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Explain how the effects of sickle cell disease demonstrate that hemoblobin undergoes a conformational change upon...

Explain how the effects of sickle cell disease demonstrate that hemoblobin undergoes a conformational change upon releasing oxygen.

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In hemoglobin S, the wild-type glutamate at residue 6 of the B-chain is replaced by valine. When oxygen is bound, both hemoglobin A and hemoglobin S are soluble, but in the deoxy-form. Hemoglobin S (but not hemoglobin A) becomes very insoluble due to exposure of hydrophobic valine residue. This exposed patch causes aggregation of deoxy-hemoglobin S into long insoluble fibrous aggregates, resulting in distorted shapes of the red blood cells and leading to the symptoms of the disease.

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