L4-Hb Structure,synthesis And Breakdown Flashcards

1
Q

What is hemoglobin and what is its importance

A

Globular proteins found excessively in RBCs
it’s responsible for O2 transport from the lungs to the tissues for use in metabolism
also it transports protons and carbon dioxide from tissues to lungs

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2
Q

Where is hemoglobin synthesized

A

In progenitors of red blood cells and cannot occur in mature RBC’s
Heme and globin are made separately within the cell before their assembly in cytosol

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3
Q

How is the final heterotetramer of an HB molecule produced

A

When the globin chains are released from the ribosomes and heme molecules diffuse from the mitochondria the globin chains fold around the heme molecules to produce it

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4
Q

What are the polypeptide subunits in Hb

A

Two alpha and to beta subunits held together by noncovalent interactions
Each globin chain is Bound together to a heme moiety

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5
Q

What is heme

A

Porphyrin ring bound to reduced ferrous iron at its center by four covalent bonds

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6
Q

How many O2s does the iron bind to

A

Each heme binds to 1 O2 reversibly for a total of 4 O2 molecules

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7
Q

Where does heme sit and how does this structure help

A

Sits within the globin chain hydrophobic pocket which is lined by nonpolar amino acids with the exception to two histidine residues
this helps stabilizing the binding of O2 to heme Fe2+ by preventing its oxidation to Fe3+ when oxygen binds

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8
Q

What are the states in which hemoglobin exists

A

Low affinity taut/closed state=deoxyhb

high affinity relaxed/open state=oxyhb

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9
Q

How does hemoglobin exhibit positive cooperativity

A

The binding of 1 O2 molecules to One heme group in deoxyhemoglobin increases affinity for O2 in adjacent heme units allowing hemoglobin to deliver more O2 to the tissues in response to relatively small changes in the PO2

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10
Q

What is the characteristic shape of the oxygen hemoglobin dissociation curve

A

Sigmoidal shape

A characteristic of positive cooperativity (allosteric effect)

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11
Q

What are the Allosteric effectors that influence equilibrium between the t and R forms

A

CO2
H+
the special product of glycolysis in erythrocytes 2,3 bisphosphoglycerate is synthesized from 1,3 BPG an intermediate of glycolysis in RBC’s

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12
Q

What is the functions of heme synthesis

A

Hemoglobin
cytochromes
myoglobin

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13
Q

What is the location of synthesis of heme

A

Involves both the mitochondria and the cytosol
Occurs in nearly every cell
For Hb synthesis it occurs in RBC progenitor cells

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14
Q

What are the steps of heme synthesis

A

Synthesized by precursors glycine and succinyl coenzyme A by a series of reactions:
▪️ glycine and succinyl-CoA condense to form Delta Aminolevulinic acid(ALA) using b6 as a co factor for delta ALA synthase
▪️ Two molecules of Delta ALA condense to form the pyrrole porphobilinogen mediated by ALA dehydratase
▪️4 porphobilinogen condenses to make a series of porphyrins:
By enzymes:
Porphobilinogen deaminase
Uroporphorinogen decarboxylase
▪️ poryhrins are altered by decarboxylation oxidation and protoporphyrin IX is formed
▪️ Photoporphrin IX binds iron Fe +2 forming heme

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15
Q

How does regulation of heme synthesis occur

A

ALA synthase is rate limiting enzyme it requires B6 and is inhibited by heme
When the amount of heme available exceeds the amount of the core proteins ALA synthase in the liver is inhibited by heme to reduce flux through the pathway
1-in this case of Fe2+ iron in the heme is oxidized to the ferric Fe3+ state forming hemin
2-Hemin inhibits ALA synthase Both by feedback using an allosteric mechanism and also by regulating ALA synthase gene expression by repressing it’s transcription

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16
Q

 in which case is Porphobilinogen deaminase deficient

A

Acute intermittent porphyria

17
Q

In which case is uroporphyrinogen decarboxylase deficient

A

In porphyria cutanea tarda 

18
Q

What is inhibited in lead poisoning

A

ALA dehydrogenase and ferrochelatase

19
Q

What is inhibited in vitamin B six deficiency

A

ALA synthase

20
Q

What is inhibited in iron deficiency

A

Ferrochelatase

21
Q

What are porphyrias 

A

Inherited defects in heme synthesis resulting in a heterogeneous group of diseases of porphyrin metabolism characterized by variety of dermatologic neurologic and psychological manifestations

22
Q

What causes the neurological symptoms

A

Aminolevulinic (ALA) acid

23
Q

What causes photosensitivity and how is it worsened

A

Protoporyhrins
Sunlight
P450 inducing drugs(stimulate heme synthesis pathway to inc production)
Ex:barbiturates and alcohol

24
Q

What are the two types of porphyria

A

Porphyria cutanea tarda

Acute intermittent porphyria 

25
Q

Describe porphyria cutanea tarda

A

Deficiency in Uroporphyrinogen decarboxylase
Autosomal dominant
Presentations: photosensitivity, blistering,hyperpigmentation and dark red/brown urine

26
Q

Describe acute intermittent porphyria

A

Deficiency in porphobilinogen deaminase, INC in ALA and INC in PBG which are neurotoxins
Autosomal dominant late onset
Presentation:no photo sensitivity episodic psychological symptoms (paranoia and anxiety depression)
polyneuropathy
abdominal pain and dark red or brown urine color

27
Q

Describe lead poisoning

A

Induced inhibition of ALA dehydtratase and ferrochelatase
Presentation:memory and learning disorders
Dec attention span in kids
Microcytic anemia
ring sideroblasts in the bone marrow course basophilic stippling of erythrocytes
parllor and weakness due to anemia abdominal pain
Lead lines in Bone and teeth x-rays
lead lines in gums

28
Q

Describe iron deficiency

A

Result is microcytic hypochromic anemia

29
Q

Describe vitamin B6 deficiency

A

Co factor for rate limiting enzyme deficiency is associated with Iosinzaid therapy for tuberculosis and may cause the sideroblastic anemia with ringside sideroblasts

30
Q

What is the function of heme degradation

A

Rid body of hemoglobin removed from degraded RBCs

31
Q

Where does degradation occur

A

Spleen: site of RBCs destruction
Liver: site of bilirubin conjugation
Intestine: conversion by normal gut flora

32
Q

How does heme degradation occur

A

Begins with heme oxygenase which catalyzes a complete set of reactions that simultaneously open the protoporphyrin ring structure and release iron in the ferric state

33
Q

What happens in Reticuloendothelialsystem

A

Macrophages phagocytose erythrocytes hemoglobin released from degraded RBCs is broken down into hemoglobin chains by lysosomal enzymes in macrophages
Globin chains released are broken down into amino acids are either metabolized recycled for used in the synthesis of new proteins
Heme released from hemoglobin is converted to biliverdin by heme oxygenase in macrophages iron is released during this reaction
Fe3+ released from hemoglobin in the macrophages is stored bound to ferritin then transported in the blood by transferrin which can deliver it to tissues for synthesis of heme
Biliverdin is then reduced to bilirubin by the cytosolic enzyme biliverdin reductase

34
Q

What happens to bilirubin in the bloodstream

A

Bilirubin is not water soluble it is transported in the blood bound to serum albumin to liver

35
Q

What happens in the liver

A

Bilirubin dissociates from albumin and hepatocytes take up bilirubin
hepatic microsomes conjugate bilirubin with glucuronic acid

36
Q

What happens in the gastrointestinal tract

A

Bilirubin is the conjugated by intestinal bacteria and metabolize to urobilinogen
Majority of urobilinogen is oxidized to stercobilin and excreted in feces producing its characteristic color(orange to yellow
Some of urobilinogen is converted to urobilin and excreted in urine giving its color
 some of urobilinogen is absorbed into entrohepatic circulation back to liver

37
Q

What is jaundice

A

Refers to discoloration of skin and sclera due to accumulation of bilirubin in plasma which results from inability of the liver to conjugate to transport bilirubin or both

38
Q

What is the name of the disease in which accumulation of bilirubin in the basal ganglia in the brain occurs

A

Kernicterus