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Life Sciences
Vol. 7, Part I, pp . 1339-1343, 1968 .
Pergamon PressPrinted in Great Britain .
DIFFERENT EFFECTS OF 2 .3 DIPHOSPHOGLYCERATE AND ADENOSINE
TRIPHOSPHATE ON THE OXYGEN AFFINITY OF ADULT AND FOETAL
HUMAN HAEDfOGLOBIN
Ch . Bauer, I . Ludwig and Dt . Ludwig
Physiologisches Institut der Medizinischen Hochschule, }fannover
Germany(Received 5 September 1968 ; in final form 30 September 1968)
It is well known that the foetal blood of man has a higher oxygen
affinity at term than the blood of an adult (1) . If one examines
the OZ affinity of foetal (HbF) and adult (HbA) human haemoglobin
after haemolysis and dialysis in solutions with given molalities
and [ H+ ] concentrations, one observes in both haemoglobins an in-
crease of the oxygen affinity, which is more pronounced in HbA
than in HbF, so that the affinities become practically identical
(2,3,d) . This led to the conclusion that not the different struc-
ture of HbA and FIbF itself but environmental factors present in
the red cell are responsible for the different O Z affinities .
It has been found recently that organic phosphates and among
them especially the 2 .3 diphosphoglycerate (DPG) as well as the
adenosine triphosphate (ATP) considerably diminish the oxygen
affinity of 11bA (5,6) . These substances occur as substrates of
the erythrocyte metabolism in high concentrations in human red
cells . As the llPG and AfP concentration in the foetal red cell
is even higher than in the maternal red cell (7,8), the different
O Z affinities of foetal and adult blood can not be explained by
concentration differences of DPG and ATP . It might be possible
however, that DPG and ATP influence the O Z affinity of HbA and
1339
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134 0
OXYGEN AFFINITY
Vol. 7, No . 23
HbF to a different degree .
To clarify this question the specific effect of DPG and ATP
on the 02 affinity of HbA and HbF has been compared .
Methods
8 healthy mothers and their new-borns were examined . The mater-
nal blood was taken from an arm vein, the foetal blood from the
umbilical cord . To prepare haemoglobin solutions, erythrocytes
were washed three times in a bicarbonate buffer (0 .161 Mol/L H2 0 :
0.121 Mol/L KCL + 0.025 Mol/L NaCl + 0 .015 Mol/L NaHC03 ) . The
washed erythrocytes were haemolysed by thawing and freezing . To
remove membranes the haemolysate was centrifuged at 100 000 x g
for 3 hours at 20° C . The maternal and foetal haemoglobin solu-
tions were then dialysed in Visking sacks against large amounts of
bicarbonate buffer at 4 ° C for 3 days . 30 moles DPG/g Hb or 8
pmoles ATP/g Hb were added to the haemoglobin solutions, these con-
centrations being in the physiological range .
Analysi s
The 02 half saturation pressure at pH 7 .2o and 37 ° C (P50) as a
criterion for the oxygen affinity of the haemoglobin was measured
in whole blood and in haemoglobin solution according to the pro
cedure described by BARTELS and HARRIS (9) . Gas analyses were done
micro-manometrically (10) . The pH values of the samples (in whole
blood the intra-erythrocytec pHc value (11) ) were measured elec-
trometrically, and P50 was corrected to pH 7 .2o with a Bohr factor
of -0.48 .
Haemoglobin and methaemoglobin were measured photometrically
on the Zeiss spectrophotometer PMQ II .
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Vol. 7, No . 23
OXYGEN AFFINITY
1341
Results and Discussion
TABLE 1
Half Saturation Pressures (P50) in mm Hg at pH 7 .20 (in Blood
pHc = 7 .20) and 37° C, in Maternal and Foetal Blood and Haemoglo-
bin Solutions+ without and with DPG or ATP . The following Symbols
were used : n = Number of Samples, x = Mean Value, sD = Standard
Deviation .
P50
Whole Blood
P50Dialysed Hb
P50Dialysed Hb + DPG
P 50Dialysed Hb + ATP
+The mean haemoglobin concentration of Hb-solutions was 12 g$,methaemoglobin was always lower than 2 .5 $ .
Results are summarized in Table 1 . P50 of maternal blood was
31 .o mm Hg, of foetal blood 24 .3 mm Hg . After dialysis the 02
affinity of HbA increased by 57$ and of HbF by 25$ : P50 was in
both solutions 19 .7 mm Hg . This observation is in accordance with
other authors (2,3,4) although our results can not be directly
compared because of different experimental conditions .
The effect of DPG on the 02 affinities of HbA and HbF was com-
pletely different .
Whereas P50 of HbA rose from 19 .7 to 29 .4 mm Hg by nearly 50$
thus confirming the results of other authors (5,6), P50 of HbF
Maternal Foetàl
x sD x sD31 .0 ± 1 .4 24 .3 ± 2 .4
19 .7 ± 1 .3 19 .7 ± 0 .9
29 .4 ± 1 .5 22 .4 ± 1 .4
21 .1 ± 1 .2 19 .6 ± 1 .8
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134 2
OXYGEN AFFINITY
Vol . 7, No . 23
increased only by 14$ from 19 .7 to 22 .4 mm Hg . Addition of ATP had
no influence on the oxygen affinity of foetal haemoglobin and lo-
wered that one of adult haemoglobin only slightly .
The binding of DPG to HbA shows an inverse relation to the bin-
ding of 02 , that is, the more DPG can be bound the more haemoglo-
bin is desoxygenated (12) . It seems that in foetal haemoglobin the
affinity for oxygen is definitely higher than for DPG . A hypothe-
sis,
to be work on, might be that the ~ 2 -chains the HbF tetramer
diminish the binding of DPG by the HbF tetramer .
It has been suggested recently that the different chemical com-
position of adult and foetal human erythrocyte membranes contri-
bute to the different 02 affinities (13) . However our results de
monstrate a different reaction between the two types of haemoglo-
bin and the two substrates influencing the oxygen affinity .
Summary
Blood from 8 mothers and their new-borns was examined . The oxy-
gen half saturation pressure (P50) as measure for the 02 affinity
of haemoglobin was determined in whole blood and in haemoglobin
solutions .
P50 of maternal blood was 31 .o mm Hg, P50 of foetal blood 24 .3
mm Hg . After haemolysis and dialysis P50 of adult (HbA) and foetal
haemoglobin (HbF) fell to 19 .7 mm Hg . Addition of DPG (30 .0 ~mo
les/g Hb) to the haemoglobin solutions raised P50 of HbA to 29 .4
mm Hg, of HbF only to 22 .4 mm Hg . ATP (8 .o umoles/g Hb) had little
influence on the 0 2 affinity of HbA (P50 rose from 19 .7 to 21 .1 mm
Hg) but not on the 02 affinity of HbF .
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Vol. 7, No . 23
OXYGEN AFFII~TITY
1343
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GERS, Nature , 196 :550 (1962) .
4 . C .M . NECHTMAN and T . HUISDIAN, Clin . Chim . Acta , 10 :165 (1964) .
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9 . F{ . BARTELS and 11 . HARMS, Pflügers Arch . ges . Physiol . , 268 :334
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lo . D .D . van SLYKE and J . PLAZIN, Dticromanometric Analyses ,
fVilliams and 1Vilkins Comp ., Baltimore 1961 .
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12 . R . BENESCH and R.L . BENESCH, Proc . Nat . Acad . Sci . U .S . ,
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References
13 . S .R . FIOLLAti, J .G . SZELENYI, I .H . BREUER, G . MEDGYESI and V.N .
SOTER, Flaematologia , 1 :409 (1968) .