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Hemoglobin

Haemoglobinum

For medical students3 min readUpdated 2026-10-10

Hemoglobin is a complex intracellular chromoprotein of erythrocytes specialized in respiratory gas transport. Occupying about a quarter of the red blood cell's total volume, this protein ensures continuous gas exchange by delivering oxygen to tissues and removing carbon dioxide.

VolumeOccupies about 25% of the erythrocyte volume (over 45% including the hydration shell)
CapacityA single molecule can bind exactly 4 oxygen molecules
ValencyThe active center always contains ferrous iron ($Fe^{2+}$)
Adult CompositionHb A predominates (about 96% of the total amount)

Functions of Erythrocyte Cytoplasmic Proteins

In addition to hemoglobin itself—which transports $O_2$ from the pulmonary alveoli to peripheral tissues and $CO_2$ in the reverse direction—the enzyme carbonic anhydrase plays a critical role in the cytoplasm.

Carbonic anhydrase catalyzes the reversible hydration reaction of carbon dioxide ($CO_2 \leftrightarrow HCO_3^-$), allowing significant amounts of carbon dioxide to be transported as soluble bicarbonate ions.

The mechanism of this process strictly depends on erythrocyte localization:

Chemical Structure of the Molecule

Hemoglobin belongs to the class of chromoproteins—complex proteins comprising a protein moiety (globin) and a non-protein moiety (heme).

Protein Moiety (Globin) Globin has a tetrameric structure, meaning it consists of four subunits. Classically, this includes two $\alpha$-chains and two $\beta$-chains. The spatial configuration of this structure is reliably stabilized by intermolecular interactions between amino acid residues of different subunits.

Non-Protein Moiety (Heme) Attached to each of the four protein subunits is exactly one heme group. It is a complex polycyclic structure (porphyrin) with a ferrous iron atom ($Fe^{2+}$) located at its exact center. The iron atom has six coordination bonds distributed as follows:

  1. Four bonds firmly anchor the iron within the porphyrin ring.
  2. The fifth bond acts as a "bridge," connecting the heme to the polypeptide chain of globin.
  3. The sixth bond is functionally active. It is this bond that reversibly attaches molecules of oxygen or carbon dioxide.

Heme Metabolism and Pigment Formation

The characteristic color of blood directly depends on the presence of $Fe^{2+}$ ions within the porphyrin ring. At the level of an individual erythrocyte, this pigment gives a yellowish tint, but in the bulk mass of blood, it forms a rich red color.

When an erythrocyte's lifespan ends, it undergoes destruction. This process is localized primarily in the spleen and triggers a cascade of component recycling:

Subsequently, these pigments are excreted with bile into the intestinal lumen, where their elimination pathways diverge:

  1. Intestinal pathway (via feces): pigments are modified into stercobilin and leave the body.
  2. Renal pathway (via urine): a portion of the substances is reabsorbed into the bloodstream, where it is converted into urobilin and then filtered by the kidneys.

Age-Related Heterogeneity

During human ontogenesis, various types of hemoglobin are synthesized, differing in amino acid composition. This difference is of critical physiological significance as it directly affects the protein's affinity for oxygen.

The main types include:

In a healthy adult, the composition of hemoglobin fractions is strictly balanced: Hb A is the absolute dominant (accounting for about 96%). Minor fractions—Hb A₂ and residual Hb F—account for approximately 2% each.

Mnemonic

To avoid confusing the end products of heme degradation: Stercobilin is excreted in Stool (feces), while Urobilin is excreted in Urine.

Frequently asked questions

What are the physiological compounds of hemoglobin with oxygen and carbon dioxide called?

The physiological compounds of hemoglobin are oxyhemoglobin and carbaminohemoglobin.

  • Oxyhemoglobin is a compound with oxygen ($HbO_2$).
  • Carbaminohemoglobin is a compound with carbon dioxide ($HbCO_2$). About 20% of carbon dioxide is transported in the body in this form.
What pathological compounds of hemoglobin exist and under what conditions do they form?

Pathological compounds of hemoglobin include carboxyhemoglobin and methemoglobin.

  • Carboxyhemoglobin ($HbCO$) forms when hemoglobin reacts with carbon monoxide (CO).
  • Methemoglobin (MetHb) forms when heme iron is oxidized to the ferric state ($Fe^{3+}$) under the influence of strong oxidizing agents (nitrates, inorganic nitrites, sulfonamides, local anesthetics).
What is the normal blood hemoglobin concentration in men and women?

Normal hemoglobin levels depend on sex:

  • In men, the normal range is 130–160 g/L (13–16 g/dL).
  • In women, the normal range is 120–150 g/L (12–15 g/dL).
Which chemical bond in hemoglobin is responsible for gas exchange?

The reversible binding of oxygen or carbon dioxide is mediated by the sixth coordination bond of the ferrous iron atom ($Fe^{2+}$).

Why must fetal hemoglobin differ from maternal hemoglobin?

Fetal hemoglobin (Hb F) has a different amino acid composition, providing it with a higher oxygen affinity. This is physiologically necessary for the successful diffusion of $O_2$ from maternal blood into fetal blood.

In what form is the bulk of carbon dioxide transported?

In the form of bicarbonate ions ($HCO_3^-$), which are formed in erythrocytes under the action of the enzyme carbonic anhydrase and then diffuse into the plasma.

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