Page 139 - Clinical Hematology_ Theory _ Procedures ( PDFDrive )
P. 139

CHAPTER 6  ■  Erythrocytes: Hemoglobin                           123





                                                           +
                                                   HO CO →                  HCO                                                Formation of Heme from Porphyrin

                                                                                                                               H  m                 (F   .   .  )                m                        x
                        T                                                                                     k  -                  m                            . O                               ,

                                x      m            ,                                                          k               m                                          m              m             m   (     -

                                      m  .                                                                                              )               . H  m                                                      -

                                                                       +
                                                  HCO          →    H  +     HCO      −                                                       m                                                            m

                                                                                                                               m              .
                        F                                                                                                           T                         m             m     x

                        m           x                         m                   (C  )              -                         m               z  m              . T                                     m    -
                                                                                                    −
                                              . T                                                        .                                     (F   .   .  )                                                    -C  A

                   B                                       k                                     m  . I                                                  m   - m                           . A

                               m                           ,                                                   k                                        m                                                   III,

                                             x                                     m                                                                m                    .  I                        z  m               ,

                                   .                                                                                                                                                                                IX

                        A       x m                                                                    x-                                            m  .

                           x                                                                                                        T          m                                                                  ,

                                 m            m. I         m            m,       x      m       -                                                            m        m        ,                                    -

                                                                     x     . T                     x-                                 z  m    A  (C  A)                                      .  A

                                                              m                                                                       m          ,                               m          m                        -

                                     m                                        m         m            .                                                                   x                       -  m

                   T            m                     m                                                                               (ALA). T

                                       x      m              m           .  T              z                                   m                               q               m     B .  T     m       m     -

                        x       m                         x            f      . A       x m                                             m

                    %                      x                                                m                                              -ALA,                        z                    z  m   ALA      -

                           .                                                                                                              . T                               z  m


                                                                                                                                                                                                                    x
                   BIOSYN  HESIS OF HEMOGLOBIN                                                                                                (      m    B ).

                                                                                                                                    F                        m                     -ALA           m            -
                   S                            m                                                   m                               ,                                                                          m.

                      m                                   m     : A, A , F,          m                                               m                  ALA                        m       m

                       m . N   m                 m             A                   m                                                                     (PBG).  T                                  z

                          m            . T                                                 A/A. I                                 z  m  ALA                . F      m                PBG

                                               -                     m                                   -                                                                     m                              I     III.

                                        :                                                .                                     T           III     m                       ,                                           -

                        G                                                   m                                                        III                                       ,                           .

                             m                                                                                                      T                  ,                             m                  ,

                                         m        m             m             . T                                                        m

                                                    m                        .  O                       -                                       m      m  .  F                     x

                   k             m                                 k                 m   .                                                 (F  )
                                                                                                                                                   +
                        T   m  j        m                     m                       m               -                           z  m     m                                       . T             m

                       . H  m                           z                m                          -                                    m                 m  ,                     m

                           m                          . A       x m             %                 m                                                                                   m

                      m                           z                                       x         ,                                                                    .

                                 m               %                z                                  -

                         . T         m                                  m                                 -

                         ,            m      ,       m                (                  .  ). V                               The Role of Iron in Hemoglobin Synthesis

                                                                                                m            .                 I                           , m                                                m

                   T
                                                                                                                                                              x


                   ■                                                                                                                              k                                                   .

                   ■                                                                                                                I               m                                    m                        .

                   ■                                                                                                           I             k                                                                               .

                   ■                                                                                                           I             k                                          m                                .

                   ■    m  k                                                                                                        M                                                          m       m        m

                   ■                                                                                                                          ;                           m                                         m

                   ■                  m                               (         x      m            , m   -                                            m                                           m                x

                           m            ,         m            )                                                                m                        . T                            ,           m                ,
   134   135   136   137   138   139   140   141   142   143   144