• Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off
Reading...
Front

Card Range To Study

through

image

Play button

image

Play button

image

Progress

1/23

Click to flip

Use LEFT and RIGHT arrow keys to navigate between flashcards;

Use UP and DOWN arrow keys to flip the card;

H to show hint;

A reads text to speech;

23 Cards in this Set

  • Front
  • Back
What does the hemoglobin molecule consist of?
2 alpha chains (pink)
2 beta chains (yellow)
Aka: non-alpha chains
4 heme molecules
What is the heme molecule?
What makes blood red!

A ring structure called protoporphyrin IX
Has an atom of divalent/ferrous iron (Fe+2) attached
One heme group per chain
Each heme combines reversibly with one molecule of oxygen
Which chromosome are the alpha genes located on?
chromosome 16
What globulin chains genes are transcribed from chromosome 11?
beta, delta, gamma
how many copes of alpha genes does each chromatid have?
4 copies
What is hemoglobin A?
2 alpha chains and 2 beta chains
The main form of hemoglobin after birth
What is hemoglobin A2?
2 alpha chains and 2 delta chains
Delta chains are not expressed efficiently
Normally only a small amount of Hb A2 after birth
What is hemoglobin F?
2 alpha chains and 2 gamma chains
In adults, this is only in a few RBCs, called F cells
What is Hgb A1c?
Hgb A,can also undergo post-translational modification
Reactions can occur with various sugars and the amino groups of the globin chains
Results in glycated hemoglobin
Most common is Hb A1c, where glucose is added to the beta chain
Monitor this to monitor diabetic patients
What is the function of hemoglobin?
Bind oxygen in the lungs
Transport it to tissues
Unload oxygen in the tissues
What does hemoglobin's affinity for oxygen depend on?
partial pressure of oxygen
What is P50?
: the amount of oxygen needed to saturate 50% of the hemoglobin
What is the Bohr effect?
a shift of the curve as a result of pH
What is the effect of low ph on the curve?
Low pH (acidic environment) shifts curve to right
What is the effect of 2,3-bisphosphoglycerate on red blood cells?
Shifts to the right

With high 2,3-BPG, Hb molecule goes from relaxed and oxygenated to tense and deoxygenated
Need a higher pO2 to saturate the same amount of Hb
What is the effect of fever on the curve?
shift to the right
What is the effect of acidosis on the curve?
shift to the right
What is the effect on altitude on the curve?
shift to the right
What are the properites of Hemoglobin F?
Has increased oxygen affinity compared to Hb A
Hb F p50: ~20 mm Hg
Hb A p50: 27 mm Hg
How fetus extracts oxygen from maternal circulation
Hb F doesn’t release oxygen as easily as Hb A; so fetus needs more Hb to adquately oxygenate tissues
This is why newborns have higher Hb values than when they’re older (and have Hb A)
how does the RBC generate energy for the metabolic pathways that it needs for survival?
Embden Meyerhoff pathway
What are the products of the Embden-Meyerhoff pathway?
Generates lactic acid
Generates 4 molecules of ATP/glucose molecule--(net amount of 2)
Generates 2,3-BPG
Reduces methemoglobin to hemoglobin
Fe3+ to Fe2+
Oxidized iron to reduced iron
What are the indications of a problem in the hexose monophosphate shunt?
lack of G6PD
What are the indications of a lack of G6PD?
Results in oxidative damage
hemolytic anemia

Without G6PD, no NADPH is formed
Without NADPH, glutathione metabolism doesn’t occur – H2O2 doesn’t get converted to water


**Most common enzyme deficiency in the world**