Haemoglobin and haemoglobin genes Flashcards

1
Q

Learning outcomes

A

• Revise the formed (cellular) elements of blood
• Be able to describe how the formed (cellular) elements of blood are derived from
haematopoietic stem cells
• Know that erythrocytes are specialised for oxygen transport
• Be aware of the various haemoglobin genes as a gene family
• Recognise that the expression of Hb genes change in fetal and adult erythrocytes
and the physiological importance of this phenomenon
• Know that fetal Hb has a higher O2
carrying capacity than adult Hb
• Be aware of the range of genetic diseases (haemoglobinopathies) associated with
mutations in haemoglobin genes.
• Have an understanding of sickle cell anaemia as a disease caused by a single point
mutation in a Hb gene.
• Have a basic understanding of the pathogenesis of sickle cell anaemia

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2
Q

What is the clinical relevance of haemoglobin?

A
• O2 the key to efficient ATP generation
• Hence the need for effective O2 transport
• The properties of O2 carrying proteins
–Haemoglobins & myoglobin
• Problems of O2 carriage
–Haemoglobinopathies
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3
Q

Why are red blood cells a biconcave shape?

A

The biconcave shape of red cells provides a large surface area for the uptake and release
of oxygen and carbon dioxide.

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4
Q

How is erythrocyte function linked to the molecular shape of Hb?

A

O2 Transport
•depends on Hb in erythrocytes
•tetramer of 4 protein chains (the ‘globins’), each with
a haem group (porphyrin ring with a central Fe2+)

Adult Hb/ HbA consists of 2 alpha and 2 beta chains, with haem groups. (1 on each chain)
When oxygen binds to haem group the conformation is relaxed (oxyhaemoglobin), and tense when it is released (deoxyhaemoglobin)

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5
Q

How are the shape of proteins, including haemoglobin, specified?

A

• Only 20 types of amino acid used in proteins
• Linked by peptide bonds (hence polypeptides)
• Each type of protein has a unique sequence
• Polypeptide backbone and the sidechains
• The chemical properties of the component
amino acids DICTATE the shape of the
protein and its properties
• Structure relates to function

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6
Q

How does protein fold?

A

In conformation of lowest energy (high energy is unstable)-
• CONFORMATION: the final folded shape of
a protein
• Achieving the correct shape is not just about
thermodynamics-
Achieving this state involves active
involvement of other proteins called
MOLECULAR CHAPERONES
• These function to make the process efficient
and reliable

Hydrophobic forces fold this conformation in place
(hydrogen bonds, ionic bonds and VDWs- 3 non covalent bonds also involved)
(hydrophobic regions inside, polar regions outside)

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7
Q

What are the 4 levels of protein structure?

A
• Primary structure
– The linear sequence of amino acids
• Secondary structure
– The folding and stabilisation (by H and other bonds) of the primary structure into regular elements (a helix &
b sheet)
• Tertiary structure
– The folding and stabilisation of secondary structure
into a 3D shape (+/- other small molecules)
• Quaternary structure
– Interaction of distinct polypeptide chains into
oligomeric complexes (+/- other small molecules)
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8
Q

Linear amino acid chains- protein structure

A

N or Amino terminus
AA1 peptide bond AA2 AA3 AA4
AA5 AA6 . . . . . . . . . . . . . . . . . . AAn AAn+1 AAn+2
C or Carboxy terminus
Notes
• The gene encoding a given protein is ‘co linear’ with the protein
• Both genes and proteins have polarity
• The gene runs from 5’ to 3’ and the protein N terminus to C terminus
• In fact only a small proportion of the possible are actually used
• The possible number of polypeptide chains in enormous 20300 or ~10390
• Some types of sequence are used repeatedly in biology

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9
Q

What are the two key secondary structures involved in protein?

A
Alpha helix
• Right handed corkscrew
• Maintained by H bonds
between peptide bonds
• Some side chains
destabilise alpha helix
(PROLINE [too rigid]
and GLYCINE [too
flexible])
Beta sheet
• Stretched out structure
• H bonds between C-O
and NH groups
• Parallel or anti parallel
Different proteins have different
arrangements of a helix and b sheet
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10
Q

What bonds influence tertiary protein structure?

A

Covalent bonds influence the tertiary structure of protein- inter/intrachain disulfide bonds

Remember many proteins have a number of distinct regions/ DOMAINS
Families of proteins with a similar structure evolve from a common precursor

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11
Q

Gene families and haemoglobin

A

• Some genes are very similar
• Have probably evolved from an evolutionary
precursor by duplication
• Examples
– HOX genes : involved in development
– Intermediate filament genes : structural
• Often regulated in a coordinated manner
• Often arranged in clusters on a chromosome
– Grouped together

There are different combinations of haemoglobin genes which code for different variants of Hb

• HbF
– Fetal haemoglobin α2g(gamma)2
• HbA
– Adult haemoglobin α2β2
• HbS
– Sickle cell haemoglobin α2β26 glu
-Val
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12
Q

How can gene expression be restricted?

A

• Some genes are expressed in most cells
– e.g. genes whose protein products are
needed for core activities like metabolism
• Some genes are expressed in a highly
restricted manner
– Only in certain cell types
– Only in certain cell types are certain times
– Only in certain cell types under specific
conditions

Globin chain switching occurs through development- The composition changes as the concentration of
oxygen in the environment changes

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13
Q

Why change Hb gene expression during development?

A
• The Problem:
– how to get oxygen
transferred across placenta
from maternal circulation to
the fetus?
• The Solution:
– affinity of Hb for O2infetal red cells has to be
greater than affinity of Hb in maternal red cells
• How to do this?
– Use different Hb proteins
by using different Hb genes
at different times
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14
Q

Haemoglobinopathies- Hb genes and disease

A

• Mutations in Hb genes leading to altered
amino acid sequences
– Altered properties of the Hb proteins
– Sickle cell anaemia

• Defective regulation of Hb gene expression
– Altered ratios of the Hb chains
– Altered properties of the complex
– The thalassaemias

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15
Q

Clinical relevance- sickle cell anaemia

A

A single mutation in the gene for a Hb
chain perturbs this shape and induces aggregation
of Hb molecules
and hence all the features of sickle cell anaemia
In the homozygous state
NB heterozygotes are near normal

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16
Q

Point mutation in haemoglobin (HbS)

A

A single base change in the DNA coding for the β-chain alters the 6th amino acid from Glu to Val. So an acidic, polar residue becomes a hydrophobic one (glutamic acid for valine).
This produces small sticky patches on the surface of the β=chains that cause them to polymerize, forming fibres

17
Q

How does HbS cause anaemia?

A

HbS fibres distort the shape of the cell giving, in some
cases, sickle shapes. These cells are more rigid and
inflexible (blocking capillaries) and short-lived (giving rise to anaemia).

18
Q

The interplay of environment and genes

A

• Ability of haemoglobin to bind to and to dissociate
oxygen altered by the mutation
• Keep oxygenated and an affected individual can be OK but-
– Any reduced O2 and molecules change shape and have altered affinity for each other: form filaments
– Sickle shaped red cells – destroyed in spleen (causes
splenomegaly)
– Patient is anaemic (low Hb level)
– Clog vessels and cause blockage, leads to poor tissue viability
– Bone marrow goes into overdrive to try and make enough red cells (hyperplasia)

19
Q

Why is the HbS allele so common?

A

• Being homozygous (HbA HbA) is fine for oxygen carrying
• Being heterozygous (HbA HbS) gives relative
protection against malaria and is OK for oxygen carrying
• Being homozygous (HbS HbS) gives sickle cell disease when O2 levels are compromised