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HAEMOGLOBIN
Raju physiology
At the End of Class
 Haemoglobin
 Structure, function,
variations
 Derivatives, synthesis and
degradation of
hemoglobin.
 Anemia – Types with
example, c/f , treatment
Haemoglobin
(C712H1130O245N214S2Fe)4
HAEMOGLOBIN
 It is a Red pigment
 Present in RBC of Blood.
 It is a conjugated protein, &
Chromoprotein.
 It is made up of Iron and
Protein
 It’s molecular weight is
68000.
Disadvantages if haemoglobin
present in plasma.
 Increase viscosity.
 Increase osmotic
pressure.
 Rapid destruction by
reticuloendothelial
system.
 Haemoglobinuria
( excretion through
kidney)
Thursday, April 29, 2021
NORMAL VALUES OF
HEMOGLOBIN
 The Normal Hb level:
 Fetus – 16-18 gm/dl
 Newborn – 20-24
gm/dl.
 Transfusion from
placenta
 Haemoconcentration
NORMAL VALUES OF
HEMOGLOBIN
 1 year – 10-12 gm/dl
 Males - 14 – 17
gm/100ml
Females- 12 – 15
gm/100ml
Thursday, April 29, 2021
STRUCTURE OF HAEMOGLOBIN.
 Iron containing pigment
called Haem attached
with protein – Globin.
 Haeme is Iron –
porphyrin complex
called IRON-
PROTOPORPHYRIN IX.
 Globin – Protein.
Thursday, April 29, 2021
STRUCTURE OF HAEME
IRON-PROTOPORPHYRIN IX.
 IRON
 Ferrous form (Fe2+).
 Iron attached to
nitrogen atom of each
pyrrole ring.
 On iron loose bond for
 Oxygen
 Carbon monoxide.
Thursday, April 29, 2021
STRUCTURE OF HAEME
IRON-PROTOPORPHYRIN IX.
 Porphyrin nucleus.
 4 Pyrrole Rings
(Tetrapyrrole)
 Bridges – Methine (CH)
 Side chains – 8
 Methyl (CH3) - 4
 Vinyl (CH.CH2) - 2
 Propionic acid - 2
(CH2.CH2.COOH)
Thursday, April 29, 2021
Structure of Globin.
 Made up of 4
polypeptide chains.
 Globin is HbA
 2 alpha chains ( ) –
141 amino acids
 2 Beta chains ( ) – 146
amino acids.
Thursday, April 29, 2021
Attachment of Haeme to
Globin.
 4 units of Haeme
attached to 1 unit of
Globin.
 So 1 Haemoglobin
molecules contains 4
Iron Atoms which
carry 4 molecules of
oxygen.
Thursday, April 29, 2021
Synthesis of Hemoglobin
i) 2 succinyl – CoA + 2 glysine Pyrrole
ii) 4 Pyrrole Protoporphyrin IX
iii) Protoporphyrin IX + Fe2+ Heme
iv) Heme + Polypeptide Hemoglobin chain (α or β)
v) 2 α chains + 2 β chains Haemoglobin A.
 Succinyl-CoA Glycine
Pyridoxal phosphate
 αAmino -β-ketoadipic acid
ALA synthetase
 α amino-δ-Laevulinic acid
 ALA dehydrogenase.
 Porphobilinogen
 Protoporphyrin IX
ferrous
 Haem globin
 haemoglobin
Thursday, April 29, 2021
Thursday, April 29, 2021 Synthesis of heme
Factors controlling
Haemoglobin formation.
 Role Of Proteins – First class proteins provide
amino acids.
 Most imp – food of animal origin, liver, spleen,
kidney & heart
 Intermediate value – muscles
 Least – cereals, dairy products, veg & fruits.
Thursday, April 29, 2021
ROLE OF IRON.
 Important for formation of Haeme part of
Haemoglobin.
 Sources of iron – Dietary iron
 Other sources – Iron released from degradation of
RBC.
Thursday, April 29, 2021
Role of other metals
 Copper – Promotes
Absorption, Mobilization
& Utilization of iron.
 Cobalt – Increases
production of
Erythropoietin.
 Calcium – conserve iron
& subsequent utilization.
 Role of vitamins.
 Vit B12, Folic acid help in
synthesis of nucleic acid.
 & vit C helps in
absorption of iron from
gut. (Fe3+ to Fe2+)
 Role of bile salts.
 Imp for proper
absorption of copper &
nickel.
Thursday, April 29, 2021
Functions of Haemoglobin
 Transport oxygen to tissues
 Transport Co2 to lungs
 Maintains acid base balance ( As a Buffer)
Haemoglobin – Oxygen
Binding.
 O2 is attached with
haemoglobin reversibly
at 6th covalent bond.
 Oxygenation of 1st haem
increases affinity for 2nd
in turn 3rd & 4th.
 Reason for O2-Hb
dissociation curve
Sigmoid shape.
Thursday, April 29, 2021
Oxygen – Haemoglobin
Dissociation curve.
 As affinity of Hb for O2
falls graph shifted to
right.
 As affinity of Hb for O2
rise graph shifted to
left.
 H+ ion conc, Pco2
temp & 2,3-DPG
affects shift.
Thursday, April 29, 2021
Shift of Oxygen – Haemoglobin
Dissociation curve.
 Shift to left.  Shift to right.
Thursday, April 29, 2021
VARIETIES OF HAEMOGLOBIN.
 Pathological
(Haemoglobinopathies)
 Sickle Cell Haemoglobin.
 Hb C
 Thallasemia.
 Physiological.
 Adult
 Haemoglobin A --
4 polypeptide chains
2 α (alpha) & 2 β (Beta)
 Haemoglobin A2 -- 2 α
(alpha) & 2 δ (Delta)
 Fetal.
FETAL HAEMOGLOBIN.
 Present in fetal RBC &
disappear in 2-3 months
after birth.
 Structure
 4 polypeptide chains
2 α(alpha) & 2 γ (gamma)
 Characteristics.
 Affinity for oxygen – more
 Resistance to action of alkalies
 Life span – less.
Thursday, April 29, 2021
PATHOLOGICAL
(HAEMOGLOBINOPATHIES)
 Sickle cell
haemoglobin.(HbS)
 Substitution of Valine
for Glutamic Acid at 6th
position in beta chain.
 When HbS is reduced (in
low O2 tension)
precipitate into crystals
in RBC changes shape
become Sickle shaped.
Thursday, April 29, 2021
EFFECTS OF SICKLE CELL SHAPE.
 Less flexible – blockage
of microcirculation.
 Increases blood
viscosity.
 More fragile – More
Hemolysis – Anaemia.
Thursday, April 29, 2021
TREATMENT
 Drugs – leads to
formation of HbF which
decreases
polymerization of
deoxygenated Hb.
 Azacytidine
 Hydroxyurea
 Bone Marrow
Transplantation.
Thursday, April 29, 2021
Pathological
(Haemoglobinopathies)
 Haemoglobin C.
 Similar to HbS but not
associated with Sickling.
 Other varieties are
HbE, HbI, HbJ, HbM
 Thalassaemia
 Defect in synthesis of
polypeptide chain.
 Types
 Major
 Minor
Thursday, April 29, 2021
DIFFERENCE IN THALASSAEMIA
MAJOR & MINOR.
β Thalassaemia Major
 Less common
 Homozygous transmission
 Complete absence of beta
chain synthesis.
 Anemia – moderate to
severe
 HbF – markedly increased
 Life span – short
 Cooley’s Anaemia
β Thalassaemia Minor.
 More common.
 Heterozygous
transmission.
 Partial Absense.
 Anemia- mild.
 HbF – slightly elevated.
 Life span – comparatively
longer.
Thursday, April 29, 2021
DERIVATIVES OF Hb
 1. Hb + O2 HbO2 (Oxyhaemoglobin) Iron in ferrous state)
 2. Hb + Cyanide Methaemoglobin Iron in ferric state.
 3. Hb + CO2 Carbamino hemoglobin
 4. Hb + CO Carboxy hemoglobin
 5. Hb + H2S Sulphemoglobin.
 6. Hb + Glucose Glycosylated ( attached to terminal
Valine)
FATE OF HAEMOGLOBIN
HEMOGLOBIN
GLOBIN
AMINO ACIDS
Reutilized in bone marrow
for Hb synthesis
IRON
IRON
Stored as Ferritin
BILIVERDIN (Bilirubin
Reductase)
BILIRUBIN
Taken up
by liver
CHOLEGLOBIN
Thursday, April 29, 2021
Tetra pyrrole straight chain with
Globin & Iron
THANK
YOU

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haemogloin

  • 2. At the End of Class  Haemoglobin  Structure, function, variations  Derivatives, synthesis and degradation of hemoglobin.  Anemia – Types with example, c/f , treatment
  • 4. HAEMOGLOBIN  It is a Red pigment  Present in RBC of Blood.  It is a conjugated protein, & Chromoprotein.  It is made up of Iron and Protein  It’s molecular weight is 68000.
  • 5. Disadvantages if haemoglobin present in plasma.  Increase viscosity.  Increase osmotic pressure.  Rapid destruction by reticuloendothelial system.  Haemoglobinuria ( excretion through kidney) Thursday, April 29, 2021
  • 6. NORMAL VALUES OF HEMOGLOBIN  The Normal Hb level:  Fetus – 16-18 gm/dl  Newborn – 20-24 gm/dl.  Transfusion from placenta  Haemoconcentration
  • 7. NORMAL VALUES OF HEMOGLOBIN  1 year – 10-12 gm/dl  Males - 14 – 17 gm/100ml Females- 12 – 15 gm/100ml Thursday, April 29, 2021
  • 8. STRUCTURE OF HAEMOGLOBIN.  Iron containing pigment called Haem attached with protein – Globin.  Haeme is Iron – porphyrin complex called IRON- PROTOPORPHYRIN IX.  Globin – Protein. Thursday, April 29, 2021
  • 9. STRUCTURE OF HAEME IRON-PROTOPORPHYRIN IX.  IRON  Ferrous form (Fe2+).  Iron attached to nitrogen atom of each pyrrole ring.  On iron loose bond for  Oxygen  Carbon monoxide. Thursday, April 29, 2021
  • 10. STRUCTURE OF HAEME IRON-PROTOPORPHYRIN IX.  Porphyrin nucleus.  4 Pyrrole Rings (Tetrapyrrole)  Bridges – Methine (CH)  Side chains – 8  Methyl (CH3) - 4  Vinyl (CH.CH2) - 2  Propionic acid - 2 (CH2.CH2.COOH) Thursday, April 29, 2021
  • 11. Structure of Globin.  Made up of 4 polypeptide chains.  Globin is HbA  2 alpha chains ( ) – 141 amino acids  2 Beta chains ( ) – 146 amino acids. Thursday, April 29, 2021
  • 12. Attachment of Haeme to Globin.  4 units of Haeme attached to 1 unit of Globin.  So 1 Haemoglobin molecules contains 4 Iron Atoms which carry 4 molecules of oxygen. Thursday, April 29, 2021
  • 13. Synthesis of Hemoglobin i) 2 succinyl – CoA + 2 glysine Pyrrole ii) 4 Pyrrole Protoporphyrin IX iii) Protoporphyrin IX + Fe2+ Heme iv) Heme + Polypeptide Hemoglobin chain (α or β) v) 2 α chains + 2 β chains Haemoglobin A.
  • 14.  Succinyl-CoA Glycine Pyridoxal phosphate  αAmino -β-ketoadipic acid ALA synthetase  α amino-δ-Laevulinic acid  ALA dehydrogenase.  Porphobilinogen  Protoporphyrin IX ferrous  Haem globin  haemoglobin Thursday, April 29, 2021
  • 15. Thursday, April 29, 2021 Synthesis of heme
  • 16. Factors controlling Haemoglobin formation.  Role Of Proteins – First class proteins provide amino acids.  Most imp – food of animal origin, liver, spleen, kidney & heart  Intermediate value – muscles  Least – cereals, dairy products, veg & fruits. Thursday, April 29, 2021
  • 17. ROLE OF IRON.  Important for formation of Haeme part of Haemoglobin.  Sources of iron – Dietary iron  Other sources – Iron released from degradation of RBC. Thursday, April 29, 2021
  • 18. Role of other metals  Copper – Promotes Absorption, Mobilization & Utilization of iron.  Cobalt – Increases production of Erythropoietin.  Calcium – conserve iron & subsequent utilization.  Role of vitamins.  Vit B12, Folic acid help in synthesis of nucleic acid.  & vit C helps in absorption of iron from gut. (Fe3+ to Fe2+)  Role of bile salts.  Imp for proper absorption of copper & nickel. Thursday, April 29, 2021
  • 19. Functions of Haemoglobin  Transport oxygen to tissues  Transport Co2 to lungs  Maintains acid base balance ( As a Buffer)
  • 20. Haemoglobin – Oxygen Binding.  O2 is attached with haemoglobin reversibly at 6th covalent bond.  Oxygenation of 1st haem increases affinity for 2nd in turn 3rd & 4th.  Reason for O2-Hb dissociation curve Sigmoid shape. Thursday, April 29, 2021
  • 21. Oxygen – Haemoglobin Dissociation curve.  As affinity of Hb for O2 falls graph shifted to right.  As affinity of Hb for O2 rise graph shifted to left.  H+ ion conc, Pco2 temp & 2,3-DPG affects shift. Thursday, April 29, 2021
  • 22. Shift of Oxygen – Haemoglobin Dissociation curve.  Shift to left.  Shift to right. Thursday, April 29, 2021
  • 23. VARIETIES OF HAEMOGLOBIN.  Pathological (Haemoglobinopathies)  Sickle Cell Haemoglobin.  Hb C  Thallasemia.  Physiological.  Adult  Haemoglobin A -- 4 polypeptide chains 2 α (alpha) & 2 β (Beta)  Haemoglobin A2 -- 2 α (alpha) & 2 δ (Delta)  Fetal.
  • 24. FETAL HAEMOGLOBIN.  Present in fetal RBC & disappear in 2-3 months after birth.  Structure  4 polypeptide chains 2 α(alpha) & 2 γ (gamma)  Characteristics.  Affinity for oxygen – more  Resistance to action of alkalies  Life span – less. Thursday, April 29, 2021
  • 25. PATHOLOGICAL (HAEMOGLOBINOPATHIES)  Sickle cell haemoglobin.(HbS)  Substitution of Valine for Glutamic Acid at 6th position in beta chain.  When HbS is reduced (in low O2 tension) precipitate into crystals in RBC changes shape become Sickle shaped. Thursday, April 29, 2021
  • 26. EFFECTS OF SICKLE CELL SHAPE.  Less flexible – blockage of microcirculation.  Increases blood viscosity.  More fragile – More Hemolysis – Anaemia. Thursday, April 29, 2021
  • 27. TREATMENT  Drugs – leads to formation of HbF which decreases polymerization of deoxygenated Hb.  Azacytidine  Hydroxyurea  Bone Marrow Transplantation. Thursday, April 29, 2021
  • 28. Pathological (Haemoglobinopathies)  Haemoglobin C.  Similar to HbS but not associated with Sickling.  Other varieties are HbE, HbI, HbJ, HbM  Thalassaemia  Defect in synthesis of polypeptide chain.  Types  Major  Minor Thursday, April 29, 2021
  • 29. DIFFERENCE IN THALASSAEMIA MAJOR & MINOR. β Thalassaemia Major  Less common  Homozygous transmission  Complete absence of beta chain synthesis.  Anemia – moderate to severe  HbF – markedly increased  Life span – short  Cooley’s Anaemia β Thalassaemia Minor.  More common.  Heterozygous transmission.  Partial Absense.  Anemia- mild.  HbF – slightly elevated.  Life span – comparatively longer. Thursday, April 29, 2021
  • 30. DERIVATIVES OF Hb  1. Hb + O2 HbO2 (Oxyhaemoglobin) Iron in ferrous state)  2. Hb + Cyanide Methaemoglobin Iron in ferric state.  3. Hb + CO2 Carbamino hemoglobin  4. Hb + CO Carboxy hemoglobin  5. Hb + H2S Sulphemoglobin.  6. Hb + Glucose Glycosylated ( attached to terminal Valine)
  • 31. FATE OF HAEMOGLOBIN HEMOGLOBIN GLOBIN AMINO ACIDS Reutilized in bone marrow for Hb synthesis IRON IRON Stored as Ferritin BILIVERDIN (Bilirubin Reductase) BILIRUBIN Taken up by liver CHOLEGLOBIN Thursday, April 29, 2021 Tetra pyrrole straight chain with Globin & Iron