HEMOGLOBINOPATHIES Flashcards

1
Q

the hemoglobin is a tetramer of how many polypeptide chains?

A

4 polypeptides chains

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2
Q

the type of Hb is determined by the _____? how is this represented?

A

combination of the 4 globing chains

oxygen-hemoglobin dissociation curve

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3
Q

higher O2 affinity
higher pH

left or right shift?

A

left shift

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4
Q

lower O2 affinity
lower pH

left or right shift?

A

right shift

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5
Q

what are the 4 types of global chains?

A

alpha
beta
delta
gamma

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6
Q

this hemoglobin is the main O2 carrier in newborns?

T/F, higher O2 affinity than HbA and decreases during the first 6 months after birth

A

HbF

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7
Q

the main O2 carrier in adults

A

HbA

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8
Q

insignificant role in O2 transport

A

HbA2

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9
Q

levels of these hemoglobins indicate presence of a hemoglobinopathy?

A

HbF

HbA2

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10
Q

what are the methodologies used to detect hemoglobin subtypes?

A

hemoglobin electrophoresis

high performance liquid chromatography

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11
Q

this methodology can distinguish hemoglobin types present in a patient

A

hemoglobin electrophoresis

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12
Q

this methodology:

Hb through a column
charged solvent to move proteins

instrument detected quantities each Hb and produces a graphical read out

A

high performance liquid chromatography (HPLC)

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13
Q

what are the two main classifications of hemoglobinopathies?

A

qualitative

quantitative

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14
Q

this hemoglobinopathy is a globin gene mutation resulting in structural abnormalities

A

qualitative

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15
Q

this hemoglobinopathy is a globin gene mutation that results in decreased production of hemoglobin (thalassemias)

A

quantitative

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16
Q

these are inherited disorders characterized by a structural y abnormal hemoglobin?

examples?

mutations occur in what chain

A

structural hemoglobinopathies

sickle cell anemia
hemoglobin C
hemoglobin SC disease

beta chain

17
Q

what are examples of the quantitative hemoglobinopathy?

A

alpha/beta thalassemia