Written by Merel Dagher 

Which of the following increases the affinity for binding oxygen in hemoglobin?

a.     H+ ions increasing

b.     CO2 concentration increasing

c.     2,3-BPG concentration increasing

d.     Stabilization of the T-state

e.     exchanging a His for Ser residue in Hb

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The correct answer is e. Hb has a low affinity for oxygen (relative to myoglobin or HbF), especially in the T state. a, b, and c all describe conditions that would result in the shift of Hb from its R-state (which has a higher affinity for binding oxygen) to its T-state (which has a lower affinity for binding oxygen and will release it). Exchanging a His residue for a Ser residue is actually what takes place in fetal Hb, and that increases the affinity for oxygen because it doesn’t bind attract 2,3-BPG as much as Hb does. Remember that 2,3-BPG is highly negatively charged and histidine is one of the positively charged polar amino acids. Serine, on the other hand, is polar but not charged. 

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