Hemoglobin: Structure, Function and Allostery
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This chapter reviews how allosteric (heterotrophic) effectors and natural mutations impact hemoglobin (Hb) primary physiological function of oxygen binding and transport. First, an introduction about the structure of Hb is provided, including the ensemble of tense and relaxed Hb states and the dynamic equilibrium of Hb multistate. This is followed by a brief review of Hb variants with altered Hb structure and oxygen binding properties. Finally, a review of different endogenous and exogenous allosteric effectors of Hb is presented with particular emphasis on the atomic interactions of synthetic ligands with altered allosteric function of Hb that could potentially be harnessed for the treatment of diseases.
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Increased avidity through multimerisation is well known, but it remains less well characterised in the context of transcription factor biology.
“While increased avidity through multimerisation is well known (e.g. haemoglobin 69,70 ), it remains less well characterised in the context of TF biology 71 .”
From Tetramerisation governs SALL transcription factor function in development and disease (2025) · cites this paper as [70]
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Pathogenesis and Treatment of Sickle Cell Disease
Bunn, H. F. (1997) · New England Journal of Medicine · doi:10.1056/nejm199709113371107 · Cited by 1,154 · cited 2× · see citing works
“…HbS molecule binds to a hydrophobic pocket on an adjacent deoxygenated HbS molecule, joining the molecules together to form insoluble polymers and giving rise to the classical sickle red blood cell (RBC) morphology (Eaton and Hofrichter 1990; Bunn 1997; Harrington et al. Subcell Biochem.”
BackgroundDiscovery of GBT440, an Orally Bioavailable R-State Stabilizer of Sickle Cell Hemoglobin
Metcalf, B., Chuang, C., Dufu, K., Patel, M. P., Silva-Garcia, A., Johnson, C., Lu, Q., Partridge, J. R., Patskovska, L., Patskovsky, Y., et al. (2017) · ACS Medicinal Chemistry Letters · doi:10.1021/acsmedchemlett.6b00491 · Cited by 203 · see citing works
Structure-Function Relations of Human Hemoglobins
Marengo-Rowe, A. J. (2006) · Baylor University Medical Center Proceedings · doi:10.1080/08998280.2006.11928171 · Cited by 179 · see citing works
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“…-ATPase) [13,14], phosphorylation processes at the level of membrane proteins and lipids, or alternatively, glucose, [15–17], haemoglobin allostery [18]; polymerization of cytoskeletal actin [19], vesiculation [20], maintenance of lipid asymmetry by flippases and phosphatidylserine [21,22]; and…”
The metabolic characteristic of decidual immune cells and their unique properties in pregnancy loss*
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“Hemoglobin (Hb) is a protein found in RBCs that is essential for the transport of oxygen and carbon dioxide throughout the body [ 36 ] .”
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“Importantly, the binding of Hb to O 2 is reversible, allowing it to bind O 2 in high-O 2 environments and release O 2 in low-O 2 or acidic environments, making it particularly suitable for alleviating hypoxic TME[124].”
Molecular Interaction of Functionalized Nanoplastics with Human Hemoglobin
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“NPs may bind with Hb in a similar way and desta-bilize them [9].”
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“HB is a widely recognized iron-containing protein in blood that is crucial for oxygen transport in mammals [43, 44].”
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“tors of Hb (AEHs) are also known to bind to the surface, α-cleft or β-cleft, or the middle of the central water cavity of liganded Hb structure (in the R, R2, or R3 state) and/or unliganded Hb structure (in the T state) to allosterically modulate the protein activity (Figure 4) [23,24].”
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“Red blood cells, which are abundant in peripheral blood, contain hemoglobin for oxygen transport to tissues and carbon dioxide for transport to the lungs (Ahmed et al., 2020).”
Zheng, H., Zhao, S., Lu, Y., Zhang, N., Soladoye, O. P., Zhang, Y., & Fu, Y. (2023) · Critical Reviews in Food Science and Nutrition · doi:10.1080/10408398.2023.2220396 · Cited by 20 · see citing works
“This structure enables hemoglobin to bind with one molecule of oxygen, and one tetramer can carry up to 4 oxygen molecules (Ahmed, Ghatge, and Safo 2020; Betts et al. 2013).”
Cumulative Damage: Cell Death in Posthemorrhagic Hydrocephalus of Prematurity
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Plasma hemoglobin: A method comparison of six assays for hemoglobin and hemolysis index measurement
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“An increase in the HGB level can enhance the ability of blood to transport oxygen, enabling better oxygen transport to peripheral tissues [29].”
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“It consists of two α- and two ß-subunits, each consisting of a peptide chain and a heme group (Ahmed et al., 2020).”
BackgroundHemoglobin Variants as Targets for Stabilizing Drugs
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“The interplay between tense and relaxed states governs Hb’s behavior [5,6].”
The Importance of Hypoxia-Related to Hemoglobin Concentration in Breast Cancer
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“The heme group comprises a porphyrin ring and a central ferrous ion, both capable of reversible oxygen binding [1].”
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“(nitrite reductase, monooxygenase, esterase, lipoxygenase), NO transfer and metabolism as a regulator of vascular tone, and pH regulation; and helps to maintain the acid-base balance by binding and releasing hydrogen ions and maintaining the redox balance [80].”
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Age and sex trend differences in hemoglobin levels in China: a cross-sectional study
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“Each molecule of Hb carries four molecules of oxygen [5].”
Host blood meal identity modifies vector gene expression and competency
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“Aromatic aldehydes, including vanillin and 5-hydoxymethyl-2-furfural, have been shown to increase oxygen affinity by interacting with Hb (68) .”
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“Functional Hb forms as a tetramer, with the adult form of hemoglobin (HbA) consisting of two α -globin chains and two β -globin chains [1,2].”
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“Hemoglobin is a polyfunctional molecule that is mainly involved in oxygen binding and transport (Ahmed, Ghatge, and Safo 2020).”
Factors associated with extubation failure in an intensive care unit: a case-control study
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“0 g/dL), predicts extubation failure, as it reduces the ability to carry oxygen, compromising the aerobic metabolism of the muscles and resulting in respiratory failure(36).”
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“In the human body, hemoglobin (Hb) is a tetramer composed of two α-like and two ß-like globin chains, with the main function to deliver oxygen to the tissues (Ahmed et al., 2020).”
BackgroundMetabolic Reprogramming in Sickle Cell Diseases: Pathophysiology and Drug Discovery Opportunities
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“During that process, Hb equilibrates between two conformational states: (1) the high O2-affinity relaxed (R) Hb, or oxygenated Hb, and (2) the low O2-affinity tense (T) Hb, or deoxygenated Hb (deoxyHb) [2,4].”
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“This arrangement enables iron to bind molecular oxygen and other gases, stabilizing them [6].”
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High-affinity VNARs targeting human hemoglobin: Screening, stability and binding analysis.
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“This binding initiates a sequence of tertiary structural alterations that destabilize the deoxyHb configuration [14,15].”
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“This involves direct interaction of the distal histidine in the E-helix with the sixth coordination site of the central iron, resulting in increased stability, in contrast to the oxygen storage linked to pentacoordinated globins, such as myoglobin (Mb).”
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“These states provide a structural basis for synergistic interactions that promote the efficient uptake and release of O 2 in vivo (Ahmed et al., 2020).”
Molecular determinants of acrylamide neurotoxicity through covalent docking
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“Structurally, Hb is a heterotetramer (Ahmed et al., 2020) formed by two α and two β subunits that assemble as dimer of dimers (α1β1 and α2β2, respectively).”
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“A proximal histidine residue on the F chain binds to the fifth coordination site of the heme b prosthetic groups central iron ion [4].”
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“(ii) Haemoglobin: The iron-containing protein haemoglobin is essential for intravascular oxygen transport and delivery [121,122].”
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“23% of carbon dioxide, the final product of metabolism, from the tissues to the lungs for elimination from the body 63 .”
Structure, properties and multifaceted food applications of four typical iron-binding proteins
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Ligand-Based Regulation of Dynamics and Reactivity of Hemoproteins
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“Basically, the way globins are functionally regulated reflects the specific type of modulating signal: a quick transition between two conformations in response to rapidly changing conditions requires an allosteric modulation, whereas a stable modulation signal requires a covalent modification [70].”
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“As previously noted, [23,58,61] the apparent stabilization of T-state Hb by 5HMF-NO is expected to lead to a decrease in Hb affinity for oxygen, which is clearly opposite to our observation of increased Hb affinity for oxygen when 5HMF-NO was tested with whole blood.”
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Magnetic relaxometry of methemoglobin by widefield nitrogen-vacancy microscopy
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“The heme group, featuring an iron atom centrally coordinated within a porphyrin ring, enables the reversible binding and release of oxygen (Ahmed et al. 2020).”
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“Hemoglobin is composed of four subunits: two α subunits (HBA1 and HBA2) and two β subunits (HBB) 45 .”
BackgroundInfluentialPorphyrin-Based Molecules in the Fossil Record Shed Light on the Evolution of Life
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“Notably, binding to N282, K225, H545, K625, and V544 always increases the hemoglobin P 50 value, regardless of the type of allosteric effector (Ahmed et al., 2020).”
InfluentialBiphosphoglycerate Mutase: A Novel Therapeutic Target for Malaria?
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“…is critical to exercise tolerance by fueling mitochondrial function, metabolic adaptations in RBCs—such as elevation in 2,3-bisphosphoglycerate (BPG)—would contribute to RBC oxygen off-loading by promoting hemoglobin allostery via the stabilization of its tense deoxygenated state [60–62].”
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“Hb , a complex iron-containing protein in red blood cells, plays a vital role in the binding, utilization, transportation, and release of oxygen throughout the body 16 .”
Associations of metals with hemoglobin and anemia in a Chinese early adolescent cohort
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Reproductive Choices in Haemoglobinopathies: The Role of Preimplantation Genetic Testing
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SDIMMMER: A Proposed Clinical Approach to Optimize Cellular Physiology in Regenerative Medicine
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“Iron is an essential component for the production of haemoglobin, the protein that carries oxygen from the lungs to the rest of the body, and thus plays a key role in our oxygen transport system [53].”
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“RBCs release EVs during erythropoiesis, cellular aging, and under certain pathological conditions [54,55].”
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“This conformational change is reminiscent of cooperativity in hemoglobin, which features a similar iron coordination site with two histidines (Ahmed et al., 2020).”
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“Similarly, hemoglobin (HGB) primarily functions as an oxygen transport molecule and is widely used as a key biochemical marker for diagnosing anemia [13].”
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“(Abdulmalik et al., 2005, 2011; Ahmed et al., 2020; Deshpande et al., 2018; Dufu & Oksenberg, 2018; Metcalf et al., 2017; Oder et al., 2016; Oksenberg et al., 2016; Pagare et al., 2018; Safo et al., 2004, 2011; Safo & Kato, 2014; Vichinsky et al., 2019) However, as noted earlier, aromatic aldehydes…”
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“For Hb mutants presenting a higher affinity for O2, this increase is usually due to destabilization of the deoxyHb form due to the disappearance of intramolecular hydrogen bonds [15].”
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- Authors
- Ahmed, M. H., Ghatge, M. S., & Safo, M. K.
- Affiliations
- Virginia Commonwealth University (US)
- Corresponding author
- Safo, Martin K.
- Venue
- Subcellular Biochemistry
- Publisher
- Springer International Publishing
- Published
- 2020
- Volume
- 94
- Pages
- 345-382
- ISSN
- 0306-0225 (ISSN-L)
- 2542-8810
- PMC
- PMC7370311
- OpenAlex
- W3011621712
- Cited by
- 317
- References
- 202
- Citations by year
- 2026: 65 · 2025: 72 · 2024: 63 · 2023: 60 · 2022: 34 · 2021: 21 · 2020: 2
- FWCI
- 48.58
- Type
- book chapter
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Sub-cellular biochemistry/Subcellular biochemistry (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (1s10od021756-01a1)
- National Institute on Minority Health and Health Disparities (R01MD009124)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Hemoglobin structure and function
- Health Sciences › Medicine › Genetics › Hemoglobinopathies and Related Disorders
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Protein Interaction Studies and Fluorescence Analysis
- Keywords
- hemoglobin, allosteric regulation, oxygen binding, oxygen transport, hemoglobin variants, natural mutation, synthetic ligands, hemoglobin structure
- MeSH terms
- Allosteric Regulation, Hematologic Diseases, Hemoglobins, Humans, Ligands, Oxygen
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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