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Clinical Biochemistry of Domestic Animals (Sixth Edition) - UMK ...

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180<br />

Chapter | 7 The Erythrocyte: Physiology, Metabolism, and Biochemical Disorders<br />

heme acquisition by the β chain. ( Griffith and Kaltashov,<br />

2003 ). Free α globin chains are highly unstable and tend to<br />

aggregate within the cell and generate reactive oxygen species<br />

through chemical reactions catalyzed by their hemebound<br />

iron molecules. Fortunately, free α globin chains are<br />

stabilized by binding to alpha Hb stabilizing protein (AHSP)<br />

until they combine with free β globin chains to form stable<br />

α-β dimers ( Weiss et al. , 2005 ). Two like α-β dimers spontaneously<br />

combine in a readily reversible manner to form<br />

Hb tetramers ( Bunn, 1987 ). Newly synthesized Hb is in the<br />

form <strong>of</strong> methemoglobin (MetHb) ( Schulman et al. , 1974 ).<br />

3 . Control <strong>of</strong> Hb Synthesis<br />

Even though three different pathways are required for Hb<br />

synthesis in RBC precursors and reticulocytes, minimal<br />

intermediates (iron, globin chains, or heme) accumulate in<br />

the cytoplasm <strong>of</strong> these cells. Several positive and negative<br />

feedback mechanisms account for the balanced production<br />

<strong>of</strong> these Hb components. As already discussed, an increase<br />

in the LIP limits the uptake <strong>of</strong> additional iron by decreasing<br />

TfR1 synthesis. The availability <strong>of</strong> iron also limits and,<br />

thereby controls, heme synthesis. Free “ uncommitted ” heme<br />

inhibits iron uptake by erythroid cells and consequently<br />

heme synthesis. In addition, free heme is essential for the<br />

synthesis <strong>of</strong> globin chains at both the transcriptional and<br />

translational levels ( Koury and Ponka, 2004 ). Consequently,<br />

globin synthesis does not occur in the absence <strong>of</strong> heme.<br />

4 . Hb Types in <strong>Animals</strong><br />

Hb types are different in animal and human embryos than in<br />

fetuses or in adults. Embryonal Hbs are composed <strong>of</strong> either<br />

one or two pairs <strong>of</strong> peptide chains not found in adult Hbs<br />

( Kitchen and Brett, 1974 ). In higher primates, embryonal<br />

Hbs are replaced by fetal Hb composed <strong>of</strong> 2 α chains and 2<br />

γ chains (HbF) in the fetus, followed by Hbs with 2 α chains<br />

and 2 β chains (HbA) or 2 α chains and 2 δ chains (HbA 2 )<br />

after birth. The γ globin gene was deleted during evolution in<br />

artiodactyls (even-toed ungulates). The γ globin gene functions<br />

as an embryonic gene in other nonartiodactyl mammals.<br />

Among nonprimate mammals, a specific fetal globin gene is<br />

expressed only in artiodactyls. In this lineage, a duplicated<br />

β globin gene ( β F ) is expressed in the fetus, rather than a γ<br />

globin gene. The entire β globin gene locus was duplicated<br />

in cattle and HbB sheep and triplicated in goats and HbA<br />

sheep during evolution ( Gumucio et al. , 1996 ). Most fetal<br />

Hb in cattle ( α 2 β F 2 ) is replaced by adult Hb types during the<br />

first 3 weeks after birth ( Lee et al. , 1971 ). Embryonal Hbs<br />

are replaced by adult Hb types during the fetal period in cats,<br />

dogs, horses, and pigs. Consequently, Hb types present in<br />

fetuses are identical to those found in adults in these species<br />

( Bunn and Kitchen, 1973 ; Kitchen and Brett, 1974 ).<br />

In addition to expressing fetal Hb ( α 2 β F 2 ) in the fetus,<br />

most goats and some sheep express a juvenile Hb ( α 2 β C 2 )<br />

FIGURE 7-2 Changes in proportion <strong>of</strong> β globin types in Hb from five<br />

newborn goats during the first 120 days <strong>of</strong> life. Fetal Hb contains β F . HbC<br />

contains β C . HbD differs from HbA by a single amino acid substitution in<br />

position 21 <strong>of</strong> their β chains, β D and β A , respectively. Modification <strong>of</strong> a<br />

figure by Huisman et al. , 1969 .<br />

called HbC during the neonatal period that is subsequently<br />

replaced with adult Hb types. Sheep that produce adult<br />

HbA ( α 2 β A 2 ) express variable amounts (generally less than<br />

10%) <strong>of</strong> HbC during the neonatal period, but sheep that<br />

produce adult HbB ( α 2 β B 2 ) do not express HbC in the neonatal<br />

period ( Huisman et al. , 1969 ; Yu et al. , 2005 ). Fetal<br />

Hb in the newborn goat is replaced almost entirely by HbC<br />

during the first 40 days <strong>of</strong> life ( Fig. 7-2 ), and then HbC is<br />

gradually replaced by adult Hbs ( Huisman et al. , 1969 ).<br />

The switch from production <strong>of</strong> fetal Hb to the production<br />

<strong>of</strong> adult Hb appears to result from an inherent programming<br />

<strong>of</strong> hematopoietic stem cells ( Wood et al. , 1985 ).<br />

In contrast, HbC synthesis appears to be mediated by<br />

Epo, which is low at birth and increases after birth as the<br />

hematocrit decreases (see Section V.C) ( Barker et al. , 1980 ;<br />

Huisman et al. , 1969 ). Adult sheep RBCs contain little or<br />

no HbC, but adult goat RBCs may have as much as 10%<br />

HbC ( Huisman et al. , 1969 ). Sheep and goats that synthesize<br />

HbC during the neonatal period will also increase HbC<br />

synthesis in anemic adults and in nonanemic adults treated<br />

with Epo ( Vestri et al. , 1983 ; Yu et al. , 2005 ). Most goats<br />

and sheep with HbA have 12 genes in the β-globin locus,<br />

including the β C gene. Cattle and sheep with HbB have 8<br />

genes in the β -globin locus and lack the β C gene ( Garner<br />

and Lingrel, 1988 ). HbC was not reported to occur in three<br />

breeds <strong>of</strong> Omani goats after birth even though they were<br />

reported to be either homozygous for HbA or heterozygous<br />

for HbA and HbB ( Johnson et al. , 2002 ). The composition<br />

<strong>of</strong> the β -globin locus was not investigated in these animals.<br />

The α -globin genes have been duplicated in humans and<br />

other mammals. Triplication <strong>of</strong> α -globin genes is relatively<br />

common in sheep and quadruplication <strong>of</strong> genes also occurs.<br />

There is an expression gradient <strong>of</strong> α -globin protein and α -<br />

globin mRNA levels produced by duplicated and triplicated

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