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16 Cards in this Set

  • Front
  • Back
Describe the structure of heme.

How many binding sites are there? Where? What occupies them?
Fe + protoporphyrin

Fe has 6 binding sites. 4 - occupied by N (from protoporphyrin), 1 - by histidine and ONE OPEN SPOT for O2
Describe the structure of hemoglobin.

What kind of kinetics does Hgb follow?
Hgb is a tetramer made of 2 alpha units and 2 beta units.

Sigmoidal Kinetics. Binds O2 more easily the more O is bound.
Describe the structure of myoglobin.

What kind of kinetics does it follow?
Myoglobin has a single globin chain = a monomer.

Michaelis-Menten kinetics - holds onto O2 until VERY low PO2
What is one function of albumin as relates to this lecture?

What is one condition caused by low albumin in the blood?
Creates osmotic pressure - H2O wants to DILUTE these proteins in the blood.

Kwashiorkor = very low serum albumin from no nutrition leads to massive edema.
How does 2-3 Bisphosphoglycerate affect O2 transport?
Stabilizes T state (favors O2 RELEASE)

Pushes curve RIGHT ----->
Why does 2-3 Bisphosphoglycerate stabilize the T state?

Is there more or less affinity for O2 with increased 2-3 Bisphosphoglycerate?
2-3 Bisphosphoglycerate blocks Histidine from the center of the molecule.

LOWERS affinity for O2 = favors T state.
How does HgF respond to 2-3 Bisphosphoglycerate?
HgF has LOW affinity for 2-3 Bisphosphoglycerate....it has MUTED effects does not favor T state so much...HgF gets to keep O2. (Favors R state)
What does affects does hypoxemia have on gas transport?
INCREASE 2-3 Bisphosphoglycerate which favors T state (favors oxygen release)
In general, what does favoring the T state mean for O2 transport?

Which way does the curve push?
T state is RIGID - does NOT like holding O2. Favors RELEASE of oxygen.

Curve pushes RIGHT. ---->
In general what does favoring the R state mean for O2 transport?

Which way does the curve push?
R = relaxed state - so there is room for O2 to come on board...
Favors O2 UPTAKE.

Pushes curve to the left
What is the Bohr effect?

Which state is favored?
Decreased pH (increase H+) results in O2 release from Hgb so Hgb can pick up spare H+'s.

FAVORS T STATE (O2 RELEASE)
Increase in temperature favors which state with O2 transport?
INCREASE TEMPERATURE favors T STATE.

Increasing temp gives Hbg less affinity for O2 - favors its release.
Increase in Cl- favors which state?
NCREASE in chloride ions favors T STATE.

Increasing temp gives Hbg less affinity for O2 - favors its release.
What effect does increase in bulky internal anions (which can't cross RBC membrane) have on O2 transport?
Favors T state. Drives out HCO3-, Cl- in, and OH- (which means [H+] increases in the cell) = favors RELEASE of O2.

Pushes graph to the right ------>
What affect does increased [CO2] have on gas transport in RBC's?
increased CO2 pushes Bohr effect toward dissociation of H2CO3 making more [H+]. HCO3- builds up and leaves RBC. Hb will RELEASE it's O2 and pick up the extra H+ ions.
What affect does decreased [CO2] have on gas transport in RBC's?
Decreased CO2 favors association of H+ and HCO3. HCO3 enters cell (so Cl leaves cell). Hbg lets go of H+ to PICK UP O2.