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LEARNING OBJECTIVES
1
GLOBULAR PROTEINS
III. HEMOGLOBIN
• Effects of oxygen binding:
o Iron aligns with the plane of the heme
o Without oxygen binding to iron (deoxygenated
hemoglobin), the iron atom is located slightly
below the plane of the heme structure.
o One pair of αβ subunits rotates by 15º
o Tertiary structure of the entire subunit changes
o Other subunits will have increased affinity for
oxygen
o Once an oxygen molecule has bonded to one of
the subunits of hemoglobin, eventually the other
Transcribed by: LEE, MANGAHAS, OLBES, OROSA, YUNZAL (CHECKED BY MOLINA G., URSUA I.) 2
GLOBULAR PROTEINS
• States of hemoglobin
o Taut (T) state
§ Deoxygenated (Hgb)
§ Has low affinity for oxygen
o Relaxed (R) state
§ Fully oxygenated (HbO2)
§ Has high affinity for oxygen
§ binding of oxygen to Hb causes the rupture
of some of the polar bonds between the
dimers allowing movement
• Salt bridges in the T structure break progressively as
oxygen is added
• Myoglobin has higher affinity for oxygen than
hemoglobin
• There is no allosteric interaction for binding with
myoglobin
V. COOPERATIVE BINDING
o Hb gets fully oxygenated in alveoli of lungs
§ 98% of O2 binding sites are occupied
o Oxygen is released in tissues
§ Saturation level reaches 32%
§ Low oxygen tension = Affinity for oxygen is
low Carbon Dioxide
§ Oxygen delivery is at maximum ,-./012, -1345.-67
o 66% of potential oxygen-binding sites contribute 𝐶𝑂$ + 𝐻$ 𝑂 𝐻$ 𝐶𝑂8 𝐻 9 + 𝐻𝐶𝑂8
to oxygen transport • Isohydric transport
• Allosteric effect o bicarbonates diffuses out of the RBC and is
o Ability to bind O2 is affected by: carried in the blood to the lungs
§ pO2 o ~ 80% of CO2 is transported this way
§ pH • Carbaminohemoglobin (carbhemoglobin or
§ pCO2 carbohemoglobin)
§ 2,3-BPG o Form of CO2 transported in the blood as a
o Interaction of effector at one site affects the dissolved gas (carbamates)
binding of O2 to other sites • Formed with amino terminal of the polypeptide chain
o Binding cooperation displays a sigmoidal (as 𝐶𝑂$ + 𝐻𝑏 − 𝑁𝐻8 ⟷ 2𝐻 9 + 𝐻𝑏 − 𝑁𝐻 − 𝐶𝑂𝑂 =
compared to hyperbolic in myoglobin) behavior in
fractional saturation vs. pO2 graph
Transcribed by: LEE, MANGAHAS, OLBES, OROSA, YUNZAL (CHECKED BY MOLINA G., URSUA I.) 3
GLOBULAR PROTEINS
• Tissues: the H+ from H2CO3 is buffered by o HbF binds 2,3-DPG less than HbA (HbF cannot
deoxyhemoglobin, which binds one proton for every 2 form salt bridge so it cannot bind 2,3-DPG) –
oxygen molecules released gives the fetus more access to oxygen than the
• Lungs: mother
o the high pO2 allows effective O2 binding by Hb o In high altitudes: there is an increase in the
leading to the T to R state transition and the number of erythrocytes and in their
release of protons concentrations of hemoglobin and 2,3-DPG
-
o protons combine with HCO3 from tissues and • Oxyhemoglobin dissociation
enters RBC o ↑ unloading of O2, ↓affinity for O2
o carbonic anhydrase reaction reverses to form
H2O and CO2
& A byproduct of glycolysis
o CO2 diffuses out of the blood into the alveoli and
CADET faces Right
released on expiration
CO2
• Bohr Effect
Acid/Altitude
o Decrease in blood pH or an increase in blood
DPG (2,3-DPG)
CO2 concentration will result in hemoglobin
Exercise
proteins releasing their loads of oxygen
Temperature
o Decrease in carbon dioxide or increase in pH will
result in hemoglobin picking up more oxygen
pH
• decrease in pH decreases the amount of oxygen
bound by hemoglobin at any oxygen concentration
• Protonated hemoglobin favors the T-form (deoxy)
hemoglobin structure.
(note: pH and pO2 in tissues are lower than that in Carbon monoxide
lungs)
• Binds coordinately to heme iron similar to oxygen
• Binding is 220 times stronger than that of oxygen
Chloride Ion • Carboxyhemoglobin (HbCO)
o hemoglobin bound with carbon monoxide
• Chloride shift
o shifts hemoglobin to R state
o Aka hamburger shift/ hamburger phenomenon
• Oxygen saturation curve shift to the left and
o Exchange of chloride and bicarbonate ions
sigmoidal shape becomes hyperbola
across the membranes of RBC
o Maintains electrical neutrality • Note: 60% HbCO is fatal
2,3-biphosphoglycerate
• Derived from 1,3-BPG by BPG mutase
• Has poor binding affinity for oxyHb due to compacted
channel
• At T state:
o hemoglobin has a cavity capable of binding 2,3-
BPG
o when 2,3-BPG binds to the cavity, it forms salt
bridges that must be broken to enter R state
• Role of 2,3-BPG
o When absent, hemoglobin binds to O2more • Effects:
readily o Carbon monoxide poisoning - asphyxiation
o Increased 2,3-BPG favors conversion from R to o Treated by hyperbaric oxygen therapy
T state (causes shift to the right in the oxygen (facilitates CO dissociation)
binding curve)
o 2,3-BPG pushes into the oxygenated hemoglobin
and pops the oxygen out
Transcribed by: LEE, MANGAHAS, OLBES, OROSA, YUNZAL (CHECKED BY MOLINA G., URSUA I.) 4
GLOBULAR PROTEINS
• By 6-8 weeks of gestation the expression of this & Almost all over 1100 known genetic mutations affecting
version of hemoglobin declines dramatically human hemoglobin are both extremely rare and benign,
coinciding with the change in hemoglobin synthesis presenting no clinical abnormalities. When a mutation
from the yolk sac to the liver does compromise biologic function the condition is called
• Within the β-globin cluster there is an additional set a hemoglobinopathy. More than 7% of the world’s
of genes, the fetal β-globin genes identified as the population are carriers for hemoglobin disorders.
gamma (γ) genes
• Shortly before birth there is a smooth switch from
UNSTABLE HEMOGLOBINS
fetal γ-globin gene expression to adult β-globin gene
• Substitution of a proline, which cannot participate in
alpha-helical structures
o Hemoglobin Saki: βLeu 14→ Pro
o Hemoglobin Genova: βLeu 28→ Pro
• Unstable hemoglobins denature and form Heinz
bodies, which damage the RBC membrane
MUTANT HEMOGLOBINS
• Hemoglobin Cowtown: βHis 146 → Leu
o Destabilizes the T conformation,
resulting in increased oxygen affinity
• Fetal hemoglobin is identified as HbF and has a SICKLE CELL ANEMIA
slightly higher affinity for oxygen than does adult
hemoglobin - allowing the fetus to extract oxygen • Caused by a single nucleotide substitution (A to T) of
more efficiently from the maternal circulation glutamate for valine at position 6 on the β-subunit of
hemoglobin
Table 1: Different forms of haemoglobin • The change converts a glutamic acid codon (GAG) to
a valine codon (GTG), generating a hydrophobic
Form Chain Fraction of total
“sticky patch” on the surface of the β subunit of
compostion hemoglobin BOTH oxy and deoxy HbS
• The form of hemoglobin in patients with sickle cell
HbA α2β2 90%
anemia is referred to as HbS
• Mutation reduces the solubility of deoxyhb and allows
HbF α2γ2 <2%
formation of fibrous polymeric filaments of
HbA2 α2δ2 2-5% deoxyhemoglobin that precipitate in the RBC
• Leads to deformation of the RBC making it relatively
HbA1c α2β2-glucose 3-6% inflexible and unable to traverse the capillary beds
Transcribed by: LEE, MANGAHAS, OLBES, OROSA, YUNZAL (CHECKED BY MOLINA G., URSUA I.) 5
GLOBULAR PROTEINS
THALASSEMIA
• Etymology: “Thalassa” (Mediterranean region such
as Greece, Italy and Cyprus) and “aemia” (anemia)
• α and β thalassemia are often inherited in an
• Repeated cycles of oxygenation and deoxygenation autosomal recessive fashion, both parents must be
leads to irreversible sickling. The end result is carriers in order for a child to be affected
clogging of the fine capillaries • If both parents carry a hemoglobinopathy trait, there
• Autosomal (non-sex chromosome) recessive is a 25% chance with each pregnancy for an affected
inherited disease,so both parents must be child
heterozygous carriers to produce a homozygous
child
• Treatment: Hydroxyurea increases circulating levels
of HbF, decreasing RBC sickling
HEMOGLOBIN C (HbC)
• Mutation at codon 6 is the conversion to a lysine
codon (GAG to AAG) which results in the generation
of HbC
• This mutated form reduces the normal plasticity of
host erythrocytes
• In those who are heterozygous for the mutation,
about 28–44% of total hemoglobin (Hb) is HbC, and
no anemia develops
• In homozygotes, nearly all Hb is in the HbC form,
result in moderate normocytic hemolytic anemia
HEMOGLOBIN M
• Genetic counseling and genetic testing is
• In hemoglobin M, histidine F8 (His F8) has been recommended for families that carry a thalassemia
replaced by tyrosine trait
• The iron of HbM forms a tight ionic complex with the • Apart from bone marrow transplantation, treatment is
3+
phenolate anion of tyrosine that stabilizes the Fe symptomatic
form
& Partial or total absence of one or more α (alpha
thalassemia) or β (beta thalassemia) chains of hemoglobin
Transcribed by: LEE, MANGAHAS, OLBES, OROSA, YUNZAL (CHECKED BY MOLINA G., URSUA I.) 6
GLOBULAR PROTEINS
POLYCYTHEMIA
• An increased concentration of erythrocytes
• It is usually brought about by low oxygen delivery to
peripheral tissues (compensatory mechanism)
• Polycythemia may be present in people living in high
altitudes
CHESAPEAKE
• an abnormal hemoglobin in which leucine is
substituted for arginine in the α chain(92), results in
high oxygen affinity
• Patient develops polycythemia
GLYCOSYLATED HEMOGLOBIN (HBA1C) Table 3: Summary of hemoglobinopathies
• Glucose is attached to the ε -amino group of lysine Hemoglobinopathy Description
residues and the amino terminals of the β chain of Hemoglobin Saki or Formation of Heinz bodies which damages
hemoglobin Geneva RBC
• Valuable diagnostic tool in diabetes management - Cowtown Destabilizes T form which increases O2
reflects the mean blood glucose concentration over affinity causing a left shift
the preceding 6-8 weeks Sickle cell Mutation from acidic amino acid to nonpolar.
Increased hydrophobic interaction deforms
• 4-6% in normal people; less than 7% in controlled
cell causing sausage-like/sickle shaped
diabetes mellitus
appearance
• Increased glycosylation of hemoglobin increases its HbC Decreased RBC plasticity
affinity for oxygen, therefore preventing its release at HbM
3+
Stabilizes Fe form of Hemoglobin
the tissue and inducing a level of hypoxia in extreme Methemoglobin
3+ 2+
Fe rather than Fe in hemoglobin; can
cases neither bind nor transport O2
Glycosylated Increased O2 affinity; causes left shift;
MYOGLOBINURIA Hemoglobin prevents release of O2 from RBC to tissues
• Presence of myoglobin in urine due to massive Anemia Decreased RBC or Hemoglobin
destruction of muscle fibers (e.g. hazing, vehicular Thalassemia Decreased or absence of alpha or beta
subunit in hemoglobin
accidents)
Polycythemia Increased RBC production
Transcribed by: LEE, MANGAHAS, OLBES, OROSA, YUNZAL (CHECKED BY MOLINA G., URSUA I.) 7
GLOBULAR PROTEINS
IX. APPENDIX
Transcribed by: LEE, MANGAHAS, OLBES, OROSA, YUNZAL (CHECKED BY MOLINA G., URSUA I.) 8