Target intelligence / Profile preview

Hemoglobin (Hb) (Hb)

Target
Hb
Molecular classification
Protein, Metalloprotein
01

Overview

Hemoglobin (Hb) is a metalloprotein in red blood cells composed of four subunits, each with an iron-containing heme group that reversibly binds up to four oxygen molecules, enabling transport from lungs to tissues for ATP production via oxidative phosphorylation. It also facilitates carbon dioxide return to lungs and nitric oxide transport for vascular control, with unloading regulated by factors like pH, temperature, and 2,3-BPG concentration via the Bohr effect and cooperative binding shown in its sigmoidal dissociation curve. Dysfunctions like anemia or sickle cell disease impair oxygen delivery, causing hypoxia and tissue damage, while carbon monoxide toxicity blocks heme sites. Artificial mimics such as HBOCs aim to substitute in transfusions but face challenges including vasoconstriction; hemoglobin remains essential for aerobic life across vertebrates.

Other names
HaemoglobinHgbOxygen transporterRed blood cell oxygen carrier
02

Mechanism of action

HBOCs bind and release oxygen reversibly like natural hemoglobin to improve tissue oxygenation; Perfluorocarbons dissolve high quantities of oxygen for delivery as red blood cell substitutes; Used to avoid or reduce allogeneic blood transfusions.

03

Biological functions

Oxygen transportCarbon dioxide transportNitric oxide transport
04

Disease associations

AnemiaHypoxiaSickle cell diseaseCarbon monoxide poisoning
05

Safety considerations

Vasoconstriction and hypertension from HBOCsMethemoglobinemia risk with some carriersSickle cell aggregation in low-oxygen statesNot FDA-approved for routine clinical use as substitutes
06

Interacting drugs

Hemoglobin-based oxygen carriers (HBOCs)

2 more in the full profile.

07

Biomarkers

Hemoglobin concentration (Hgb)Oxygen saturation (SpO2)2,3-bisphosphoglycerate (2,3-BPG) levels

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