Lecture 14 Flashcards

1
Q

Hemoglobins and physiology

A

o HbF, less cooperative form that has high o2 affinity
o 700-800 known variants of adult Hb
 Detected by change in electrophoretic mobility or DNA sequence; most have no effect; others alter O2 binding; some are inactivated
o Genes clustered on chr16

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2
Q

HbA and O2 transport

A

 Bonds w/ oxygen in lungs and transports it to peripheral tissues
 Hb’s cooperative o2 binding behavior is indicated by sigmoidal curve
• no quaternary structure-> no cooperativity

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3
Q

O2 Binding Model

A

• Hb does not bind by a sequential model b/c O2 doesn’t bind cooperatively in CO experiment
• O2 binds in a concerted manner to Hb b/c the “increase of available subunits in the R0 state”. There’s a disproportionate increase of available R0 states when 1 O2 binds and forms R1
o DeltaG=0 at equilibrium, have same concentration of substrates in both forms
• Mutations can change the shape of oxygen binding by altering T0 state stability relative of R0 state

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4
Q

HbS

A
  • HbS beta-chain is less negative than wt beta-chain

- Glu-6-Val mutations

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5
Q

Sickle Cell Disease

A
  • high metabolic activity lowers peripheral tissue pH, favors deoxygenation and polymerization of (alpha)2(betaS)2.
  • Fibers form & distort RBCs, making them sticky and leaky
  • Sickled RBCs have poor flow properties and block capillary beds-> sickle cell crisis (necrosis, infection, loss of capillary bed)
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6
Q

Clinical Indications for SCD

A
  1. Gel electrophoresis of a Hb sample
  2. HPLC of alpha and beta chains
  3. Treat RBCs w/ dithionite to rapidly deoxygenate sample & then observe rate of RBC sickling under a microscope
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7
Q

HbS Polymerization

A

HbS form when deoxygenated has two valine bulges and EF pockets. Allows to ‘zipper’ into strands and polymerize. HbAS has only one Valine bulge and thus a lower tendency to sickle.

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