Porphyrins serve as prosthetic groups for proteins involved in oxygen transport and other functions. Hemoglobin contains heme, an iron-containing porphyrin, at the center of each subunit. Heme synthesis involves several steps beginning with the condensation of glycine and succinyl-CoA to form 5-aminolevulinate. Regulation occurs through feedback inhibition by heme. Hemoglobin transports oxygen through a sigmoidal binding curve conferred by cooperativity between subunits. Pathologies can result from oxidation, genetic mutations like sickle cell anemia, or defects in subunit synthesis as seen in thalassemias.