sickle cell hemoglobine
Hemoglobin deficiency can be cause either by decreased amount of hemoglobin molecules, as in anemia, or by decreased ability of each molecule to bind oxygen. In both cases, hemoglobin deficiency decreases blood oxygen carrying capacity. Other factors that cause the low hemoglobin are: the loss of blood, nutritional deficiency, chemotherapy, kidney failure, or abnormal hemoglobin.
High hemoglobin levels can be caused by exposure to high altitudes, smoking, dehydration, or tumor.
The decrease of hemoglobin leads to the symptoms of anemia.
The genes for the protein chains of hemoglobin show small differences within different human populations, so the amino acid sequence is slightly different from person to person. In most cases the changes do not affect protein functions. However, in some cases these different amino acids lead to major structural changes. On such example is that of the sickle cell hemoglobin, where glutamate 6 in the beta chain is mutated to valine. This change allows the dexygenated form of the hemoglobin to stick to each other so they produce stiff fibers of hemoglobine inside red blood cells. This in turn deforms the red blood cell, which normally has a smoth disk shape. The mutations in the globin chain have led to diseases such as sickle cell disease and thalassemia.
Ref work
http://www.pdb.org/pdb/101/motm.do?momID=41David,G; Dutta,S; Molecule of the month (May, 2003) doi:10.2210

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