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what is the difference between hba and hbf

by Ardith Legros Published 3 years ago Updated 2 years ago
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The key difference between HbA and HbF is that HbA refers to adult hemoglobin which is an α2β2 tetramer while HbF refers to fetal hemoglobin, which is an α2γ2 tetramer that can bind to oxygen with greater affinity than HbA.

Blood transfusion with adult haemoglobin (HbA) replaces foetal haemoglobin (HbF). HbA has a lower affinity for oxygen than HbF and therefore leads to increased oxygen availability to the tissues including the retina.

Full Answer

What is the difference between hemoglobin HbF and HBA?

HbF is the predominant form of hemoglobin in developing fetus while HbA is the main form of hemoglobin in human after six months postnatal. HbA is a tetramer composed of two alpha chains and two beta chains while HbF is a tetramer composed of two alpha and two gamma chains.

What are the types of hemoglobin (Hb)?

Many different types of hemoglobin (Hb) exist. The most common ones are HbA, HbA2, HbE, HbF, HbS, HbC, HbH, and HbM. Healthy adults only have significant levels of only HbA and HbA2. Some people may also have small amounts of HbF.

What is Hbf and what is it for?

What is HbF? HbF stands for fetal hemoglobin which is the predominant form of hemoglobin in the fetus. HbF develops from the erythroid precursor cells. In fact, HbF appears in fetal blood after a few weeks of conception. HbF remains till six months of postnatal life as well. After that, adult hemoglobin replaces HbF completely.

What are the different types of HbA levels?

The most common ones are HbA, HbA2, HbE, HbF, HbS, HbC, HbH, and HbM. Healthy adults only have significant levels of only HbA and HbA2.

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How does the HbA differ from HbF?

Compared to adult hemoglobin (HbA), HbF exhibits a higher affinity for oxygen and a decreased affinity for 2,3-biphosphoglycerate (2,3-BPG). This results in a left-shifted oxyhemoglobin dissociation curve (ODC) of HbF relative to HbA.

What is the difference between fetal Haemoglobin and normal adult hemoglobin?

Both fetal and adult hemoglobin are composed of four subunits: both have two identical alpha subunits, but in fetal hemoglobin, the two beta subunits found in adult hemoglobin are replaced with two gamma subunits (shown here from PDB entries 4hhb and 1fdh).

What is the difference between fetal and adult hemoglobin Why is this important?

Fetal hemoglobin binds to oxygen more strongly than adult hemoglobin, enabling the transfer of oxygen from mother to fetus prenatally. Oxygen exchange within the tissue is thus affected by the strength of the binding between hemoglobin and oxygen.

Why HbF has a higher affinity for oxygen than HbA?

In vivo, HbF has a higher oxygen affinity than HbA in order to enable the fetus to capture oxygen from the maternal circulation.

What are the 4 types of hemoglobin?

Many different types of hemoglobin (Hb) exist. The most common ones are HbA, HbA2, HbE, HbF, HbS, HbC, HbH, and HbM. Healthy adults only have significant levels of only HbA and HbA2. Some people may also have small amounts of HbF.

What causes the switch from HbF to HbA?

In healthy humans, a shift from γ-globin to β-globin gene expression around birth underlies the switch from fetal (α2γ2; HbF) to adult (α2β2; HbA) hemoglobin production, such that by 6 months of age the major hemoglobin is HbA.

Does HbF carry more oxygen than HbA?

As a consequence of the structural differences between these two isoforms of hemoglobin, HbF exhibits a higher average affinity for oxygen than HbA.

What is the function of HbF?

Function of HbF HbF is a form of Hg that has a stronger oxygen affinity as compared to adult Hg. This greater affinity towards oxygen increases its transport to the fetus within the uterus by capturing oxygen from the placental vasculature, which has much lower oxygen tension than in the lungs.

Why HbF is high in thalassemia?

These data suggest that the high HbF levels in HbE/beta thalassemia, and other beta thalassemia syndromes, result from increased erythropoietin levels leading to bone marrow expansion, and possibly increased F-cell production, combined with ineffective erythropoiesis giving a survival advantage to F cells.

What happens if HbF is high?

If you have higher than normal levels of HbF, you may have anemia, leukemia, or a sickle cell disorder. But this test alone does not tell which condition you might have. Some people with higher levels of HbF don't have any symptoms. More testing is needed to find out the type of your blood disorder.

What is characteristic for HbF?

This value indicates that HbF has a high affinity for oxygen, giving HbF the ability to bind oxygen more readily from the maternal circulation. HbF also shows a decreased affinity for 2,3-bisphosphoglycerate (2,3-DPG), a metabolic intermediate produced in tissues with high energy use (low ATP, high acid production).

What is normal hemoglobin in a fetus?

The normal physiologic range for hemoglobin during pregnancy is 11.5-13.0 (13.5) g/dl; anemia is, by definition, present when the values are under 11 g/dl and is quite common in pregnancy.

Does a fetus have higher levels of haemoglobin?

A baby growing in the womb has high levels of HbF. The level of HbF usually drops to tiny amounts about 6 months after birth. In an adult or child, a higher level of HbF can mean you have a blood disorder.

Why do infants have more Hb than adults?

Infants tend to have higher average hemoglobin levels than adults. This is because they have higher oxygen levels in the womb and need more red blood cells to transport the oxygen. But this level starts to go down after several weeks.

What is a normal fetal hemoglobin?

1) The mean value of Hgb F at each age in normal children group was 65.5+/-1.8% in newborn infants during 24 hours, 40.5+/-1.6% in 1 month, 24.3+/-1.2% in 2 months, 15.3+/-1.4% in 3 months, 4.5+/-1.2% in 1 year 1.3+/-0.5% in 5 years, 0.9+/-0.7% in 10 years, 0.5+/-0.3% in 15 years.

What is the HBF of an unborn baby?

Some people may also have small amounts of HbF. This is the main type of hemoglobin in an unborn baby's body. Certain diseases are associated with high HbF levels (when HbF is more than 2% of the total hemoglobin). HbS is an abnormal form of hemoglobin associated with sickle cell anemia.

Why do you need a hemoglobin test?

You may have this test if your health care provider suspects that you have a disorder caused by abnormal forms of hemoglobin ( hemoglobinopathy ).

What is the shape of a sickle cell?

HbS is an abnormal form of hemoglobin associated with sickle cell anemia. In people with this condition, the red blood cells sometimes have a crescent or sickle shape. These cells easily break down or can block small blood vessels.

What is HBC in medical terms?

HbC is an abnormal form of hemoglobin associated with hemolytic anemia. The symptoms are much milder than they are in sickle cell anemia. Other, less common, abnormal Hb molecules cause other types of anemia.

How long does it take for a blood transfusion to show abnormal results?

Inherited blood disorder in which the body makes an abnormal form of hemoglobin ( thalassemia) You may have false normal or abnormal results if you have had a blood transfusion within 12 weeks of this test.

How is a blood test performed?

In the lab, the technician places the blood sample on special paper and applies an electric current. The hemoglobins move on the paper and form bands that show the amount of each type of hemoglobin.

What is the HBA2 level?

HbA2: 2% to 3% (0.02 to 0.03)

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