Sechenov School
Home › Biochemistry › Hemoglobin

Hemoglobin

Haemoglobinum

For medical students3 min readUpdated 2026-10-10

Hemoglobin is a complex oligomeric protein (hemoprotein) that transports oxygen from the lungs to body tissues. Due to its unique tetrameric structure and iron-containing active center, this protein rapidly binds oxygen in the pulmonary alveoli and efficiently releases it in actively respiring tissues.

Main TypeHemoglobin A (Hb A) accounts for approximately 98% of all hemoglobins in adult erythrocytes.
Heme IronThe active center always contains iron in the ferrous oxidation state (Fe2+).
CO ProtectionA specific tertiary and quaternary structure reduces the protein's affinity for carbon monoxide by hundreds of times.
Potent Regulator2,3-Bisphosphoglycerate carries a -5 charge and promotes oxygen unloading in tissues.

Molecular Structure and Types of Hemoglobin

The hemoglobin molecule has a tetrameric structure, consisting of four polypeptide subunits. It always contains two $\alpha$-chains, while the second pair of chains varies depending on the developmental stage:

The second pair of chains determines how a specific form of hemoglobin functions and binds gases.

Heme Structure and the Hydrophobic Pocket

Heme is a non-protein prosthetic group. Its chemical core is a tetrapyrrole protoporphyrin IX ring. An iron atom ($Fe^{2+}$) coordinated with four nitrogen atoms of the pyrrole rings sits at the center. Substituents around the ring include 4 methyl groups, 2 vinyl groups, and 2 propionic acid side chains.

Heme is embedded in a specialized hydrophobic pocket between the F and E $\alpha$-helices. Two histidine residues play a critical role:

  1. Proximal histidine (His F8): Forms a coordination bond with $Fe^{2+}$, firmly anchoring the heme within the protein.
  2. Distal histidine (His E7): Located on the oxygen-binding side. It ensures proper orientation for the $O_2$ molecule and sterically hinders carbon monoxide (CO) binding.

Protective function: The hydrophobic environment of the pocket keeps water out. If water reached the iron atom, it would oxidize to $Fe^{3+}$ (forming methemoglobin), rendering oxygen transport impossible.

Cooperative Binding

Hemoglobin binds oxygen cooperatively rather than simply summing the efforts of individual subunits. In deoxyhemoglobin, the iron atom sits slightly out of the porphyrin plane toward His F8. When oxygen binds to $Fe^{2+}$ (near His E7), the iron atom is pulled directly into the plane of the heme ring.

This shift pulls the attached proximal histidine (His F8) and the entire protein helix along with it, triggering a chain reaction of conformational changes across the entire molecule. As a result of this transition, the fourth $O_2$ molecule binds to the tetramer 300 times more easily than the first. In tissues, the process works in reverse: unloading one oxygen molecule facilitates the release of the others.

Bohr Effect (Influence of $CO_2$ and $H^+$)

In actively metabolizing tissues (such as skeletal muscle), catabolism generates large amounts of carbon dioxide and water. $CO_2$ diffuses into erythrocytes, where the enzyme carbonic anhydrase converts it into carbonic acid, which dissociates into bicarbonate ($HCO_3^-$) and protons ($H^+$).

Protons bind to histidine residues (specifically His146) on the hemoglobin chains. This allosteric interaction decreases hemoglobin's affinity for oxygen, breaking the bond between $Fe^{2+}$ and $O_2$ and releasing oxygen into the tissues. The higher the metabolic rate, the more $H^+$ is produced, and the more oxygen the protein unloads. In the lungs, the reverse occurs: high $O_2$ partial pressure forces the protein to bind oxygen, displacing protons. Protons then combine with bicarbonate to form $CO_2$, which is exhaled.

Allosteric Regulation by 2,3-BPG

2,3-Bisphosphoglycerate (2,3-BPG) is a strongly negatively charged ligand (-2 to -5 depending on pH, with -5 physiological state) produced in erythrocytes as a glycolysis intermediate.

In deoxyhemoglobin, additional ionic bonds form between protomers, widening the central cavity. 2,3-BPG binds directly into this cavity, interacting with positively charged amino acids of the $\beta$-chains (valine, lysine, and histidine). Its binding alters protein conformation and reduces oxygen affinity, promoting $O_2$ release to peripheral cells. In the lungs, oxygen binding narrows the central cavity, expelling 2,3-BPG from the molecule.

Mnemonic

How to tell the histidines apart: Proximal (F8) Proinly Fixes (P-F, F-8) the heme. Distal (E7) Defends Distance (D-D) and blocks carbon monoxide.

Frequently asked questions

What are the normal blood hemoglobin concentration ranges for men and women?

Reference ranges for blood hemoglobin concentration include:

  • Men — 130–160 g/L, 132–164 g/L, or 155.0 ± 25.0 g/L.
  • Women — 120–150 g/L, 120–140 g/L, 115–145 g/L, or 140 ± 25.0 g/L.

A decreased hemoglobin concentration is the primary laboratory hallmark of anemia regardless of etiology.

What is glycated hemoglobin (HbA1c) and what is its clinical significance?

Glycated hemoglobin (HbA1c) reflects average glycemia over the lifespan of an erythrocyte (~120 days), typically representing the average blood glucose levels over the preceding 3 months.

Clinical significance of HbA1c:

  • Diagnosis — Used to diagnose diabetes mellitus and prediabetes (standardized assay with a threshold of HbA1c $\ge$ 6.5% for diabetes).
  • Monitoring — Assessed every 3 months in patients with type 2 diabetes mellitus to evaluate glycemic control targets.
  • Risk Stratification — Used to stratify the risk of long-term diabetic complications.
Which abnormal hemoglobin variants form during carbon monoxide and nitrate poisoning?

Exposure to carbon monoxide and oxidizing agents produces specific pathological hemoglobin derivatives:

  • Carboxyhemoglobin (COHb, HbCO) — Formed when hemoglobin binds carbon monoxide (CO). Disrupts normal $O_2$ transport.
  • Methemoglobin (MetHb) — Contains $Fe^{3+}$, formed upon exposure to oxidants such as nitrates and nitrites, potentially causing marked cyanosis due to impaired oxygen delivery.
Why does free heme transport oxygen less effectively than hemoglobin?

Free heme has an affinity for carbon monoxide (CO) that is 25,000 times higher than for $O_2$. In hemoglobin, the distal histidine (His E7) creates steric hindrance, lowering the relative CO affinity so that it exceeds $O_2$ affinity by only about 200 times, protecting us from endogenous carbon monoxide poisoning.

How does hemoglobin functionally differ from myoglobin?

Myoglobin is a monomer with a very high $O_2$ affinity, designed to store oxygen in muscle tissue. Hemoglobin is a tetramer whose cooperative structure allows it to rapidly saturate with $O_2$ in the lungs and unload it in tissues at a $pO_2$ of 20–40 mmHg.

What happens if water enters the active center of hemoglobin?

Water causes the oxidation of the iron atom from the $Fe^{2+}$ state to $Fe^{3+}$, producing methemoglobin, which is entirely incapable of binding and transporting oxygen.

Go deeper

More topics in Biochemistry

Gout and HyperuricemiaNeonatal JaundiceProteoglycansChemical CarcinogenesisElectron Transport Chain InhibitorsPyridoxal PhosphateRNA ProcessingInositol Phosphate SystemCarbohydrate Digestion DisordersKetone Bodies: Synthesis, Oxidation and Clinical SignificanceAmmonia Metabolism: Sources, Transport, and DetoxificationIodothyroninesBiochemistry →