Hemoglobin: cooperativity, Bohr effect, 2,3-BPG, sickle cell anemia

Hemoglobin (Hb) is a tetramer (2α2β in HbA) that transports O₂ from the lungs to tissues. Cooperative O₂ binding results in a sigmoidal curve. Bohr effect: ↓pH and ↑CO₂ in tissues decrease Hb affinity for O₂ (facilitating O₂ release to tissues). 2,3-BPG (synthesized in erythrocytes) stabilizes the T-form of Hb, decreasing O₂ affinity (adaptation to hypoxia and high altitude). Myoglobin is a monomer that stores O₂ in muscles. Sickle cell anemia: a point mutation in the β-chain (Glu→Val at position 6), HbS polymerizes under hypoxia → sickle-shaped erythrocytes, hemolysis, vaso-occlusion.

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Comparative characteristics of myoglobin and hemoglobin

Myoglobin is a red muscle protein that functions as an oxygen store. Its highest structure is tertiary; the molecule consists of a single polypeptide chain and a single heme (prosthetic group), meaning it has one active site. Myoglobin has a high affinity for oxygen, so it releases O₂ only during severe tissue oxygen deficit.

Hemoglobin is a complex oligomeric domain protein with quaternary structure. It consists of four protomers: two α-globin and two β-globin chains, each bound to a heme. Thus, the hemoglobin molecule has four active sites. Its function is to transport O₂ from the lungs to tissues and CO₂ (as well as protons) from tissues to the lungs. Its oxygen affinity is lower than that of myoglobin, which is necessary for the efficient delivery of O₂ to tissues.

Structure of heme and the role of histidine residues

Heme is represented by protoporphyrin IX—four pyrrole rings linked by methene bridges, with side vinyl, methyl, and propionyl groups. The nitrogen atoms of the pyrrole rings form four coordinate bonds with the Fe²⁺ ion. The fifth coordinate bond of iron goes to the proximal histidine His F8, and the sixth goes to the O₂ molecule.

The secondary structure of globin is represented by eight α-helices, designated by the letters A–H. Heme is located in a hydrophobic pocket between helices E and F.

The hydrophobic environment of the heme prevents water entry and prevents the oxidation of Fe²⁺ to Fe³⁺ (formation of methemoglobin, which is incapable of carrying oxygen).

Cooperative oxygen binding

The binding of the first O₂ molecule to one of the protomers induces a conformational transition from the T-state (low affinity) to the R-state (high affinity). This facilitates O₂ binding by subsequent protomers: the fourth oxygen molecule binds approximately 300 times easier than the first. The reverse process works similarly—O₂ release is cooperative. Cooperativity is manifested in the S-shaped (sigmoidal) oxyhemoglobin dissociation curve, whereas the myoglobin curve is hyperbolic.

Bohr effect

Bohr effect is the decrease in hemoglobin affinity for oxygen upon medium acidification and an increase in the partial pressure of CO₂. Working tissues accumulate carbon dioxide, which, reacting with water in the presence of carbonic anhydrase, forms carbonic acid that dissociates into H⁺ and HCO₃⁻.

Regulation by 2,3-bisphosphoglycerate

An allosteric site is located in the central cavity of the hemoglobin tetramer, binding 2,3-bisphosphoglycerate (2,3-BPG), an intermediate metabolite of erythrocytic glycolysis (Rapoport–Luebering shunt). During hypoxia, the concentration of 2,3-BPG increases; it binds to deoxyhemoglobin, stabilizing the T-form and decreasing O₂ affinity, which facilitates oxygen release to tissues.

Fetal hemoglobin (HbF), consisting of two α- and two γ-chains, binds 2,3-BPG more weakly, due to which it has a higher O₂ affinity and effectively "steals" oxygen from maternal HbA across the placenta.

Denaturation and chaperones

Denaturation is the disruption of the quaternary, tertiary, and secondary structures of a protein while preserving the primary structure. It can be reversible (renaturation is possible) and irreversible. Denaturing factors include high temperature, extreme pH values, heavy metals, organic solvents, and detergents—they destroy hydrogen, ionic, and hydrophobic interactions, as well as disulfide bonds.

Chaperones are proteins that ensure the correct folding of polypeptides and prevent the aggregation of denatured molecules. There are constitutive chaperones (present in the cell constantly) and inducible ones (e.g., heat shock proteins, whose synthesis increases in response to stress factors).

Sickle cell anemia

Sickle cell anemia is a hereditary hemoglobinopathy caused by a point mutation in the β-globin gene: at position 6 of the polypeptide chain, glutamic acid (polar, negatively charged) is replaced by valine (hydrophobic, uncharged). Abnormal hemoglobin is designated as HbS; normal adult hemoglobin is HbA, and fetal hemoglobin is HbF.

The appearance of a hydrophobic residue on the surface of the β-chain creates a complementary "sticky" patch. Under hypoxic conditions, deoxygenated HbS molecules polymerize, forming long fibers that deform the erythrocyte, giving it a sickle shape.

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