haemoglobin Flashcards

haemoglobin: explain the structure and function of haemoglobin, list the normal variants of haemoglobin and explain the relationship between globin genes and different types of haemoglobinopathy

1
Q

primary function of red blood cells

A

carry oxygen from lungs to tissues

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2
Q

other function of red blood cells

A

transfer CO2 from tissues to lungs

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3
Q

3 features of mature red cells

A

no nucleus, no mitochondria, contains haemoglobin (exclusive; if free in plasma has oxidative properties -> toxic)

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4
Q

when does haemoglobin synthesis occur

A

during development of red blood cells before extrude nucleus, beginning in pro-erythroblast: 65% erythroblast stage, 35% reticulocyte stage

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5
Q

structure of haemoglobin, and where these are synthesised

A

consists of 4 haem groups (synthesised in mitochondria) and 4 globin chains (synthesised in ribosomes)

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6
Q

how is iron transported into the cell for haem

A

iron binds to transferrin -> transferrin iron complex endocytosed through vesicles, then transported to mitochondria -> transferrin released

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7
Q

what other proteins is haem present in

A

myoglobin, cytochromes, peroxidases, catalases, tryptophan

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8
Q

what is haem a combination of

A

protoporphyrin ring with central iron atom (ferroprotoporphyrin)

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9
Q

what form is iron usually in in haem, and significance

A

ferrous form (Fe2+), combine reversibly with O2

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10
Q

where is haem mainly synthesised and by which enzyme; significance of stage

A

mitochondria, which contain enzyme ALAS; d-ALA negative feedback so regulatory step

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11
Q

how many functional globin chains, and the 2 clusters

A

8, arranged in B- and a-clusters

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12
Q

what globin genes are present in B-cluster, and where are they (location on chromosome)

A

b, g, d and e globin genes on short arm of chromosome 11

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13
Q

what globin genes are present in a-cluster, and where are they (location on chromosome)

A

a and z globin genes on short arm of chromosome 16

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14
Q

globin gene clusters: chromosome 16 embryo

A

Gower 1 and 2, Portland

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15
Q

globin gene clusters: chromosome 11 foetus

A

HbF

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16
Q

globin gene clusters: chromosome 11 adult

A

HbF, HbA2, HbA

17
Q

globin gene expression and switching: when are z-, a-, y- and B-globin chains synthesised, and significance on disorders

A

z-globin chains first to be produced in embryogenesis, but stop early on after 6-7 weeks of gestation; a-globin chains takes over as predominant chain in foetal and adult life; if defect in a-globin chain production, affects embryo very early on in development, causing in-utero death; y-globin chains form foetal Hb so during embryonic development and foetal life, produces these chains for 3-6 months; B-globin chains produced during embryonic development but not in large quantities until after birth; if disorder with B-globin chains, will present later on as still producing y-chains for HbF

18
Q

3 haemoglobins present in normal adults

A

HbA, HbA2, HbF

19
Q

normal adult haemoglobins: structure and % of HbA

A

a2B2, 96-98%

20
Q

normal adult haemoglobins: structure and % of HbA2

A

a2d2, 1.5-3.2%

21
Q

normal adult haemoglobins: structure and % of HbF

A

a2y2, 0.5-0.8%

22
Q

Hb glycated fraction on HPLC chromatagram

A

different peaks for different Hb variant masses; HbA peak highest, with HbA2 on right and HbF on left

23
Q

primary globin structure

A

a 141 AA; non-a 146 AA

24
Q

secondary globin structure

A

75% a and B chains - helical arrangement

25
Q

tertiary globin structure

A

approximate sphere, hydrophilic surface (charged polar side chains), hydrophobic core, haem pocket

26
Q

oxyhaemoglobin vs deoxyhaemoglobin

A

in deoxyhaemoglobin, 2,3-DPG allows binding to haem pocket; more on this and slide 15