Globins


Featureαβδγ
Main periodAllLate fetal to AdultInfancy to AdultEmbryonic, Fetal, Neonatal
Partner in Hbβ, γ, δααα
Major Hb formAllHbAHbA₂HbF
O₂ affinityVariableNormalNormalHigh
Disease linkα-thal.β-thal., SCDNone seriousTherapeutic
Key Distinctive FeatureOnly globin present in all major hemoglobins; essential for lifePrincipal adult hemoglobin chain; most clinically relevantAlmost identical to β but less abundant; forms minor adult HbA₂Highest O₂ affinity; critical for fetal-maternal O₂ transfer

Hemoglobins


HbAHbA2HbFHbSHbC
Normal++++++NoneNone
Sickle cell trait++++++++None
Sickle cell anemia (SCA)None++++++None
SCA on hydroxyureaNone++++++None
Hemoglobin SC diseaseNone++++++++

  • HbF: has significantly higher oxygen affinity than adult hemoglobin A. This allows fetal hemoglobin to extract more oxygen from the mother’s adult hemoglobin in the placenta, providing the developing fetus with an adequate supply of oxygen.
  • HbS: Point mutation in the β-globin gene resulting in the replacement of glutamic acid by valine
  • HbC: Point mutation in the β-globin gene resulting in the replacement of glutamic acid by lysine

Hb-electrophoresis


  • Normal hemoglobin consists primarily of hemoglobin A (HbA), which migrates rapidly toward the positive electrode (anode) because of its negative charge.
  • Hemoglobin S (HbS) is an abnormal type of hemoglobin in which a nonpolar amino acid (valine) replaces a negatively charged amino acid (glutamate) in the beta globin chain. This amino acid replacement decreases the negative charge on the HbS molecule, which causes HbS to move more slowly toward the anode.
    • Glutamate (-) → Valine (=)
  • Similarly, hemoglobin C (HbC) has a glutamate residue replaced by lysine in the beta globin chain. Because lysine is a positively charged amino acid, HbC has even less total negative charge than HbS and moves even more slowly toward the anode. Both HbC and HbS result from missense mutations, a type of mutation in which a single base substitution results in a codon that codes for a different amino acid.
    • Glutamate (-) → Lysine (+)