Haem?

A

Fe2+ & protoporphyrin IX
- Tightly bound, non-polypeptide unit essential for biological activity
- Non-covalently bound in a hydrophobic crevice
- Fe2+ can coordinate with 6 ligands (4 nitroges from prophyrin ring, nitrogen from proximal His, oxygen atom)

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5
Q

How does Hb and Mb differ?

A

Hb has a very similar 3D structure to Mb but differ at 83% of amino acid residues
Very diff primary structure can specify similar 3D structures

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6
Q

What type of protein is Hb

A

allosteric protein
Oxygen binding alters tertiary and quaternary structure
Binding of O2 to one subunit affects interactions with other subunits

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7
Q

Facts about Oxygen binding to haemoglobin & myoglobin

A

Hb= OB=cooperative, OA= pH and CO2 dependent, regulated by bisphosphoglycerate

Mb= OB= non-coop, OA= non dependent, no regulation, higher affinity for O2 (good storage)

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8
Q

What type of binding curve does Hb have?

A

sigmoidal because its cooperative
Binding one O2 makes binding the next easier

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9
Q

What happens to Hb conformation when one O2 binds?

A
  • Alters conformation
  • Proximal His F8 is pulled in shifts helix F, EF and FG corners
  • Altered shape transmitted to subunit surfaces and some interchain salt bridges rupture
  • The aB pairs slide and rotate relative to one another
  • These structural changes increase the affinity of the remaining subunits for O2
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10
Q

How does Hb shape affect O2 binding?

A
  • Hb uses motion and structural changes to regulate its action
  • O2 binding at the four haem sits in Hb= not simultaneous
  • When first O2 binds= small changes to structure of adjacent protein chain
  • Neighbouring chains nudged into diff shape= O2 can bind easier
  • Progressively gets easier and easier
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11
Q

What happens as Hb travels around the body

A
  • Lungs= O2 lots, easily binds to first subunit and rest follow
  • Blood circulates, oxygen levels drop & CO2 increase
  • Hb releases bound O2
  • When first O2 drops off, changes shape prompting the remaining O2 to drop off
  • Hb picks up largest possible load in lungs and drops it where and when it is needed
  • A CO2 molecule is able to bind to the amino termini of each Hb protein chain in the T- state
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12
Q

What does Haem do?

A
  • Enables Hb to transport other molecules (e.g. NO & CO)
  • NO affects the walls of blood vessels, causing vasodilation, reduces blood pressure
    -NO binds to specific cysteine residues in Hb and also to Fe in haem groups
  • CO= toxic, better at binding to haem than O2 (60 deaths per year, nausea, dizziness and confusion)
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13
Q

When does Hb have a lower affinity for O2?- Bohr effect

A
  • pH is lower
  • CO2 conc is higher
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14
Q

What is the Bohr effect?

A
  • Increase in H+ (lower pH) decreases affinity of Hb for O2
  • Increased CO2 in blood or increased lactic acid will lower pH
  • Provides increased release of O2 to tissues respiring rapidly and muscle releasing lactic acid
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15
Q

Why do H+ ions affect O2 binding?

A
  • pH affects the protonation state of amino acid residues
  • When H+ conc is high, additional residues are protonated- especially histidine residues
  • Additional positively charges residues can form new salt bridges- these stabilise the T-state and decrease affinity for O2
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16
Q

What is BPG?

A

2,3,- bisphosphglycerate

17
Q

Where is BPG found?

A

high concentratons in RBC
- Regulates O2 affinity
-decreases affinity of Hb for O2
- BPG levels are increased at high altitude and under hypoxic conditions
- Means Hb releases more O2 to tissues at high altitude and when hypoxic

18
Q

How does BPG stabilise T- state?

A
  • Binds in the space between beta chains
  • Negative charges on BPG interact with amino acid residues lining the space
  • As H+, CO2 and BPG interact with Hb at different sites their effects can be additive
  • More CO2= more H+= increased side chain protonation= more salt- bridges= more stable de-oxy T state
19
Q

What are some features of HbF?

A
  • Higher oxygen affinity
  • Dominates for the last 2 trimesters but by 1 yers old almost entirely HbA
  • Two alpha and 2 gamma subunits
  • Gamma give increased affinity for oxygen
  • BPG does not bind and so no effect (due to no beta chain)
  • So under same conditions when Hb releases oxgen, HbF can still capture it
20
Q

What are Haemoglobinopathies?

A

inherited disorders affecting haemoglobin synthesis, structure and function

21
Q

How many mutant haemoglobins are there?

A

400 mutant haemoglobins, 95% due to single amino acid change. most common monogenic diseases worldwide

22
Q

What can mutations affect?

A
  • Amount of Hb synthesised
  • Structure (subunit interfaces)
  • Stability of Hb- leading to haemolytic anaemia
  • Affinity for O2
  • Affinity for regulators
23
Q

What is a position mutation?

A
  • Mutations in critical residues will affect function (e.g. in protein structure or at exon splice site or promoter region)
24
Q

What are conservative & non-conservative substitution mutations?

A

Conservative= maintains properties (e.g. change of one non-polar residue for another)
Non conservative= changes properties ( e.g. Leu to Lys may have a major effect on protein structure and function)

25
Q

What are the most common Haemoglobinopathies?

A

Sickle cell anaemia = 8-10,000 in UK, affects Hb structure
B- thalassaemia= 600 in UK, mediterranean heritage, affects Hb production

26
Q

What is Sickle cell anaemia?

A

HbS
- Caused by a mutation in the B- globin chain (B6 Glu-Val)
- Mutation makes sticky hydrophobic patch on subunit surface that can stick to another hydrophobic patch exposed in deoxy- Hb (T state)
- HbS molecules stick together, forming long fibres that distort the shape of the red blood cell- sickle

27
Q

What is a sickle cell crisis?

A
  • Sickled red blood cells become trapped within small blood vessels and block them, producing pain and eventually damaging organs
  • These crisis last around 7 days until red blood cells are replaced
  • Tiredness, headaches, dizziness
  • Increased chance of infection
  • Treated with fluids, painkillers, antibiotics & transfusions= no cure
28
Q

What is the sickle cell trait?

A
  • Autosomal recessive
  • Sickle cell trait= carrier= one copy of sickle cell beta globin gene
  • Occurrence of sickle cell trait predominates in regions with historically high incidence of malaria= protective
29
Q

Can HbF be used as a solution to HbS?

A
  • HbF lacks the B subunit, young children don’t suffer with sickle cell
  • Some individuals have hereditary persistence of HbF
  • Studies have shown that a level of about 20% HbF in the blood reduces symptoms of sickle cell disease
  • Gene therapy being used to increase levels of HbF in people with sickle cell
  • The treatment suppresses a silencer of the HbF gene
  • Hydroxyurea, anti tumour drug shown as effective in preventing painful crisis
30
Q

What is Thalassaemia?

A

Effects the production of haemoglobin
Caused by reduction or absense of a or b- globin chain synthesis
Severity depends on type

31
Q

Epidemiology of Thalassaemia

A
  • 1.5% carry B- thala
  • 5% carry a- thala
  • 90% of patients across tropical belts
  • In sub-saharan africa, a- thala= widespread and as an ameliorating genetic modifier to sickle cell disease. Less Hb= less HbS= less sickling