Sourcebook in Forensic Serology, Immunology, and Biochemistry
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UNIT VII. HEMOGLOBIN, SERUM GROUP SYSTEMS, HLA AND OTHER GENETIC MARKERS Hemoglobin SECTION 38. HEMOGLOBIN 38.1 Introduction Hemoglobin (Hb)is the major protein of human red cells, forth. Hemoglobins exist which contain only one kind of comprising about 95% of their dry weight. Adult human chain: Hb H is B4, for example, and Hb Bart's is 7,. blood normally contains from about 4 million to 6.5 million Jones (1961) pointed out that hemoglobin structural red cells per mm3 blood, the average figure being slightly heterogeneity can be classified as follows: (1) Maturation higher for men. Hemoglobin itself is present in concentra- heterogeneity, which refers to the fact that different tions of about 14 to 16 g per 100 mP blood. It is the oxygen hemoglobins are normally synthesized during different transporting protein in higher animals; without a molecule stages of development. There are embryonic, fetal and adult having its properties, complex multicellular aerobic life as hemoglobins. (2) Minor hemoglobin heterogeneity, which we know it would not be possible. refers to the presence of small amounts of structurally dif- Hemoglobin is one of the most extensively studied of all ferent but normal hemoglobins along with the major proteins, and its literature fills many volumes. As noted in component characteristic of a particular stage of develop- section 5.1, it acquired its present name over 100 years ago ment; and (3) genetic heterogeneity, which refers to the (Hoppe-Seyler, 1864). In forensic serology, hemoglobiin is various "abnormal" hemoglobin variants. Many of these important in two principal contexts: (1) Blood is normally are thought to be the result of point mutations, and with a idenad in questioned samples by procedures designed to few exceptions, variant hemoglobins are very rare. The ex- demonstrate the presence of hemoglobin; and (2) hemo- cellent review of hemoglobins by Huisrnan (1%9) was globin exhibits a very large number of genetic variants, a organized according to this clasiication of heterogeneity. few of which are comparatively common and conveniently 38.2.1 Normal adult hemoglobins detectable by electrophoretic and/or isoelectrofocusing procedures. Many of the reactions of hemoglobin, which The structural studies on normal adult hemoglobins were form the basis of blood identification techniques, depend prompted in part by the recognition that the sickle cell con- upon the heme moiety of the molecule. These were discussed dition represented a diWete mol~~ularalteration in the in detail in unit 11, sections 4 through 7. Hemoglobin Hb molecule. Structural studies on nonnal adult and fetal, v-~s, which can serve as genetic markers, are discussed and variant hemoglobins were carried out simultaneously in in this section. ~bF, which discussed in section 8.3.1 as an effort to relate the detailed structures to the genetics. a marker for the bl&d of fetuses and young children, is also Most of these studies occurred in conjunction with the discussed here. Studies on hemoglobin variants and their development of presentday understandings of biochemical detailed structures have contributed sisnificantly to our cur- genetics (section 1.2.2), and have contributed importantly to rent understanding of molecular genetics. them. The major normal adult hemoglobin is called Hb A. It 38.2 Hemoglobin Structure has been called Hb A,, Ao and AII at different times (Holm- The structure of hemoglobin can be described at several quist and Schroeder, 1%6a), but these latter usages are now different levels. First, the molecule is a subunit protein, and discouraged (see in section 38.2.3.6). Hb A is a tetramer may be described in terms of the polypeptide chains that composed of two a and two /3 chains, and its structure is writ- make it up. Second, the detailed structure of each type of ten a2B2.Each polypeptide chain is associated with a heme subunit polypeptide chain can be described in terms of group (Figures 4.4 and 4.5). Intact Hb A thus has 4 heme amino acid sequence, and in terms of helical and nonhelical groups, and its MW is 64,450. The complete amino acid se- regions. Finally, the x-ray data have made possible a de- quences of the a and 6 chains were worked out in the early tailed description of the three-dimensional structure for 1%0's, and are shown in Figure 38.1 (Braunitzer et al., some of the hemoglobins. Detailed structures will be dis- 1%1; Konigsberg et al., 1%1). The sequencing studies have cussed briefly in the sections below. been well reviewed by Braunitzer et al. (1964). Part of the The hemoglobiin molecule is tetrameric, consisting of four stability of protein molecules arises from the a-helical associated polypeptide chains held together by noncovalent arrangement of the polypeptide chains (section 1.1.2.1). forces. One heme group is associated with each polypeptide This structw feature was predicted by Pauling and Corey, chain. Most hemoglobins consist of two a chains and two and has since been found to occur widely in nature (Pauling, none chains. The non-cr chainscan be 8, y, 6, e or J= Normal 1W). The helical structure of the polypeptide chains of Hb adult hemoglobm is designated Hb A, and consists of two a has been worked out using x-ray crystallographic and other aud two /3 chains. Its structure may thus be written: ~~282. techniques. The polypeptide chains consist of a series of Sily,Hb A2,a minor adult hemoglobin, has the struc- helical regions which are periodically interrupted. These tun ~26,.Normal fetal hemoglobin, Hb F, is azyl, and so helical regions are indicated by upper case letters, as shown Sourcebook in Forensic Serology, Immunologv, and Biochemistry I Pha 40 (6 Pro - Thr - Thr . LI. - Thr .Tvr - Phe .Pm - Hi. - Phe - Asp - Lmu -S.r C - CO ICE1 m 66 80 55 Gly ,Ala -Val -Ah - Awn .Thr .L.u .AIa - Asp - Ah .Val - Lvr .Lvs - Glv -%- Gly - Lys -Val - Gln - AIa - Sn / "M /nh ' 0. I 80 90 AIa - Leu .Sar - AL. .Lau - Sm - Hh- L*. .LWU- Arp \ IFFG Val I 110 106 100 95 Asp Leu - Hb - Ah -Ah - Lou - Tkr .Val - Lou - Leu - Cvs - His - Sar .Leu .Lw - Lva .Phe - Ann -Val - Pro 115 A$ on Glu 120 126 130 135 140 - me- Tkr .Pm .Ah -Val - Hls .All. Ser - Leu - Asp - Lys - Phs - Leu - AID - Sar -Val - Sar .Thr - Val - Leu. Thr - Sar .I.*. - Tvr - Arp n HC 6 10 15 Val - His .Leu - Thr - Pm - Glu - Glu - Lvs - Sar - Ala - Val - Thr - Ala - Lau - Tq- Gly - Lvs - Val NA L 6. cnnw 25 36 Tvr 40 45 W 55 Pm -Try - Thr - Gln - Arg - Phe - Phe - Glu - S.r - Phs - Gly - Asp - Leu .Ser .Thr .Pro .Asp .AIa . Val - Met C- CB 0 -1 GlY 75 70 65 60 Asn ,Hh Ah bu Glv Asp S.r .Phe Ah Gly Lau Val Lvs Lvr Gly Ah Lvs Val Lvs Pro - - - - - . - . - - [email protected] - . - - I L*U 0, AS; 1 80 Am EF I Leu \ T*. \ Gq 15 90 % Thr- Phe - Ah .Thr - Lwu - Ser - Glu - Leu .%-Cys - Asp - Lvs 7 -F Leu I FG 115 110 106 100 ni. GI* .Phe .His . Hi. .Ah - L.u .Val. Cv8 - Val - Leu - Val - Asn .Glv - Leu - Lmu - Arr - Phe - Asn - Glu .Pro - Asp -Val ./ I 120 LVS I ..- I GH Glu 125 130 135 110 145 \ ph. .mr.pro . pro .Val - Gln .Ah - Ah - Tyr - Gln - Lvs - Val .Val .Ala - Gly - Val - Ah - Asn - Ala - Leu - Ala - His .Lys .Tyr - His ' I nc Figure 38.1 a and 6 Chain Sequences in Hemoglobin. Helical regions are denoted by capital letters. The a 50 - 51 residues are denoted D6 - D7, Dl - D2. and CD8 - CD9 by different authors. There are no non-helical sequences BC and DE in a ; since there is no helical sequence D, CD is followed by E. There are no nonhelical sequences AB, BC and DE in 6. The proximal and distal histidines, which interact with heme, are boxed. Hemoglobin in Figure 38.1. The location of a particular amino acid genetically distinct from Hb A. In 1%1, Ingram and Strat- residue in the chain may thus be indicated in two ways: fust, ton discovered that Hb k2is not made up of the same poly- all the amino acid residues are numbered sequentially from peptide chains as Hb A, consisting instead of or chains and 6 the N-terminal end of the chain (as is the usual convention); chains. Hb A2has the subunit formula ~~262.The sequence of and second, the position of the amino acid in a particular the 6 chain has been determined, and is shown in Figure helical region (numbering from N-terminal to C-terminal) 38.2. Hb A2 represents about 2% of hemoglobins as a rule, may also be given. Transitional regions, which lie between but this proportion can be altered by pathological condi- two helical regions, are designated using two letters, the one tions. The other "minor" hemoglobins are not as well char- representing the immediately preceding (N-terminal side) acterized in general, but are thought to result from post- helical region, and the one representing the immediately synthetic alterations of the polypeptide chains, rather than following (C-terminal side) one. The N-terminal amino from distinct genetic loci. Hb AI,, for example, appears to acids which precede the first (A) helical region are denoted have hexose (probably glucose) condensed with the "NA", while the C-tennind amino acids which follow the N-terminal amino acid of the @chain (Holmquist and last (ZF) helical region are denoted "HC". A few examples Schroeder, 1%4, 1% and 1966b; Lehman and Huntsman, of this nomenclature (see in Figure 38.1): (1) the N-terminal 1974).