normalandabnormalhem Flashcards

1
Q

what binds O2 at low concentrations and what at high concentrations

A

myoglobin at low concentrations but hemoglobin at high concentrations.

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2
Q

what is the most common subtype of hemoglobin

A

Hb A [A2B2]

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3
Q

what are the embryonic hemoglobin

A

Hb Gower 1 znen Gower 2 A2 E2 portland Z2 Y2

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4
Q

what replaces Embryonic heme to become the fetal heme

A

Hb F a2y2

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5
Q

what changes during progressive development of the fetus in the heme groups

A

the Y chain becomes a B beta chain less than 2% by the end of the first year of life

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6
Q

what is the amino acid difference between an beta chain and a y chain

A

histadine is replaced with serine

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7
Q

what are the alpha like globins and where are they found on the chromosomes

A

alpha and zeta and found on 16

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8
Q

where are the beta like globlins found and what are they

A

11 and they are beta Gamma epsilon and delta found upstream.

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9
Q

what regions of DNA turn on hemoglobin genes

A

HS-40 turns on alpha like, and LCD upstream of Beta like globins.

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10
Q

what are structural variants

A

mutations that produce unstable hemoglobin often form hemichorm and precipitate as heinz bodies

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11
Q

what are thalassemias

A

imbalanced globin chain synthesis too many of either alpha types or beta types.

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12
Q

what is Hb helsinki

A

lys to met at BPG increased affinity for o2

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13
Q

what happends with a beta thalassemias

A

only one gene region for the beta globin but they are usually not super effected but if they are homozygotes than its very servers leads to target cells and hypochormia

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14
Q

what barts hydrops fetalis

A

can only form fetsus gamma tetramers so no adult alpha globins and is deadly

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15
Q

what is Hb constant spring

A

stop codon to gluatamine leads to a longer chain and this makes the chain unstable behaves like a d alpha +

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16
Q

what is Hb kansas

A

asn to thr at A1B2 contact site leads to a decreased o2 affinity

17
Q

what is Hb boston

A

a subunit distal his to tyr leads to methemoglobin, and

18
Q

what is Hb hyde park

A

Beta subunit proxiaml his to tyr leads to methemoglobin

19
Q

what is sickle cell

A

glutamate to valine at position 6 leads to a beta globin chain deoxygenated Hb s changes shapes hemolytic anemia

20
Q

what is Hb C

A

west african origin glutamate for lysine less solubel preipicats common with Hb S but not as bad as a homozygot Hbs

21
Q

what is hydroyurea

A

antineoplastic agetn used to treat sickle cell by increasing production of Hb F

22
Q

tell me about electrophoretic testing techniques

A

cheap easy somewhat insensitive hard with premature infants and you dont need to know what you are looking for and can run several samples at once

23
Q

tell me about PCR-RFLP

A

cheap easy very specific you need to know exactly what you are looking for so not good for weeding out but for specifically identifying.