Hemoglobin

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Hemoglobin

Whole blood contains the formed element of red blood cells and hemoglobin is contained within those red blood cells.  Hemoglobin as its name indicates is a globular protein instead of a fibrous protein like keratin or collagen. Thinking back to protein structure there were 4 levels of protein structure. When a protein is first made from the DNA recipe, it is just a series of amino acids. These amino acids are bonded together in a chain. That amino acid chain then becomes folded into either an alpha helix or a beta pleated sheet. The helix or sheet then become grouped together to make the tertiary level of protein structure. Tertiary structures then combine to form the final quaternary structure. You see this structure in the call out from that one red blood cell.

We can measure how much hemoglobin is in your red blood cells and report that on a CBC.  The mean corpuscular hemoglobin or M-C-H is the average amount of hemoglobin in your erythrocytes.  Anemia such as iron deficient anemia will have a low MCH.


Hemoglobin Components

Hemoglobin actually contains 2 amino acids chains one referred to as alpha and the other referred to as beta. These amino acid chains alpha and beta are tertiary structures. The pictures you see here are abbreviations of the tertiary structure. These structures are made-up of many alpha helices and many beta pleated sheets. When 2 alpha chains and two beta chains come together we start to form the final shape of hemoglobin.

Bonded within the alpha and beta chains is a pigment called heme, which has a gray or silvery coloring. This pigment contains another pigment called bilirubin. Bilirubin is the same yellowish pigment that gives stomach bile its characteristic yellow color. At the center of all this machinery are iron atoms that are the components capable of binding to oxygen. There are four heme pigments in every hemoglobin molecule. When oxygen attaches to the iron in the heme pigment the pigment changes to a darker color. This is the exact same phenomenon that happens when metal is exposed to oxygen and rusts.


Oxygen Carrying Capacity

There are 4 iron atoms or hema pigments in one hemoglobin molecule. But in one little tiny erythrocyte there are somewhere around 250 million hemoglobin proteins. You can do all kinds of complicated math. What this really means is that there is 1 billion iron atoms in one erythrocyte. This means that one red blood cell can bind to 1 billion oxygen molecules. Each oxygen molecule will eventually be used to make 36 ATP molecules. That’s a lot of molecules.


Deoxy and Oxyhemoglobin

These are two great words that we should constantly use in this class. We refer to whole blood or erythrocytes and their state concerning oxygen. Deoxyhemoglobin is 1 hemoglobin protein that does not have oxygen bound to the heme pigments. In this case, the heme pigments are very dark in color. They give the red blood cells a very dark brick red color. Because of the reflection of melanin in skin, this dark brick red color in your veins leads to either cyanosis. It can also lead to pallor. Cyanosis causes a blue tint or hue to the skin. Pallor is the skin condition that causes a white hue to the skin. Both of these conditions are associated with someone who has low oxygen intake or carrying ability.

Deoxyhemoglobin is found in the erythrocytes in all of your veins of the systemic circuit. It is also in all of your arteries of the pulmonary circuit. These are the common places where deoxygenated blood exists.  When I was in a foreign country, I used a bathroom in a train station, and never will again.  But, when I closed the door, a black light came on.  I was like, “Is this a joke?”  I mentioned that strangeness to someone I was with. They said that veins are harder to see in a black light.  This was to make it harder to do intravenous drugs in the train station bathroom.  Smart.

Oxyhemoglobin is simply the opposite of deoxyhemoglobin. This would be a hemoglobin protein where all four iron atoms are bound to molecular oxygen. In this case the plug takes on a Ruby red or very red color. Oxyhemoglobin is found in the arteries of your systemic circuit and in the veins of your pulmonary circuit. If the blood vessels in your skin close to the surface dilate, it results in a skin condition called arrhythmia. This is normally called blushing and can be due to emotions fever heat or variations in hormones.



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