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Hemoglobin, red blood cells white hematocrit concentration tests, cbc, pancytopenia, laboratory, bicytopenia, elevated low high levels lead poisoning genes genetic bleeding anemia pulmonary fibrosis congenital heart disease normal abnormal, oxyhemoglobin, carboxyhemoglobin, methhemoglobin nitrates poisoning oxygen iron folate vitamin b-6 b-12TM

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  • What is hemoglobin?
  • What about oxyhemoglobin, carboxyhemoglobin, and methhemoglobin?
  • How many types of hemoglobin are there?
  • What is the normal range of hemoglobin?
  • What can cause hemoglobin to be too high?
  • What can cause hemoglobin to be too low?
  • What is the molecular weight of hemoglobin?
  • Why is it called hemoglobin?

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    Medical Tests That Can Save Your Life: 21 Tests Your Doctor Won't Order ...Unless You Know to AskThe Yale University School of Medicine's Patient's Guide to Medical Tests

    WHAT IS HEMOGLOBIN?

    Hemoglobin (abbreviated Hb) is a red substance (made of iron and protein) in the blood that carries oxygen to the cells in the body from the lungs. Hemoglobin also carries carbon dioxide away from the cells to the lungs, which is then exhaled from the body. Carbon dioxide is a colorless and odorless gas that is present in small amounts in the air and is produced as a result of metabolism in the body. Metabolism is the chemical actions in cells that release energy from nutrients or use energy to create other substances.

    Each red blood cell contains 200-300 molecules of hemoglobin. Red blood cells help carry oxygen in the blood due to the presence of hemoglobin. A molecule is a combination of atoms. An atom is the smallest part of a substance that can exist alone or in combination with something else.

    Each molecule of hemoglobin contains 4 groups of heme. Heme is the iron component of hemoglobin. Each group of heme can carry one molecule of oxygen. A hemoglobin molecule also contains 4 globin polypeptide chains composed of amino acids. Amino acids are a group of chemical substances that form proteins. Globin is a type of protein. A polypeptide chain is simply a long chain of amino acids. Overall, each hemoglobin molecule consists of about 3.8% heme and 96.2% globin.

    Each polypeptide chain is made of 141 to 146 amino acids. When one of these amino acids is removed, added, or replaced by another amino acid, it changes in chemical structure. Different types of hemoglobin are identified by their specific combinations of polypeptide chains. The most common hemoblobin types are alpha and beta hemoglobin, while δ (delta) and γ (gamma) hemoglobin are less common.

    Hemoglobin contains 4 types of polypeptide chains. There are two polypeptide chains (known as alpha globin chains) that contain 141 amino acid residues. There are other chains that contain 146 amino acids. These chains are known as beta, δ and γ ε (epsilon), or ξ (xi). The production of each type of polypeptide chain is controlled by a gene with a similar Greek letter. Genes are units of material contained in a person's cells that contain coded instructions as for how certain bodily characteristics (such as eye color) will develop.

    WHAT ABOUT OXYHEMOGLOBIN< CARBOXYHEMOGLOBIN, AND METHHEMOGLOBIN?

    In an atmosphere in the body with a normal concentration of oxygen (such as the lungs), hemoglobin combines with oxygen to form oxyhemoglobin. Oxyhemoglobin brings oxygen from the lungs to the tissues. When the oxygen is released, oxyhemoglobin changes back to hemoglobin.

    In an atmosphere in the body with low oxygen concentration (such as peripheral tissues of the body), exposure to certain chemicals cause oxygen to be replaced with carbon dioxide, a stable substance. The combination of carbon dioxide and hemoglobin is known as carboxyhemoglobin. Hemoglobin releases carboxyhemoglobin in the lungs (which is exhaled) and picks up more oxygen to bring to the cells. When people inhale exhaust fumes from gasoline engines, the chemicals from the fumes displace oxygen from oxyhemoglobin and cause the formation and buildup of carboxyhemoglobin. The buildup of this chemical can lead to suffocation.

    Methhemoglobin is a substance formed when the iron in hemoglobin is oxidized (loses an electron). An electron is a negatively charged particle that is smaller than an atom. Methemoglobin cannot carry oxygen, which makes it a dangerous substance. It is typically formed in response to certain chemicals, such as nitrates (a form of nitrogen, a type of natural element).

    HOW MANY TYPES OF HEMOGLOBIN ARE THERE?

    Several hundred types of hemoglobins have been identified and classified with different abilities to move through liquid in response to changes in an electric field. Examples of hemoglobin types include C, D, E, G, H, I, J, K, L, M, N, O, and S. The reason there are so many types of hemoglobin is because amino acids can easily substitute for another type of amino acid in the polypeptide chain. Whenever this happens, a new type of hemoglobin is formed. Some types of hemoglobin are abnormal not because one or more amino acids were substituted, but because it has been completely deleted.

    In humans, there are 5 types of normal hemoglobin, meaning that other types of hemoglobin are abnormal. Two types of normal hemoglobin are present in embryos: Hb Gower-1 and Hb Gower-2. An embryo is a fertilized egg from the time of conception until the 8th week of pregnancy. Normal hemoglobin in the fetus is known as Hb F. A fetus is a developing human that is inside the mother from the end of the 8th week to birth. There are 2 normal types of hemoglobin in adults, known as Hb A and Hb A2.

    The clinical significance of abnormal types of hemoglobin is mostly unknown, but the significance of some is known. There may be many more types of hemoglobin yet to be discovered. When a new type of hemoglobin is discovered, it is first assigned a name, usually named after the location where it was discovered. Then a formula is determined to list the types of molecules that make up the new type of hemoglobin.

    The formula consists of Greek letters to designate the basic polypeptide chains. If there are two identical polypeptide chains, then the subscript 2 is added to the formula. Sometimes a superscript letter may be added to the formula. For example, the superscript A means that it is hemoglobin A, a normal type of hemoglobin. Sometimes, there may be a superscript number, which is used to designate where along the polypeptide chain an abnormal substitution occurred. So if the superscript 121 was present, this would mean the abnormal substitution occurred at the 121st chain. The nature of the substitution would be described next to the number in superscript as well. Hundreds of different types of hemoglobin are detailed at the Online Mendelian Inheritance in Man Project.

    WHAT IS THE NORMAL LEVEL OF HEMOGLOBIN?

    The normal level of hemoglobin is 12 to 16 g/dL in women and 13.5 to 18 g/dL in men. g/dL stands for grams per deciliter. A gram is a very small unit of weight. You would need about 453 grams just to get one pound. A deciliter is one tenth of a liter.

    WHAT CAN CAUSE HEMOGLOBIN TO BE TOO HIGH?

    If hemoglobin is too high this can mean there is congenital heart disease, which is heart disease one is born with. High hemoglobin levels can be due to increased red blood cell formation associated with too much erythropoietin (a type of hormone that stimulates the production of red blood cells). Hormones are natural chemicals produced by the body and released into the blood that have a specific effect on tissues in the body.

    High hemoglobin levels can be caused by polycythemia vera. Polycythemia vera is a condition of unknown cause in which there is a long-term increase in red blood cells and other types of cells. High hemoglobin levels can be caused by pulmonary fibrosis, which is the formation of scar tissue in the connective tissue of the lungs. High hemoglobin levels can also be caused by cor pulmonale, which is enlargement of the heart’s right ventricle cause by lung disease. The right ventricle is an opening in the heart that pumps out blood with the low level of oxygen to the lungs.

    WHAT CAN CAUSE HEMOGLOBIN TO BE TOO LOW?

    Hemoglobin can be too low because of lead poisoning, bleeding, poor nutrition (not enough nutrients such as iron, folate, vitamin B-12, or vitamin B-6), too little erythropoietin (see prior section) due to kidney disease. Other causes include overhydration (too much water in the body) and red blood cell destruction associated with a bad reaction to a blood transfusion. A disease that is defined by too little hemoglobin in the blood is known as anemia. There are various types of anemia.

    WHAT IS THE MOLECULAR WEIGHT OF HEMOGLOBIN?

    The molecular weight of hemoglobin is 64,450. The molecular weight is how much the molecule weighs.

    WHY IS IT CALLED HEMOGLOBIN?

    Hemoglobin comes from the Latin word "haima" meaning "blood," and the Latin word "globus" meaning "ball." Put the words together and you have "blood ball."

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