
7.3 Hemoglobin Structures Demonstrate the Consilient Mechanism
279
the ion pairs and hydrogen bonds in the switch
and joint regions. Given the relatively rigid
structures of the a- and the (i-chains, the effect
of the small conformational change would be to
reduce the complementarity between the a^P^
and a^P^ interfaces.
This would constitute merging of the con-
silient mechanism with the Perutz mechanism.^^
The competition for hydration between polar
(e.g.,
charged) and hydrophobic groups respon-
sible for positive cooperativity would remain
at these sites, but in the Perutz mechanism it
would have been the result of the tertiary struc-
tural change rather than arising directly from
changes in the balance of the competition for
hydration at the p^a^- and a^P^-heme pairs that
result from oxygen binding.
charged carboxylate-containing E6 residue, by
a modestly hydrophobic V6 residue (see the
Genetic Code in Table 6.2 for the single base
change required for the replacement of Glu by
Val).
This substitution shifts the hemoglobin
tetramer toward hydrophobic association, that
is,
lowers the cusp of insolubility from above to
below physiological temperature, when in the
deoxygenated state. Such a simple substitution
lowers the Tt-(solubility/insolubiUty)divide for
the aggregation of the more hydrophobic
tetrameric deoxyhemoglobin S molecules into
fibers shown in Figure 7.23. The Tt-divide,
however, remains above physiological temper-
atures as long as there is a high enough level of
oxygen to maintain the more polar oxyhemo-
globin state.
7.3.6 Sickle Cell Anemia: Lowers the
Temperature Interval of the "Cusp of
InsolubiUty" with the Consequences
of Disease and Death
The movable "cusp of insolubiUty" depicted in
Figure 7.1 provides meaningful visualization of
the disease, sickle cell anemia. A single muta-
tion in the (i-chain of the normal adult human
hemoglobin, hemoglobin A, to produce hemo-
globin S lowers the "cusp of insolubiUty" for
deoxyHbS from above to below physiological
temperatures. Under conditions of low oxy-
genation, the hemoglobin S aggregates and
causes the red blood cell to sickle, as shown in
Figure 7.22. Without treatment, homozygous
individuals, in which all P-chains contain the
mutation, suffer from acute onset of abdominal
pain and ulcerations of the lower extremities
and have a life expectancy of about 45 years."^
Heterozygous individuals, in which half of their
p-chains contain the mutation and the other
half are normal, escape such dire symptoms.
73.6,1 Hemoglobin S
7.3.6.1.1 Hemoglobin S Results from the
Mutation of Glu^ (E6) to Val^ (V6) in the
P-chain
Hemoglobin S is the result of a single base
mutation in the DNA sequence for the P-
chain that replaces the most polar residue, the
7.3.6.1.2 Hydrophobic Association of
Hemoglobin S Tetramers (Insolubilization)
The critical intertetramer contact that lowers
the Tt-divide for aggregation directly involves
the mutated hydrophobic residue, V6, of a P2-
chain. As shown in Figure 7.24, the oil-like
Val^ side chain, -CH-(CH3)2 of a P2-chain
associates with the very oil-like F8 side
chain, -CH2-C6H5 and L89 side chain,
-CH2-CH-(CH3)2, of the pi-chain in an adja-
cent tetramer. This hydrophobic interaction
lowers the cusp of insolubility for association
of deoxyhemoglobin S to below physiological
temperatures. The hydrophobic association
between tetramers propagates fiber formation,
illustrated in Figure
7.23,
and distorts the hemo-
globin transporting cell, the red blood cell, as
shown in Figure 7.22.
7.3.6.1.3 Manifestation of the Oxygenated
State that Prevents Hydrophobic Association
of Hemoglobin
S
Tetramers
Qualitatively, oxygen binding to hemoglobin
forms a more polar
state.
The more polar state
in its thirst for hydration destructures the
hydrophobic hydration that would otherwise
form around the oil-like V6 side chain,
-CH-(CH3)2 of the P2-chain and the very oil-
like Phe^^ side chain, -CH2-C6H5 and L89 side
chain, -CH2-CH-(CH3)2, of the pi-chain of an