Bài giảng pptx các môn chuyên ngành Y dược hay nhất có tại “tài liệu ngành dược hay nhất”; https://123doc.net/users/home/user_home.php?use_id=7046916. Slide hóa sinh ppt dành cho sinh viên chuyên ngành Y dược. Trong bộ sưu tập có trắc nghiệm kèm đáp án chi tiết các môn, giúp sinh viên tự ôn tập và học tập tốt môn hóa sinh bậc cao đẳng đại học chuyên ngành Y dược
Trang 1Bài giảng pptx các môn chuyên ngành Y dược hay nhất có tại
“tài liệu ngành dược hay nhất” ;
https://123doc.net/users/home/user_home.php?use_id=7046916
Trang 3 is a hemoprotein only found in the
cytoplasm of erythrocytes (ery)
normal concentration of Hb in the blood:
adult males 13.5 – 16.5 g/dL
adult females 12 – 15 g/dL
Trang 5 In fact if the body had to depend upon dissolved oxygen in the plasma to
supply oxygen to
the cells –
The heart would
have to pump 140 liters per minute - instead of 4 liters per minute
Trang 7 Hemoglobin is made from two similar
proteins that "stick together"
Both proteins must be present for the
hemoglobin to pick up and release oxygen normally
One of the component proteins is called alpha, the other is beta
Trang 8 Blood cells are made up of two components
The hemoglobin is in solution inside the cell
The cell is surrounded by a membrane that holds in the hemoglobin
Trang 9STRUCTURE OF HEMOGLOBIN
• Hb is a spherical molecule consisting of 4 peptide
subunits (globins) = quartenary structure
• Hb of adults (Hb A) is a tetramer consisting of 2
- and 2 β-globins → each globin contains 1 heme group with a central Fe 2+ ion (ferrous
ion)
Trang 10 1 iron cation (Fe 2+ )
→ bound in the middle
of tetrapyrrole skelet
by coordination
covalent bonds methine bridge pyrrole ring
Trang 11STRUCTURE OF HAEM
Trang 12PROPERTIES OF IRON IN HEME
Trang 13IRON AND HEMOGLOBIN
The mineral, iron,
plays an important
role in the body’s
delivery and use of
Trang 14IRON AND HEMOGLOBIN
Generally, the more
oxygen there is
being delivered, the
greater the body’s
exercise, and it has
been postulated that
a lack of iron in the
body can reduce
aerobic capacity and
impair endurance
performance
Trang 15IRON AND HEMOGLOBIN
Iron deficient red
blood cells
Low number or cells
Note the hollow and
blanched
appearance of the
red blood cells
Trang 20IN WHICH COMPOUNDS CAN WE FIND A HEME GROUP?
Trang 22binding of the first O 2 to Hb enhances the binding futher
O2 molecules → allosteric effect → S-shaped (sigmoidal)
saturation curve of Hb
Trang 23PROCESS OF O2 BINDING TO HB
Hb can exist in 2 different forms: T-form and R-form.
T-form (T = „tense“) has a much lower oxygen affinity than the
R-form The subunits of Hb are held together by electrostatic
interactions The binding of the first O 2 molecule to subunit of the form leads to a local conformational change that weakens the
T-association between the subunits → R-form („relaxed“) of Hb.
Increasing of oxygen partial pressure causes the conversion
of T-form to R-form
T R
Hb + ↑pO 2 HbO 2
Trang 24PROCESS OF O2 BINDING TO HB
Hemoglobin is a remarkable molecular machine that uses motion and small structural changes to regulate its action
Oxygen binding at the four heme sites in
hemoglobin does not happen simultaneously
Once the first heme binds oxygen, it introduces small changes in the structure of the
corresponding protein chain
Trang 25PROCESS OF O2 BINDING TO HB
These changes nudge the neighboring chains into
a different shape, making them bind oxygen more easily
Thus, it is difficult to add the first oxygen
molecule, but binding the second, third and fourth oxygen molecules gets progressively easier and easier
This provides a great advantage in hemoglobin
function
Trang 26PROCESS OF O2 BINDING TO HB
When blood is in the lungs, where oxygen is
plentiful, oxygen easily binds to the first subunit and then quickly fills up the remaining ones
Then, as blood circulates through the body, the oxygen level drops while that of carbon dioxide increases
Trang 27PROCESS OF O2 BINDING TO HB
In this environment, hemoglobin releases its
bound oxygen As soon as the first oxygen
molecule drops off, the protein starts changing its shape
This prompts the remaining three oxygens to be quickly released
In this way, hemoglobin picks up the largest
possible load of oxygen in the lungs, and delivers all of it where and when needed
Trang 29The heme group of one subunit, shown in the little circular window, is kept in one place so that you can see how the protein moves
around it when oxygen binds
As it binds to the iron atom in the center of the heme, it pulls a histidine amino acid upwards
on the bottom side of the heme
This shifts the position of an entire alpha helix, This motion is propagated throughout the
protein chain and on to the other chains,
ultimately causing the large rocking motion of the two subunits
Trang 30AGENTS THAT INFLUENCE OXYGEN BINDING
● 2,3-bisphosphoglycerate (2,3-BPG) only binds to deoxyHb
(β-chains) → deoxyHb is thus stabilized
● H + ions (lower pH) – binding of H+ by Hb lowers its affinity for O 2 → Bohr effect
● CO 2 – high CO2 levels in the plasma also result in a right shift of saturation curve = Bohr effect
Trang 31OXY & DEOXYHAEMOGLOBIN
Trang 32HB-OXYGEN DISSOCIATION CURVE
Trang 33HB-OXYGEN DISSOCIATION CURVE
The normal position of curve depends on
Concentration of 2,3-DPG
H + ion concentration (pH)
CO 2 in red blood cells
Structure of Hb
Trang 34HB-OXYGEN DISSOCIATION CURVE
Right shift (easy oxygen delivery)
Trang 36Hb A Hb A2 Hb F
ADULT HAEMOBLOBIN
Trang 37TYPES OF HEMOGLOBIN
Adult Hb (Hb A) = 2 α and 2 β subunits
HbA 1 is the major form of Hb in adults and in children over 7 months.
HbA 2 (2 α, 2 δ) is a minor form of Hb in adults It forms only 2 – 3% of a total Hb A.
Fetal Hb (Hb F) = 2 α and 2 γ subunits
- in fetus and newborn infants Hb F binds O2 at lower
tension than Hb A → Hb F has a higher affinity to O 2
After birth, Hb F is replaced by Hb A during the first few months of life.
Hb S – in β-globin chain Glu is replaced by Val
= an abnormal Hb typical for sickle cell anemia
Trang 38DERIVATIVES OF HEMOGLOBIN
Oxyhemoglobin (oxyHb) = Hb with O2
Deoxyhemoglobin (deoxyHb) = Hb without O2
Methemoglobin (metHb) contains Fe 3+ instead of Fe 2+ in heme groups
Carbonylhemoglobin (HbCO) – CO binds to Fe 2+ in heme in
case of CO poisoning or smoking CO has 200x higher affinity to Fe 2+
than O 2
Carbaminohemoglobin (HbCO2) - CO2 is non-covalently bound to
globin chain of Hb HbCO 2 transports CO 2 in blood (about 23%).
Glycohemoglobin (HbA1c) is formed spontaneously by
nonenzymatic reaction with Glc People with DM have more HbA1c
than normal (› 7%) Measurement of blood HbA1c is useful to get
info about long-term control of glycemia.
Trang 39Mutations in hemoglobin (hemoglobinopathies:
1- Sickle cell anemia (Hb S disease):
It is a genetic disorder of blood caused by mutation in globin chain resulting in the formation of Hb S The
acid is replaced by valine (non polar) Valine residues aggregate together by hydrophobic interactions leading to precipitation of Hb within RBCs RBCs assume sickle- shaped leading to fragility of their walls and high rate of hemolysis
Trang 40Such sickled cells frequently block flow of blood in narrow capillaries and block blood supply to tissue (tissue anoxia) causing pain and cell death.
Note: The lifetime of erythrocyte in sickle cell is less than
20 days, compared to 120 days for normal RBCs.
Patients may be :
- Heterozygotes (Hb AS): mutation occurs only in one globin chain These patients have sickle cell trait with no clinical symptoms and can have normal life span.
β-globin chain with apparent anemia and its symptoms
Trang 412- Hb C disease: Like HbS, Hb C is a mutant Hb
in which glutamic acid in 6th position of β-chain is
replaced by lysine
RBCs will be large oblong and hexagonal
The heterozygous form (HbAC) is asymptomatic.The homozygous form (Hb CC) causes anemia, tissue anoxia and severe pain
Trang 423- Thalassemia: A group of genetic diseases in which a defect occur in the rate of synthesis of one
or more of Hb chains, but the chains are structurally normal This due to defect or absence of one or more of genes responsible for synthesis of α or β chains leading to premature death of RBCs
Trang 43decreased or absent There are two copies of the gene responsible for synthesis of β chains Individuals with β globin gene defects have either :
: when the synthesis of only one β –globin gene is defective or absent Those individuals make some β chains and usually not need specific treatment
both genes are defective
-Babies will be severely anemic during the first or second year of life and so require regular blood transfusion Bone marrow replacement is more safe treatment
Trang 44-α-thalassemia: in which synthesis of α globin
chain is defective or absent There are four copies
of gene responsible for synthesis of α globin chains
so patients may have:
i - Silent carrier of α-thalassemia with no
symptoms:
if one gene is defective
Minor anemia present
Moderate anemia present
survive till birth then dies