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

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IV. Mature RBC<br />

199<br />

(a)<br />

FIGURE 7-6 The hemoglobin-oxygen dissociation curve and factors<br />

influencing the position <strong>of</strong> the curve.<br />

1977 ). There is an inverse relationship between metabolic<br />

rate (oxygen consumption per gram <strong>of</strong> tissue) and body<br />

weight ( Kleiber, 1961 ). Consequently, the higher P 50 in<br />

smaller animals should be beneficial in meeting tissue oxygen<br />

requirements associated with their higher metabolic<br />

rates. The RBCs <strong>of</strong> most mammal species adapted to living<br />

at high altitude exhibit greater Hb oxygen affinity than<br />

those living at low altitudes, and RBCs from animals <strong>of</strong> the<br />

same species adapted to living at high altitude may have<br />

greater Hb oxygen affinity than their counterparts living at<br />

low altitude ( León-Velarde et al. , 1996 ).<br />

A number <strong>of</strong> factors, including innate Hb oxygen-binding<br />

characteristics, H concentration, pCO 2 , organic phosphate<br />

concentrations, Cl concentrations, and temperature, influence<br />

the oxygen affinity <strong>of</strong> Hb within RBCs. In addition to<br />

their innate Hb oxygen-binding characteristics, different Hb<br />

types respond to differing degrees to these various effectors<br />

( Bårdgard et al. , 1997 ; Haskins and Rezende, 2006 ).<br />

Fetal Hbs in ruminants have higher oxygen affinities than<br />

their respective adult Hbs ( Battaglia et al. , 1970 ; Blunt<br />

et al. , 1971 ). HbC-containing RBCs from neonatal or anemic<br />

adult goats exhibit lower oxygen affinity, with a greater<br />

Bohr effect, than RBCs containing only adult Hb ( Huisman<br />

et al. , 1969 ). Both factors should potentiate the delivery <strong>of</strong><br />

oxygen to the tissue in goats with HbC. The presence <strong>of</strong><br />

MetHb (iron in the ferric state) in one or more <strong>of</strong> the Hb<br />

monomers not only results in decreased oxygen carrying<br />

capacity but also in increased oxygen affinity <strong>of</strong> the remaining<br />

monomers ( Hrinczenko et al. , 2000 ). The binding <strong>of</strong> Hb<br />

to the cytoplasmic domain <strong>of</strong> band 3 decreases the oxygen<br />

affinity <strong>of</strong> bound Hb, but a human RBC membrane has<br />

about 1 million copies <strong>of</strong> band 3 compared to 471 million<br />

Hb tetramers ( Jensen, 2004 ).<br />

(b)<br />

FIGURE 7-7 Coupled O 2 , and CO 2 transport and H buffering in<br />

RBCs. Reactions taking place in the tissues (a) and lungs (b) are shown.<br />

<br />

Hb-CO 2 denotes carbamino Hb, and Hb-H denotes Hb binding H .<br />

Abbreviation: CA, carbonic anhydrase.<br />

2 . Effects <strong>of</strong> H , CO 2 , and Temperature<br />

The addition <strong>of</strong> H to a suspension <strong>of</strong> RBCs results in a<br />

decrease in oxygen affinity <strong>of</strong> Hb (Bohr effect), an increase<br />

in P 50 , and a shift <strong>of</strong> the oxygen dissociation curve to the<br />

right ( Fig. 7-6 ). The magnitude <strong>of</strong> the Bohr effect is defined<br />

numerically as Δ log P 50 /-Δ pH. There is an inverse relationship<br />

between the magnitude <strong>of</strong> the Bohr effect and average<br />

body size <strong>of</strong> various animal species ( Riggs, 1960 ).<br />

In capillaries <strong>of</strong> metabolizing tissues, CO 2 enters RBCs<br />

and about 80% is rapidly converted to H 2 CO 3 by carbonic<br />

anhydrase ( Hsia, 1998 ). This carbonic acid spontaneously<br />

ionizes to H and HCO 3<br />

<br />

. The increased H concentration<br />

decreases the oxygen affinity <strong>of</strong> Hb and facilitates oxygen<br />

delivery to the tissues. DeoxyHb is a weaker acid than<br />

OxyHb; therefore, DeoxyHb binds the excess H and limits<br />

the decrease in pH. The increased HCO 3<br />

<br />

diffuses out <strong>of</strong> the<br />

cell down a concentration gradient and C1 moves in (chloride<br />

shift) to maintain electrical neutrality ( Fig. 7-7a ).<br />

The direct binding <strong>of</strong> CO 2 to Hb in carbamino groups<br />

lowers oxygen affinity, but this effect is generally considered<br />

to be <strong>of</strong> minor importance. An exception appears to be in

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