By Medical Author:
Siamak T. Nabili,MD, MPH
Medical Editor:
William C. Shiel Jr., MD, FACP,FACR
Siamak T. Nabili,MD, MPH
Medical Editor:
William C. Shiel Jr., MD, FACP,FACR
What is hemoglobin?
Hemoglobin
is the protein molecule in red blood cells that carries oxygen from the lungs
to the body's tissues and returns carbon dioxide from the tissues back to the
lungs.
Hemoglobin
is made up of four protein molecules (globulin chains) that are connected
together. The normal adult hemoglobin (Hbg) molecule contains two
alpha-globulin chains and two beta-globulin chains. In fetuses and infants,
beta chains are not common and the hemoglobin molecule is made up of two alpha
chains and two gamma chains. As the infant grows, the gamma chains are
gradually replaced by beta chains, forming the adult hemoglobin structure.
Each
globulin chain contains an important central structure called the heme
molecule. Embedded within the heme molecule is iron that is vital in
transporting oxygen and carbon dioxide in our blood. The iron contained in hemoglobin
is also responsible for the red color of blood.
Hemoglobin
also plays an important role in maintaining the shape of the red blood cells.
In their natural shape, red blood cells are round with narrow centers
resembling a donut without a hole in the middle. Abnormal hemoglobin structure
can, therefore, disrupt the shape of red blood cells and impede their function
and flow through blood vessels.
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