Haemoglobin Flashcards

1
Q

Explain the structure of haemoglobin

A

1- globin polypeptide chains (2a,2b)

2- 4 heme groups (fe and porphyrin ring)

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2
Q

Explain the fe when oxygen is bound and deoxygenated

A

Fe2+ = ferrous = absent o2

Fe3+= ferric = o2 is bound

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3
Q

What colour is heme when it is oxygenated

A

Red

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4
Q

What are the 4 types of globin polypeptides

A

Alpha
Beta
Gamma y
Delta

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5
Q

Explain the 4 types of haemoglobin

A

HbA= 2 a , 2 b

Hba2= 2 a , 2 delta

Hbf = 2a, 2 y

Hbh = 4 b (a thalassemia)

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6
Q

what 2 things determine affinity for o2

A

Ppo2 (when high = high affinity)

Number of free binding sites (if 1 bound = more chance of others due to cooperative binding)

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7
Q

What are the 2 states Hb can be in

A

T taut state = high dissociation , low affinity

R relax state = high affinity , high association (in high ppo2)

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8
Q

Where is Hb likely to be in taut state

A

Low ppo2 areas like cell tissue

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9
Q

Other than o2, what else can bind to haemoglobin

A

Co2

H+ from carbonic acid

CO

NO

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10
Q

What does H from carbonic acid do (at cell tissues)

A

Lowers ph in blood and this causes Taut state of haemoglobin with low affinity and high dissociation

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11
Q

Why is binding of NO important

A

Regulatory molecule , it helps dilation of capillaries due to binding to guanylyl cyclase

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12
Q

What happens if CO binds

A

Prevents o2 dissociation and causes death

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13
Q

What are haemoglobinopathies

A

Changes to globins which are abnormal eg mutations via sickle cell anemia

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14
Q

What causes sickle cell anemia homozygous

A

Mutation in beta globin gene

The change to valine causes aggregation with others to form oligomers WHEN OXYGEN DISSOCIATES FROM THE B GLOBIN

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15
Q

What is the haemoglobin called in sickle cell anemia

A

HbS

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16
Q

What is thalassemias

A

Where globin chains are normal but can be missing or extra

17
Q

What are the 2 classes of thalassemia

A

A thalassemia - a globin deficit = HBH = 4 beta globin forms a tetramer

B thalassemia - b globin deficit

18
Q

What does the hbh beta tetramer in a thalassemia cause

A

Abnormal o2 affinity and rbc damage

19
Q

What happens when rbc are damaged in a and b thalassemia

A

Phagocytosed in the spleen and liver

20
Q

What happens in b thalassemia with the a globins

A

They bind to the rbc and form toxic aggregates which then causes the rbc to be degraded in spleen