Hemoglobin Flashcards

1
Q

Heme

A

4 porphyrin rings come together

Iron in ferrous oxidation state (Fe2+) = crucial; when oxidized to Fe3+ so oxygen cannot bind

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2
Q

O2 vs. CO2 Binding

A

Want the heme to bind oxygen, and when binds, because of oribitals and electron structure, the first two O2 bind in bent fashion
CO can bind – don’t want this, and prefers to bind up and down; bind 25,000x better binding compared to O2; not an issue because heme group has hydrophobic pockets with steric hinderance to force molecules to bind at an angle, which is what O2 does; CO also has a higher affinity than O2, but the binding only has 200x better than O2, so not as likely to bind for the same reasons

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3
Q

Myoglobin vs. Hb Sequences

A

Primary sequence: AA sequence
Very few regions are similar, so AA sequences are very different

Even though primary sequence is different, secondary alpha and beta globins are similar

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4
Q

O2 Binding Curves of Myoglobin vs. Hb

A

Myoglobin curve: hyperbolic and reflects the function of binding O2 and hold onto it tightly until muscle needs O2 (at very low partial pressures of O2 it is released); single polypeptide, holds onto O2 (high affinity for O2)

Hb curve: sigmoidal curve which reflects cooperativity between 4 subunits that influences how well each heme group binds to O2; once one O2 binds, it facilitates that more bind

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5
Q

Two States of O2 Binding Curve for Hb

A

There are two primary states of Hb:

Low affinity or T state (deoxyHb) where O2 released to tissues

High affinity or R state (relaxed state) and looks like myogloblin state where O2 bound in lungs

Transitions from low affinity to high affinitiy O2 binding state, and as transitioning we get sigmoidal curve

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6
Q

Salt Bridges and O2

A

Salt bridges are interactions between + and – and stabilizes deoxy state and each polypeptide and doesn’t favor O2 binding and O2 binds poorly

As O2 molecule binds to polypeptides, especially in lungs when high concentration, a molecule binds and breaks salt bridges, and then conformational change causing more salt bridges to break and slowly transitions to O2 binding state

As it transitions to relaxed state and becomes high affinity state
Fully bind Hb and reverses in tissues when O2 falls off and salt bridges reform and changes confirmation to deoxy state

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7
Q

Bohr Effect

A

Acidity also influences O2 binding = Bohr effect
Reciprocal binding of CO2 and O2
Metabolism generates H20 and CO2, which is acidic, so in periphery have lower pH and get unloading of O2 in tissues, but opposite in lungs where the O2 forces off the protons
In periphery have CO2 and water from metabolism and forms carbonic acid and bicarb travels through blood and more O2 unloaded
Protons and O2 play opposite roles; when one is bound it kicks off the other
Binding of CO2 stabilizes deoxy state and salt bridges

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8
Q

BPG

A

Product of glycolysis and plays a role mainly when at high altitudes
BPG decreases Hb affinity for O2, therefore stabilizing the deoxy state (T)
Resembles myoglobin and helps with cooperativity
No BPG, no hyperbolic curve
If you raise BPG concentration (like in high altitudes) it shifts curve to the right; normal at sea level we release 38% of O2, but if higher altitudes and have higher O2 concentrations O2 released around 30% unless you increase BPG which would get 37%

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9
Q

Shifts in Hb Curve

A

Right shift: decreased affinity for O2/easier release; increased acidity, CO2, BPG, and temperature

Left Shift: increased affinity for O2/harder to release; decreased acidity, CO2, BPG, and temperature

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10
Q

Globin Gene Arrangement

A

Globin genes are arranged on two chromosomes
Alpha gene on 16, and non-alpha is on 11
Must have a balance between the two, so genes are regulated so that we have even generation/production of alpha and non-alpha to be able to form 2:2 and form Hb
Synthesis occurs from left to right so left is embryonic and right is developmentally expressed later

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11
Q

Alpha 1 and 2 Duplication

A

α2 and α1 duplication:
differ only in promoters
α2 promoter is stronger
α2:α1 expression is 2:1

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12
Q

Gγ and Aγ Duplication

A

Gγ and Aγ duplication:
Gly to Ala substitution
functionality, performance, expression level are identical
no biological or disease significance

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13
Q

Developmental Expression

A

As epsilon and zeta drops off (both embyonically), alpha and gamma pick up respectively
Gamma drops off (fetal) to become beta (adult)

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14
Q

HbA, HbA2, HbA1c, HbF, HbH, Hb Bart’s

A

Four betas = HbH - increased in alpha thalassemia
4 gammas = Bart’s Hb - increased in alpha thalassemia
2 alpha and 2 beta = HbA (normal)
HB A1C is used to study glucose control in diabetes
2 alpha and 2 delta = HbA2
2 alpha and 2 gamma = HbF - increased in beta thalassemia

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15
Q

HbF (α2γ2) vs HbA (α2β2)

A

γ chain vs. β chain – 72% identical
one important difference is γ chain has a Ser instead of His
binds BPG with reduced affinity
affinity for O2 is increased and HbF can take O2 from HbA
BPG stabilizes the deoxy state (T state), so low BPG binding would cause a left shift and favor the R state and raises O2 affinity up to take O2 away from mother’s Hb to make sure fetus is oxygenated

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16
Q

Thalassemias vs. Hemoglobinopathies

A

Thalassemias – single most common defect - decreased production of a globin chain - “right protein, wrong amount”

Hemoglobinopathies – “wrong protein, right amount”

17
Q

Alpha Thalassemia

A

Decreased α, surplus β (and γ)
Principal etiology is complete deletion of an α gene
More common, less dangerous

Fate of surplus β and γ chains: Form soluble tetramers
β4 (Hb H) or γ4 (Hb Bart’s) – unstable; tend to resemble myoglobin and bind O2 tightly in favoring R state
Can precipitate, forming insoluble inclusions (Heinz bodies)
High affinity, no cooperativity, poorly release O2 in tissue, P50 ≈ 2 mm Hg

At what age would you see a complete lack of alpha (both genes)? Embryonic or fetal, but most likely fetal and is lethal and will not be a viable baby because embryonic form will go away

18
Q

Beta Thalassemia

A

Decreased β, surplus α
Principal etiology is small substitution or deletion mutation of a β gene
Less common, more dangerous

Fate of surplus α chains:
Cannot tetramerize – polymerize into tactoid structures (insoluble aggregates) which distort the erythrocyte and stress the membrane – severe hemolysis; extreme cases must be treated by transfusion therapy

You would see this a couple months after birth because decrease in HbF protection

19
Q

Hemoglobin S

A

β-globin defect
substitution of valine for glutamate at the 6th position
creates a hydrophobic “sticky patch”
complementary sticky patch is exposed in deoxy state
sticky patches interact to form fibrous aggregates (tactoids) at low PO2
hemolytic and vaso-occlusive

20
Q

Potential Hb Related Diseases

A

Bone marrow transplant (cure)
Blood transfusions (and possibly iron chelation therapy)
Hydroxyurea treatment to stimulate synthesis of γ chains (and HbF) – for β globin diseases