Hemoglobin Flashcards

1
Q

Porphyrin

A

Four ring structure, has four pyrroles, iron containing porphyrin is the heme.

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2
Q

Prosthetic group

A

example Heme,

covalently binds to enzyme (hemoglobin)

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3
Q

Ferrous vs ferric

A

2+ vs 3+
reduced vs oxidized
functional ferrohemoglobin vs nonfunctional methemoglobin

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4
Q

u-oxo bridged dimer

A

Heme alone will form these dimers as a result of oxidation. Heme is hydrophobic (sticky) so they will clump together.

Hemoglobin and myoglobin feature a hydrophobic pocket which when heme is covalently bound, is protected from oxidation (rust)

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5
Q

Myoglobin vs Hemoglobin oxygen transport ability

A

Myoglobin has very high affinity for oxygen and is hyperbolic. P50 around 0, that means it only releases oxygen when near hypoxia. It is a last resort to get a blast of oxygen.

Hemoglobin p50 of around 26 Torr, is sigmoidal. P26 is around physiological oxygen concentration and this allows a larger range for delivery. At lowerING Oxygen concentrations, hemoglobin rapidly releases oxygen

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6
Q

Pulse oxometry

A

oxygenated hemoglobin and deoxygenated hemoglobin absorb light differently depending on the wavelength. Oxygenated and hemoglobin will show the largest difference in absorption at wavelengths 660 and 940

Wear it on your finger and it is used to evaluate oxygen saturation

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7
Q

Hemoglobin

A

a tetrameric protein with two alpha and two beta globin subunits. One heme prosthetic group is located in the hydrophobic pocket in each subunit so total - 4 hemes, 4 oxygen binding sites.

Subunits are held together by salt bridges

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8
Q

Cooperativity

A

Is responsible for hemoglobin oxygen saturation’s sigmoidal curve. Its the reliance of multiple parts on each other.

A change in shape of one subunit propagates the change throughout the complex. The first heme needs luck that a subunit will land when it is in the R state, then overcome the binding energy. After that, the structure of the remaining ones change this they can bind easier to oxygen

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9
Q

Hill coefficient

A

measures the degree of cooperativity.

For hemoglobin/myoglobin

n = 1 always means independence

n = 4 would be for hemoglobin and means perfect all or nothing cooperativity

n = 2.8, somewhere in between realistic to hemoglobin.

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10
Q

Allostery (how is it different from noncompetitive inhibitor?)

A

Allosteric proteins are always oligomers (multiple subunits) - effectors will bind to site that are spatially distinct from ligand binding sites.

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11
Q

R state vs T state

A

relaxed vs tense,

oxidized vs deoxidized

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12
Q

Bohr effect - mechanism too

A

acidification of blood leads to lower affinity of Hb for blood (higher p50).

Why?

The beta chains exhibit Asp 94 and His 146. When pH is low, histidine is protonated and its pKa goes up because it is acting like a base. A salt bridge forms with the negative aspartate. Favors the T state, oxygen is delivered.

When oxygen binds, it forces the molecule to the R state, breaking the salt bridge, so histidine is like fuck it, a proton is released but the local acidification is insignificant.

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13
Q

CO2 affecting binding affinity

A

mechanism one - CO2 into the blood forms carbonic acid which acidifies the blood, lowering hemoglobin binding affinity - in the lungs hemoglobin releases a proton that reforms carbonic acid and CO2 is then liberated

for other parts of the body, the T state exposes free amines that the CO2 can bind to and stabilizes the T state. (amino terminus of exposed valine)

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14
Q

Diamox (treatment for altitude sickness)

A

-excretion of bicarbonate (acidifying of blood), this pushes the curve to the right, lowered affinity for oxygen increasing oxygen delivery.

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15
Q

Nitric oxide binding.

A

NO binds at the R state, directly to a cysteine on the iron of heme. NO is released with deoxygenation and it’ll bind to vascular endothelial receptors, causing vasodilation and increased blood flow.

Nitric oxide delivery depends on the differing reactivity of the R and T forms. NO has a high affinity for Cys 93 in the R from.

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16
Q

2,3 BPG binding
biphosphoglycerate

  • role in HbF
A

a product of glycolysis, critical for the release of O2 from hemoglobin in tissues,

stabilizes the T form and reduces affinity for O2 (to the right)

BPG is super negatively charged (5-) and it is sitting in a cationic nest, forming all these salt bridges between the two beta chains. It is an allosteric effector

Gamma beta chains are different, feature serine instead of histidine. This lowers the positive charge in the nest and therefore decreases affinity for 2,3 BPG.

17
Q

The four different hemoglobins to know in an adult (one is diabetic) and their levels.

Talk about subunits, how many genes on each chromosome?

A

HbF is high until postnatal where it drops to almost 1 percent. It has a higher binding affinity for oxygen. At p50 - 26 torr, mother binding affinity is lower than fetal. So it transports oxygen to the fetus.

HbA2 is always low and found in less than 2 percent (delta chain)

HbA (only 6 percent prenatal but around 100 postnatal)

HbA1c - is a chemical modification to hemoglobin when there is high blood sugar levels, it is a sign of diabetes or risk for. -glycate the amino terminus of the beta globin. Glycosylation favors R state because it inhibits BPG binding.

Chromosome 16, four alpha subunit genes,

Chromosome 11, two beta globin genes and two of each other one.

They are all lined like homeobox genes, in order of expression.

18
Q

Carbon monoxide poisoning - symptoms, treatment, mechanism

A

has a 250 fold greater affinity for hemoglobin than oxygen,

cherry red discoloration of skin and organs.

treated with 100 percent oxygen.

CO is naturally produced in body during breakdown of heme. There is a second histidine from the beta chain. There is one that holds iron in place and there is a second one hovering over the heme. It bends the triple bonded CO that wants to bind linearly. It makes it 120 degrees, which is ideal for sp2 O2. That decreases affinity for CO and favors O2. If not for that histidine, CO would bind 25,000 times stronger, holy shit.

19
Q

Sickle Cell Anemia - symptom and treatment.

A

mutation of glutamate to valine from a point mutation in the 6th residue of beta globin. It is homozygous in sickle cell patients. But for sickle cell trait (carriers) 60 percent HbA, 40 percent sickle, usually asymptomatic.

Sickling occurs at high levels of deoxy HbS, decreases solubility of hemoglobin and they aggregate because they’re sticky.

Symptom: severe anemia, painful joints, kidney spleen

Hydroxyurea- stimulates production of HbF.

20
Q

Thalassemias

A

disorders in Hb synthesis. In alpha one, it is usually deletion. Leading to beta subunit aggregates.

In beta-thalassemias, alpha chains aggregate into Heinz bodies

In alpha thalassemias, B4 tetramers form (HbH)

two genes have to be affected to show the trait in alpha. three is disease, four is hydrops fetalis (Hb Barts if it gamma aggregates.

21
Q

What is B0 and B+

A

B0 is severe beta thalassemia with no HbA present. B+ means some HbA is detectable. Both beta thalassemia major. Only one carrier is thalassemia minor.

22
Q

What are functions of heme - 4

A

Oxygen binding, electron transport, detoxification, transcriptional regulation.

23
Q

beta or alpha tetramers are poor for oxygen delivery because?

A

they have a hyperbolic oxygen saturation curve. It is because of the tetramer that allows allostery that allows sigmoidal curve.

24
Q

Why is oxygen transferred from Hemoglobin to myoglobin?

A

Myoglobin has lower P50 meaning higher binding affinity.

25
Q

What happens when hemoglobin binds oxygen? (4) things

A
  • Salt bridges are broken
  • the iron is pulled into the plane of the heme group
  • the pK values of His side chain is decreased
  • visible region absorption spectrum changes.
26
Q

What is cytochrome b5?

A

It is the enzyme responsible for turning MetHb back to ferrous form. A mutation would result in formation of MetHb.

MetHb exists at normal levels of 1-2%

27
Q

What does the rbc synthesize and not synthesize?

A

It synthesizes 2,3 BPG but doesn’t synthesize hemoglobin.

28
Q

What mechanism describes oxygen affinity of individual subunits?

A

The heme is tuckered in the T state (via the histidine not bound to iron). It is planar in the R state which will allow oxygen to form a stable interaction with iron.

29
Q

What is used in cyanide poisoning?

A

Methemoglobin has a high affinity for cyanide so its used to treat that.

30
Q

What are the percents of hemoglobins in adults?

A

HbA - 90%
HbF - less than 2%
HbA2 - 2-5%
HbA1c 3-9%

31
Q

Why does a mother smoking hurt the fetus?

A

It increases carbon monoxide levels in the blood, binds hemoglobin and hurts oxygen transfer to the fetus.

32
Q

What happens in the case of HbA1c levels?

A

diabetics have a 3 fold higher concentration of HbA1c.

3-5%
vs 6-15%.

glycation removes the positive charge on the amino terminal and so lowers binding affinity for BPG, lowered oxygen delivery.

33
Q

What would benefit someone with beta thallassemia?

A

More HbF and lower alpha globin production.