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Haemoglobin - Function, Variants, Fate

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Haemoglobin

Function, variants & fate

Dr. Chandan Biswas, MD


Introduction
• Haemoglobin is a red globular protein composed of heme (consisting of iron and
protoporphyrin) and globin.

• Globin portion of the molecule consists of four (or two pairs) of polypeptide chains.

• Hb= 64,500 daltons contributing one third of weight of RBC.

• There are different haemoglobin variants, but all share the same basic structure of four
globin polypeptide chains, each with heme group.

• Functional haemoglobin is composed of two pairs of dissimilar globins.


Normal values of Hb
Haemoglobin Synthesis
• Although haem & globin synthesis occur separately within developing red cell
precursors, their rate of synthesis are carefully coordinated to ensure optimal
efficiency of haemoglobin assembly.

• 65% of haem is synthesized in the erythroblasts.

• 35% of it at reticulocyte stage.

• Heme part occurs in the mitochondria and in the cytoplasm of RBC precursors.
Haem synthesis
• This reaction is energy dependent and so occurs in the mitochondria.

• It's catalyzed by the enzyme ALA synthase.


• This step is a rate-limiting step for the whole process of heme synthesis.
• It is stimulated by the presence of globin chains and inhibited by the
presence of free heme groups.
Haem
Globin Synthesis
• Humans normally carry 8 functional globin genes, arranged in two
gene clusters.
• The alfa-like cluster on the short arm of chromosome 16.
• The ß-like cluster on the short arm of chromosome 11.
• These genes code for 6 different types of globin chains: a, ß, y, delta,
epsilon, zeta globin.
Globin Chains
• Globin chains are synthesized in the cytosol of erythrocytes.

• Consists of varied sequences of AA: polypeptide chains.


• These are Alpha (a), Beta (B), Gamma (v), Delta (5), Epsilon (E) and
Zeta (3).

• The sequence and the number of AA in the chain are different.


HAEMOGLOBIN STRUCTURE
• Haemoglobin is a tetramer composed of 4 polypeptide chains and 4
heme groups.

• Alfa chain consists of 141 amino acids while ß chain has 146 amino
acids.

• Each polypeptide chain is arranged in a helical conformation

• Each RBC has 640 million molecule of Hb.


Haemoglobin variants
Adult Hb(Hb A):
• Hb A1(2a & 2ß subunits) is the major form of Hb 96-98% in adults & in
children over 7 months of age.

• Hb A2 (2a & 2delta subunits) is the minor form of Hb in adults.

• It forms only 2.2-3.5% of total Hb A.

• Poor form of Hb for oxygen carriage.


Fetal Hb (Hb F)
• 2 аlfa & 2 gama subunits

• At birth, 50-95% of a baby's haemoglobin is HbF, but these levels decline


after 6 months as more HbA is produced.

• In a healthy adult, <1% of haemoglobin is HbF.

• The oxygen affinity of HbF is substantially greater than HbA to facilitate the
transfer of oxygen.
HbA1c: glycosylated haemoglobin

• Subtype of HbA1
• Attachment of glucose to valine (N terminal amino acid) of the beta
chain of hemoglobin.
• Indicator of how well the blood glucose level has been controlled over
a long period of time( 2-3 months).
• Its high value is directly related to complications from diabetes.
Hb-COMPOUNDS AND DERIVATIVES

• 1. Oxyhemoglobin:
• In oxy-Hb, Fe is in the ferrous form.
• The binding of O2 to fe is loose (noncovalent) and hence it is easily
reversible.

• 2. Methemoglobin:
• In this type of Hb, Fe is in the ferric state.
• Produced in small amount converted to oxyhemoglobin by
methemoglobin reductase.
• 3. Carboxyhemoglobin:
• Due to the high affinity of CO for Нb, Нb binds with very little O2 in
presence of CO.
• Thus, tissue hypoxia results, which is a type of anemic hypoxia as the
hemoglobin is rendered ineffective by CO.
• 4. Carbaminohemoglobin:
• CO2 combines with an NH2-group of an amino acid in the polypeptide
chain of Hb to form carbamino-Hb

• 5. Acid and alkali hematin:


• These compounds are formed when Hb reacts with acids or alkalis.
• 6. Hemin crystals:
• Rhombic form of the crystals are formed when Hb in blood is boiled
with NaCl and glacial acetic acid.
• This has obvious medicolegal importance.

• 7. Bilirubin and biliverdin


Functions of Hemoglobin
Functions of Hemoglobin
• Transport of oxygen from the lungs to the tissues.

• Carriage of carbon dioxide from tissues to the


lungs as carbaminohaemoglobin.

• Buffering of hydrogen ions formed in the


erythrocyte from the conversion of carbon dioxide
into bicarbonate.

• Nitric oxide metabolism.


Fate of Hemoglobin

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