Target intelligence / Profile preview

Hemoglobin (deoxyhemoglobin) and myoglobin (deoxymyoglobin) (Hemoglobin (Hb), Myoglobin (Mb))

Target
Hemoglobin (Hb), Myoglobin (Mb)
Molecular classification
Oxygen transport protein, Heme protein, Globin family, Metalloprotein, Other: Deoxy forms refer to unoxygenated ligand states, not separate molecular entities
01

Overview

Deoxyhemoglobin and deoxymyoglobin refer to the forms of hemoglobin and myoglobin that are *not bound to oxygen*. Hemoglobin is a tetrameric protein present in red blood cells, responsible for transporting oxygen from lungs to tissues and returning carbon dioxide from tissues to lungs. Myoglobin is a monomeric protein found in muscle, facilitating oxygen storage and diffusion in tissues with high oxygen demand. Both contain a heme prosthetic group with a central iron atom that reversibly binds oxygen; in the deoxy (reduced) state, iron is not coordinated to oxygen, and key structural changes affect protein conformation and affinity for oxygen. Their deoxy forms are physiologically important for oxygen loading and unloading, with hemoglobin exhibiting cooperative binding properties essential for efficient oxygen delivery (the "Bohr effect"). While not direct drug targets, their functional impairment underlies important clinical conditions such as anemia, hemoglobinopathies, and toxicologic emergencies.

Other names
Hemoglobin (Hb)Deoxyhemoglobin (unoxygenated hemoglobin)Reduced hemoglobinMyoglobin (Mb)Deoxymyoglobin (unoxygenated myoglobin)Globin, hemoprotein
02

Mechanism of action

For carbon monoxide: competitive binding to the heme iron, preventing O₂ binding, leading to hypoxic injury. For cyanide: blocks electron transport, interferes with oxidative metabolism via heme-containing enzymes. Nitric oxide: physiological signaling, modulates blood pressure via hemoglobin interactions.

03

Biological functions

Oxygen transport (hemoglobin)Oxygen storage (myoglobin)Regulation of blood pH via CO₂ transport and Bohr effect (hemoglobin)Facilitates widespread delivery and efficient release of oxygenMaintains tissue oxygenation
04

Disease associations

Genetic mutations in hemoglobin can lead to sickle cell disease, thalassemias, and other hemoglobinopathiesAbnormal oxygen affinity (altered dissociation curves) can result in tissue hypoxiaCarbon monoxide or cyanide poisoning disrupts functionNo direct disease roles for deoxymyoglobin, but total myoglobin can indicate skeletal muscle injury (e.g. in rhabdomyolysis)
05

Safety considerations

Hemoglobin and myoglobin are not drug targets, but freed hemoglobin (in hemolysis) or myoglobin (in rhabdomyolysis) can cause kidney injuryCarbon monoxide or cyanide binding is a lethal risk (poisoning)Genetic disorders of hemoglobin can produce anemia and vascular complications
06

Interacting drugs

Carbon monoxide (CO) binds hemoglobin, preferentially at the deoxy form, leading to poisoning

3 more in the full profile.

07

Biomarkers

Blood deoxyhemoglobin levels are sometimes measured by co-oximetry for oxygenation assessmentMyoglobin concentration in plasma is a marker for muscle injury or myocardial infarctionHemoglobin saturation and dissociation curves are biomarkers in respiratory disorders

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