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AMR
ASHR
BIOCHEMICTRY
RESPIRATORY SYSTEM
LECTURE 2
Haem Globin
It is a Fe-porphyrin compound. The protein part of
✓ The porphyrins are complex compounds with a Hb. It is composed
tetrapyrrolestructure, each pyrrole ring having the following of four
structure: polypeptide
✓ Four such pyrroles called I to IV, are combined through – chains.
CH= bridges, called as methylene bridges to form a ✓ Each
porphyrin nucleus. polypeptide chain
✓ Ferrous iron (Fe++) occupy the centre of the compound contains a ‘haem’,
ring structure and establish linkages with all the four in the socalled
nitrogens of all the pyrrole rings. haem-pocket. Thus
✓ The Fe, besides its linkages to four nitrogens of the one Hb molecule
pyrrole rings, is also linked internally (5th linkage) to the contains four
nitrogen of the imidazole ring of histidine (His) of the haem units.
polypeptide chains.
Different HB types
• Most normal human Hb contains two αchains + 2 other chains (which may be
β,Y ,E or ) depending on the type.
4. Hb-A1C 5. Methaemoglobin 6. HB S
(Glycosylated Hb) (chocolate colored)
• A minor • It is a derivative in which • Due to mutation in β-
glycosylated form Fe is in the ferric state globin gene.
is also found in • it is a true oxidation • Causes sickle cell disease.
adult RBCs. • Normal RBCs are quite
• Normally, it is
product of Hb. elastic, which allows the
present in conc.of • Increased amount of cells to deform to pass
3 - 5 % of total Hb. methaemoglobin in blood through capillaries.
However, in above normal is called as • In sickle cell disease, low
patients with D.M. “methaemoglobinaemia”. O2 tension promotes RBCs
it may be • Can’t bind O2. sickling → damage the cell
increased to as membrane and decrease the
much as 6 -15 % of cell's elasticity → these rigid
total Hb. blood cells are unable to
deform as they pass through
narrow capillaries →vessel
occlusion and ischemia.
• RBCs becomes liable for
hemolysis.
Mechanism of HB binding to oxygen
1-Hb can readily combine with O2. 3- Each haem can bind only one mol.
The combination is loose and of O2. Since each molecule of Hb
reversible. The gas is taken up readily contains 4 mols. ofhaem; hence
at high partial pressures (e.g. in the
lungs) and is released as readily at
one mol. of Hb can maximally
low O2 pressures (e.g. in tissues), combine with four mols of O2.
thus providing an effective system
for transport of O2 from the
atmosphere to the cells of the body.
2- Fe remains in the ferrous 4-Cooperative binding of oxygen by the four
subunits of hemoglobin means that the binding
state both in deoxygenated Hb of an oxygen molecule at one heme group→
and oxy-Hb. increases the oxygen affinity of the remaining
heme groups in the same hemoglobin tetramer
(Haem-haem Interactions).
Two states of Hb
‘R’ state ‘T’ state
-This is a relaxed state and it is -This is a tense/taut state and it is
oxygenated Hb. deoxygenated Hb.
This form is interconvertible This form is interconvertible
Case
A 67-year-old man presented to the emergency department with a 1-week
history of angina and shortness of breath. He complained that his face and
extremities had a “blue color.” His medical history included chronic stable angina
treated with dinitrate and nitroglycerin. Blood obtained for analysis was chocolate
colored