Hemoglobin Flashcards

1
Q

What is a gene family

A

A gene family is a group of similar genes that arose from duplication of a single original gene

The expression patterns of the genes within one family can change throughout time (some genes may never be expressed) - nonexpressed genes are pseudogenes

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2
Q

Name the different globin subunits. describe their expression patterns

A

Human largely express three types of hemoglobin , a, b, y

Y (gamma) Hb is fetal hemoglobin and is present as far as 7-8 months after birth - after this period, Hbb is expressed

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3
Q

Summarize gas transport (CO2 and O2) and pH regulation in humans

A

O2 is carried by hemoglobin

CO2 is either carried in the blood while bound to hemoglobin OR is converted to carbonate (HCO3-) by carbonic anhydrase and carried in the extracellular fluid

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4
Q

Compare and contrast myoglobin and hemoglobin structure and function

A

Myoglobin is a monomeric protein that can carry 1 O2 molecule - it is largely found in the tissues - its function is NOT cooperative

Hemoglobin is a tetrameric protein that can carry 4 O2 molecules - its function is cooperative

Both myoglobin and hemoglobin contain Fe2+

Myoglobin demonstrates a higher affinity for O2 than hemoglobin

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5
Q

Why is cooperativity important in hemoglobin function

A

To maintain efficiency both when loading and offloading O2

binding 1 unit of O2 causes the other subunits to have higher affinity for O2

releasing 1 unit of O2 causes the other subunits to have a lower affinity for O2

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6
Q

Define the T and R states of hemoglobin

A

T state (low affinity, tissue) R state (high affinity, respiration)

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7
Q

Describe the mechanistic effect of O2 binding to hemoglobin

A

In its native state, hemoglobin is in a position where Fe2+ is being pulled away from the porphyrin ring by a His residue

The binding of O2 realigns Fe2+ with the porphyrin ring and causes the other subunits to shift to a conformation that favors the R state

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8
Q

Why is CO poisoning bad

A

CO has incredibly high affinity for the binding sites on hemoglobin

CO will irreversibly lock hemoglobin in its R state, making it impossible to deliver oxygen to the body

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9
Q

What are the allosteric regulators that cause hemoglobin to have a reduced affinity for O2? Where is this useful? What category of allosteric effectors are these?

A

2,3 DPG, CO2, and H+ - locations with these conditions are usually in need of free O2

Concentrations of these molecules tend to be high in the tissues where catabolism is taking place

Negative heterotropic (different binding molecules as sites affected) allosteric effector

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10
Q

What is the allosteric regulator that causes hemoglobin to have an increased affinity for O2? Where is this useful? What category of allosteric effector is this?

A

O2

This is useful in the lungs where O2 must bind to Hb to be transported elsewhere in the body

O2 is a positive homotropic (same binding molecule as sites affected) allosteric effector

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11
Q

O2

This is useful in the lungs where O2 must bind to Hb to be transported elsewhere in the body

O2 is a positive homotropic (same binding molecule as sites affected) allosteric effector

What is the Bohr effect (isohydric shift)? What is its cause?

A

The reciprocal relationship exhibited by O2 and H+ binding on hemoglobin

In deoxyHb, His (neutral) and Asp (negatively charged) are close together. This encourages His to become protonated (become positively charged)

In HbO2, His and Asp are moved apart. This favors neutral His and causes the proton (H+) to fall off

Conformational shifts caused by the binding of oxygen slightly alters the pKa of Histidine to be less favorable to H+ binding

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12
Q

What is the function of 2,3-DPG, how does it work, and what is its importance

A

Negative allosteric effector of O2, highly negatively charged, ionically binds six residues in Hb, causing conformational changes that lower Hb affinity for O2 (easier dissociation in the tissues)

Important for adaptation to different O2 environments, as O2 levels decrease, 2,3-DPG levels increase

Increases the cooperative characteristics of hemoglobin

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13
Q

How does temperature affect hemoglobin function

A

Higher temperatures cause O2 to more readily dissociate from Hb

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14
Q

What category of genetic disease is sickle cell anemia

A

Homozygous recessive with heterozygous symptoms

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15
Q

What is the cause/effect of sickle cell disease

A

Point mutation in the B-globin gene - substitution of valine6 (bad) for glutamate6 (good) resulting in HbS (sickle)

Valine (hydrophobic) ends up on the surface of the globin subunit, creating a sticky patch that polymerizes with other defective HbS’s, forming fibers - The hydrophobic Val lodges in a pocket formed by Leu and Phe (also hydrophobic)

These fibers reduce the deformability of RBC’s, leading to vaso-occlusive symptoms, anemia, etc

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16
Q

What are the four common types of sickle cell disease? which have the most serious symptoms?

A

HbSS - sickle cell anemia - BAD
HbSC
HbSB+
HbSB0 - BAD

17
Q

Explain what HbSC is

A

inherit one sickle globin

the other globin is Glu6-Lys6 - forms the C globin - hydrophilic residue = less agressive sickleing

18
Q

What factors determine the extent of polymer formation in sickle cell

A

Deoxygenation - greater deoxygenation encourages polymer formation

Hemoglobin concentration - more HbS = more polymerization

Relative amount of HbF present - newborns will carry fetal hemoglobin for a period that decreases over time

19
Q

How do RBC’s become deformed apart from sickling

A

membrane distortion from sickling results in Ca2+ loss - cell responds by exporting several other ions - osmosis leads to dehydration of the cell - HbS becomes more concentrated thus leading to great sickling

20
Q

How is hydroxyurea being used to treat sickle cell

A

Hydroxyurea stimulates HbF expression which lowers the relative concentration of HbS

21
Q

Define thalassemia

A

Imbalance in the concentration of a-globin or b-globin chains

22
Q

Why is a-thalassemia rarely symptomatic compared to b-thalassemia

A

There are four genes that transcribe a-globin RNA. There is only 1 gene that transcribes b-globin RNA

23
Q

common complications of SCD?

A

anemia

vaso-occulsion - leading to pain, splenic sequestration, swelling, stroke, blindness, hypertension

delayed growth

gallstones from bilirubin buildup (caused by breakdown of RBC’s)

24
Q

how do hematocrit, mean cell volume, and reticulocyte count help measure sickle cell disease

A

hematocrit levels will be low due to short erythrocyte life

mean cell volume - RBC’s will be dehydrated due to ion leakage and resulting osmotic shift

reticuloycytes - immature RBC’s - levels will be high due to RBC turnover

25
Q

ways to screen for sickle cell disease

A

hemoglobin electrophoresis - expensive
DNA sequencing - expensive
HPLC - liquid chromatography - cheap and effective

26
Q

treatments for sickle cell disease

A

in extreme cases, cure via bone marrow transplant can be attempted

L-glutamine helps prevent vaso-occlusive events
Penicillin combats immunodeficiency from lowered splenic function
hydroxyurea increases HbF levels