Physiology, Bohr Effect

Andrew Benner; Aakash K. Patel; Karampal Singh; Anterpreet Dua.

Introduction

Oxygen (O2) competitively and reversibly binds to hemoglobin, with certain changes within the environment altering the affinity in which this relationship occurs. The sigmoidal shape of the oxygen dissociation curve illustrates hemoglobin’s propensity for positive cooperativity, as hemoglobin undergoes conformational changes to increase its affinity for oxygen as molecules progressively bind to each of its four available binding sites. The Bohr effect describes hemoglobin’s lower affinity for oxygen secondary to increases in the partial pressure of carbon dioxide and/or decreased blood pH. This lower affinity, in turn, enhances the unloading of oxygen into tissues to meet the oxygen demand of the tissue.[1]

Issues of Concern

Increases in PCO2 and Decreases in pH 

Through the biochemical reactions necessary for cellular respiration, increases in metabolic activity within tissues result in the production of carbon dioxide (CO2) as a metabolic waste product. This increase in tissue PCO2 leads to an increase in hydrogen ion (H+) concentration, represented as a decrease in pH as the environment undergoes the process of acidosis. These effects decrease hemoglobin’s affinity for oxygen, weakening its binding capacity and increasing the likelihood of dissociation; this is represented as a rightward shift of the hemoglobin dissociation curve, as hemoglobin unloads oxygen from its binding sites at higher partial pressures of oxygen. Specifically, it is the association of protons (H+ ions) with the amino acids in hemoglobin that cause a conformational change in protein folding, ultimately reducing the affinity of the binding sites for oxygen molecules. This configuration shift of hemoglobin under the influence of protons is classified as the taut (T) form.

Hemoglobin exists in 2 forms, the taut form (T) and the relaxed form (R). This structural change to the taut form leads to low-affinity hemoglobin, whereas the relaxed form leads to a high-affinity form of hemoglobin with respect to oxygen binding. In the lungs, the highly saturated oxygen environment can overcome the lower affinity T-form of hemoglobin, effectively binding despite disadvantageous binding capacity. During this process, initial O2 binding induces an alteration in hemoglobin from the taut to relaxed form, dissociating H+ protons and progressively increasing hemoglobin’s affinity for oxygen at each of the remaining binding sites through positive cooperativity. Under the influence of acidic environments, hemoglobin has a propensity for undergoing the reverse of this conformational change, releasing oxygen in favor of the attachment of H+ protons as hemoglobin shifts from the higher oxygen affinity relaxed form to the lower oxygen affinity taut form.

Overall, this relationship can be quantified by an increase in the P50,as 50% hemoglobin oxygen saturation is achieved at higher-than-normal values of pO2 compared to the accepted normal P50 of 27 mmHg. This results in greater unloading of oxygen in the presence of the acidic environments surrounding body tissues as a result of cellular respiration.[2]

Cellular Level

Through the enzyme carbonic anhydrase, the carbon dioxide and water released as byproducts from cellular respiration are converted to carbonic acid (H2CO3). In pursuing biochemical equilibrium, carbonic acid partially and reversibly dissociates into hydrogen ions and its conjugate base, bicarbonate (HCO3). This release of hydrogen ions increases the available concentration of H+ ions within the blood, effectively decreasing the pH of the environment. Due to the reversibility of this reaction, the resulting bicarbonate conjugate base form of carbonic acid indirectly represents the majority of the blood carbon dioxide (CO2) content (70%).[3]

  • CO2 + H2O <-> H2CO3 <-> H+ + HCO3-

This process usually takes place in peripheral tissues, as the desired effect is to unload oxygen into these tissues and load oxygen in the lungs. To limit the decrease in pH of the environment surrounding peripheral tissues, hemoglobin serves as a buffering agent by releasing its oxygen molecules in favor of binding H+ ions. Additionally, the increased bicarbonate molecules move down their concentration gradient, diffusing out of the red blood cell, exchanging chlorine ions into the red blood cell to maintain electrical neutrality. This buffering process is known as the Haldane effect. In the setting of lung alveoli, the less acidic and highly oxygenated environment favors the dissociation of the scavenged H+ protons from hemoglobin in exchange for oxygen binding. The effect of this relatively increased pH environment and its effect on hemoglobin oxygen affinity is graphically represented as a left shift in the oxy-hemoglobin dissociation curve as the P50 effectively decreases, resulting in greater attachment of oxygen to hemoglobin.[4]

Related Testing

The measurement of the oxygen and carbon dioxide content in the blood, in addition to acid-base status in the form of pH level, is quantifiable through an arterial blood gas (ABG) analysis. As a result, the global interpretation of all available data within an ABG provides an approximation of the body’s ventilation and metabolism efforts. Based on the PaCO2 on the blood gas, clinicians can get a sense of the amount of CO2 retention and the effect it may have on the Bohr effect, and ultimately oxygen delivery to body tissues. The accepted “normal” PaCO2 concentration is commonly described as 40 mm Hg, with hypercapnia and hypocapnia defined as a PaCO2 greater than 45 and less than 35 mmHg, respectively. In the clinical circumstance of PaCO2 greater than 45 mmHg combined with a PaO2 less than 60 mm Hg, the patient may be experiencing hypercapnic respiratory failure with an ensuing right shift in the oxygen dissociation curve to increase oxygen delivery.

Pathophysiology

Through the Bohr effect, more oxygen is released to those tissues with higher carbon dioxide concentrations. The sensitivity to these effects can be suppressed in chronic diseases, leading to decreased oxygenation of peripheral tissues. Chronic conditions such as asthma, cystic fibrosis, or even diabetes mellitus can lead to a chronic state of hyperventilation to maintain adequate tissue oxygenation. These states can have ventilation of up to 15 L per minute compared to the average normal minute ventilation of 6 L per minute. This hyperventilation minimizes the potential of the Bohr effect through excess exhalation of carbon dioxide resulting in hypocapnia, causing a left shift in the oxygen dissociation and unnecessarily increased oxygen-hemoglobin binding affinity with impaired oxygen release to peripheral tissues, including our most vital organs (brain, heart, liver, kidney). Thus, the Bohr effect is essential in maximizing oxygen transport capabilities of hemoglobin and functionally dynamic oxygen-binding/release secondary to carbon dioxide equilibrium. [5]

Carbon Monoxide Effect

While the presence of carbon dioxide leads to the greater unloading of oxygen, carbon monoxide has the opposite effect. Carbon monoxide (CO) has a 200-times greater affinity for hemoglobin than oxygen, out-competing oxygen for available binding sites in a nearly irreversible fashion (reversible, but very minimally). Carbon monoxide further decreases oxygen delivery through the stabilization of hemoglobin in the R-form. Counter-intuitively, although this facilitates oxygen loading to the remaining binding sites, hemoglobin becomes resistant to environmental influences that would normally encourage conformational changes into taut-form, limiting the potential for unloading of oxygen. Under the influence of carbon monoxide, the oxy-hemoglobin dissociation curve significantly shifts left in addition to the reduction of the sigmoidal curve shape as a result of blunted positive cooperativity response of hemoglobin. In the presence of significant carbon monoxide inhalation, tissue hypoxia occurs despite normal pO2 levels, as carbon monoxide competitively binds hemoglobin while inhibiting the release of oxygen from the remaining binding sites. Carbon monoxide poisoning is treated with hyperbaric oxygen therapy, delivering 100% O2 at increased atmospheric pressures to facilitate hemoglobin oxygen binding in the presence of highly competitive carbon monoxide.[6]

Double Bohr Effect 

The Double Bohr effect is seen in the fetus. In the placenta, maternal and fetal circulation meets. The umbilical arteries carry de-oxygenated blood with high CO2 content from the fetus to the placenta. In the placenta, CO2 from fetal blood diffuses into maternal blood down its concentration gradient. As CO2 content of fetal blood decrease, this makes fetal blood relatively alkaline and shift the oxygen dissociation curve toward left, facilitating more oxygen uptake by fetal Hb.On the maternal side, this CO2 diffusion from the fetal side makes maternal blood in the placenta more acidic. This shifts ODC towards the right and more oxygen is released from maternal Hb. Thus in the placenta, the Bohr effect occurs twice, one on the fetal side and another on the maternal side. This is known as the double Bohr effect. The clinical significance of the double Bohr effect is that it facilitating oxygen transfer across the placenta from mother to fetus and thus increase fetal oxygenation. Fetal Hb also has more affinity for oxygen than adult Hb. P50 ( partial pressure at which the hemoglobin molecule is half saturated with O2) for fetal Hb is 19 whereas P50 of adult Hb is 27. This Low P50 of fetal Hb also favors more oxygen transfer to the fetus.

Clinical Significance

The Bohr effect describes red blood cells’ ability to adapt to changes in the biochemical environment, maximizing hemoglobin-oxygen binding capacity in the lungs while simultaneously optimizing oxygen delivery to tissues with the greatest demand. The Bohr effect maintains significant clinical relevance within the field of Anesthesiology, as it directly influences patient outcomes throughout the perioperative process. Whether through hypo or hyperventilation, the alterations in carbon dioxide content and acid-base status results in shifts in the oxy-hemoglobin dissociation curve, either amplifying or dampening the magnitude of the Bohr Effect regarding hemoglobin re-oxygenation at the alveoli and delivery/release at peripheral tissues.

Source = https://www.ncbi.nlm.nih.gov/books/NBK526028/



The Magnetic Properties and Structure of Hemoglobin, Oxyhemoglobin and Carbonmonoxyhemoglobin

Linus Pauling and Charles D. Coryell

April 15, 1936

Over ninety years ago, on November 8, 1845, Michael Faraday investigated the magnetic properties of dried blood and made a note “Must try recent fluid blood.” If he had determined the magnetic susceptibilities of arterial and venous blood, he would have found them to differ by a large amount (as much as twenty per cent for completely oxygenated and completely deoxygenated blood); this discovery without doubt would have excited much interest and would have influenced appreciably the course of research on blood and hemoglobin.1

Continuing our investigations of the magnetic properties and structure of hemoglobin and related substances,2 we have found oxyhemoglobin and carbonmonoxyhemoglobin to contain no unpaired electrons, and ferrohemoglobin (hemoglobin itself) to contain four unpaired electrons per heme. The description of our experiments and the interpretation and discussion of the results are given below.

Note on Nomenclature

The current nomenclature of hemoglobin and related substances was formulated at a time when precise information about the chemical composition and structure of the substances was not available. Now that some progress has been made in gathering this information, especially in regard to chemical composition, it is possible to revise the nomenclature in such a way as to make the names of substances more descriptive than the older names, without introducing any radical changes. In formulating the following set of names we have profited by the continued advice of Dr. Alfred E. Mirsky.

The names whose use we advocate are given below, followed in some cases by acceptable synonyms. The expressions in parentheses are those whose use we consider to be undesirable.

Heme: an iron-porphyrin complex (generic term, used for either ferroheme or ferriheme).

Ferroheme (reduced heme): a complex of ferrous iron and a porphyrin.

Ferriheme (oxidized heme): a complex of ferric iron and a porphyrin.

Ferriheme chloride, hemin: a compound of ferriheme and chloride ion.

Ferriheme hydroxide, hematin: a compound of ferriheme and hydroxyl ion.

Ferrohemochromogen, hemochromogen: a complex of ferroheme and another substance, or two other substances, having the characteristic hemochromogen spectrum and involving covalent bonds from the iron atom to the porphyrin nitrogen atoms and the attached groups.2 Individual hemochromogens may be designated by specifying the attached groups, as globin hemochromogen (ferroheme and denatured globin), dicyanide hemochromogen, dipyridine hemochromogen, carbonmonoxyhemochromogen, pyridine carbonmonoxyhemochromogen, etc.

Ferrihemochromogen (parahematin): a compound of ferriheme and another substance or two other substances, involving covalent bonds from the iron atom to the porphyrin nitrogen atoms and the attached groups.3

Hemoglobin: a conjugated protein containing heme and native globin (generic term, used for both ferrohemoglobin and ferrihemoglobin and also for closely related substances); specifically, ferrohemoglobin.

Ferrohemoglobin, hemoglobin (reduced hemoglobin): a conjugated protein formed by combination of ferroheme and native protein.

Oxyhemoglobin: a compound of ferrohemoglobin and oxygen.

Carbonmonoxyhemoglobin, carbon monoxide hemoglobin (carboxyhemoglobin): a compound of ferrohemoglobin and carbon monoxide.

Ferrihemoglobin (methemoglobin): a conjugated protein formed by combination of ferriheme and native globin.3

Carbonmonoxyhemoglobin

The magnetic measurements are described in the experimental part below. The carbonmonoxyhemoglobin molecule is found to have zero magnetic moment, and hence to contain no unpaired electrons. This is to be interpreted as showing that at least two 3d orbitals of each ferrous iron atom are involved in covalent bond formation, the atom presumably forming six octahedral d2sp3 bonds, four to the porphyrin nitrogen atoms, one to an atom (probably nitrogen) of the globin, and one to the carbon monoxide molecule:

In view of the discovery of Brockway and Cross4 that the nickel-carbon bond in nickel carbonyl has a large amount of double bond character, we may well expect this to be the case for the iron-carbon bond in carbonmonoxyhemoglobin also, the double bond being formed with the use of a pair of electrons conventionally assigned to the iron atom as 3d electrons. To carbonmonoxyhemoglobin there would then be ascribed the resonating structure:
 

in which the dashes represent shared electron pairs and the dots unshared electrons.

Oxyhemoglobin

The molecule of oxyhemoglobin, like that of carbonmonoxyhemoglobin, is found to have zero magnetic moment and to contain no unpaired electrons. Each iron atom is accordingly attached to the four porphyrin nitrogen atoms, the globin molecule, and the oxygen molecule by covalent bonds.

The free oxygen molecule in its normal state () contains two unpaired electrons. It might well have been expected, in view of the ease with which oxygen is attached to and detached from hemoglobin, that the oxygen molecule in oxyhemoglobin would retain these unpaired electrons, a pair of σ electrons of one oxygen atom, unshared in the free molecule, being used for the formation of the bond to hemoglobin:

However, this is shown not to be so by the magnetic data, there being no unpaired electrons in oxyhemoglobin. The oxygen molecule undergoes a profound change in electronic structure on combination with hemoglobin.

Of the structures of oxyhemoglobin compatible with the magnetic data, the most probable is the resonating structure analogous to that of carbonmonoxyhemoglobin:

The great similarity in properties of oxyhemoglobin and carbonmonoxyhemoglobin provides strong support for this structure. The structure in which each of the two oxygen atoms (connected with one another by a single bond) is attached to the iron atom by a single bond is rendered improbable by the strain involved in the three-membered ring.

Ferrohemoglobin

In contrast to oxyhemoglobin and carbonmonoxyhemoglobin, hemoglobin itself contains unpaired electrons, its magnetic susceptibility showing the presence of a pronounced paramagnetic contribution. The interpretation of the magnetic data can be made only in conjunction with a discussion of the nature and magnitude of the mutual interactions of the four hemes in the molecule.5 One possibility is that the heme-heme interaction is sufficiently strong to couple the moments of all electrons in the molecule into a resultant moment, with the same value for all molecules. The magnetic data interpreted in this way lead to the value μ= 10.92 Bohr magnetons for the moment of the molecule. We reject this possibility on the following grounds. (1) The heme-heme interaction energy, as evaluated from the oxygen equilibrium data,5 is hardly large enough to overcome the entropy advantage of independent heme moments. (2) The value 10.92 for the moment is not far from that (8.94) for eight unpaired electrons, two per heme, with parallel spins; however, it is about 22% larger, and this difference could be accounted for only as a surprisingly large contribution of orbital moment. (3) On this basis the magnetic susceptibility of partially oxygenated hemoglobin solutions would show large deviations from a linear dependence on the amount of uncombined heme; we have found large deviations not to occur. (These experiments will be described in a later paper.)

The other simple possibility, which we believe to be approximated in reality, is that the magnetic moments of the four hemes orient themselves in the applied magnetic field independently of one another. With the calculations made on this assumption, the experimental data lead to the value μ = 5.46 Bohr magnetons for the effective moment per heme. This shows that there are present in each heme four impaired electrons, and that consequently the iron atom is not attached to the four porphyrin nitrogen atoms and the globin molecule by covalent bonds, but is present as a ferrous ion, the bonds to the neighboring atoms being essentially ionic bonds.

The resultant spin moment for four unpaired electrons is 4.90 magnetons. In compounds containing ferrous ion values of 4.9 to 5.4 are observed, the increase over the spin moment arising from a small orbital contribution. Complexes of ferrous iron with substances containing nitrogen (hydrazine, etc.) give values in the lower part of this range, the quenching of orbital moment being nearly complete.6 It does not seem probable that the high value for ferrohemoglobin is to be accounted for as due to orbital moment, since the porphyrin nitrogen atoms should have a strong quenching effect on the orbital moment. We interpret this high value instead as due to a heme-heme interaction which tends to stabilize states with parallel heme moments relative to those with opposed heme moments, the oxygen-equilibrium value of the heme-heme interaction energy being of the order of magnitude required for this interpretation.

It is interesting and surprising that the hemoglobin molecule undergoes such an extreme structural change on the addition of oxygen or carbon monoxide; in the ferrohemoglobin molecule there are sixteen unpaired electrons and the bonds to iron are ionic, while in oxyhemoglobin and carbonmonoxyhemoglobin there are no unpaired electrons and the bonds are covalent. The change from ionic bonds to covalent bonds also occurs on formation of hemochromogen from ferroheme. Such a difference in bond type in very closely related substances has been observed so far only in hemoglobin derivatives.

It is not yet possible to discuss the significance of these structural differences in detail, but they are without doubt closely related to and in a sense responsible for the characteristic properties of hemoglobin. For example, the change in multiplicity of the system oxygen molecule–heme in hemoglobin on formation of oxyhemoglobin need be only as great as two (from the triplet corresponding to the opposed oxygen molecule triplet and ferroheme quintet to the singlet of oxyheme), whereas the change in multiplicity on formation of carbonmonoxyhemoglobin is four; in view of the infrequency of transitions involving a change in multiplicity, we might accordingly anticipate that the reactions of hemoglobin with carbon monoxide would be slower than those with oxygen, in agreement with observation. The change in multiplicity may be related also to the photochemical reactivity of carbonmonoxyhemoglobin. The difference in bond type in hemoglobin and its compounds is probably connected with the preferential affinity of hemoglobin for oxygen and carbon monoxide in contrast to other substances. Further experimental information is needed before these questions can be discussed in detail.

Experiments

Solutions: Defibrinated bovine blood (provided through the courteous coӧperation of Cornelius Bros., Ltd.) was used as the source of material. Preparations A and B consisted of whole blood, collected and separately oxygenated by rotating 20 minutes in air in a large open vessel, and then packed in ice and used as soon as possible. For preparations C and D oxygenated blood was centrifuged, and the corpuscles washed three times with equal volumes of physiological sodium chloride. Ether was used to hemolyze the collected corpuscles, the stromata-emulsions were separated by centrifuging, and the dissolved ether removed from the oxyhemoglobin solutions by a current of air. The solutions were kept on ice until used.

Analyses were made for oxygen content in a Van Slyke-Neill constant-volume blood gas apparatus. The transfer pipet was calibrated for content and retention on the walls of whole blood or concentrated oxyhemoglobin solution corresponding to conditions of use; the gas pipet was also calibrated for volume. Correction was made for dissolved oxygen on the assumption that the quantity dissolved is proportional to the water present in the solution.

Corrected results of analyses: Blood A: 100 ml. combine with 20.20 ml. O2 S.T.P.; formality of heme-iron, 0.00902. Blood B: 100 ml. combine with 20.59 ml. O2 S.T.P.; formality of heme-iron, 0.00919. Solution C: 100 ml. combine with 37.15 ml. O2 S.T.P.; formality of heme-iron, 0.01658. Solution D: 100 ml. combine with 41.26 ml. O2 S.T.P.; formality of heme-iron, 0.01841.

Apparatus: The apparatus for magnetic susceptibility determinations has already been described.2 All hemoglobin solutions were measured against water in a tube of about 18 mm. internal diameter. Fields of 7640 and 8830 gauss were used, the forces being reported as average Δw (in milligrams) for the former. A small correction to the observed Δw has been applied for blank on the tube, so that reported forces are for solution against pure water. Solutions were measured at approximately 20°C.

Calibration of field and tube with water against air: Δw = −49.59. (For hemochromogen and 6NNaOH the tube with Δw = −45.40 for water against air was used.)

Carbonmonoxyhemoglobin

Samples of blood A equilibrated with CO by rotation of 50 ml. in a liter tonometer filled with pure carbon monoxide: Δw = −0.56, −0.60, −0.76, −0.61, average −0.63. Samples of blood Bequilibrated with CO: Δw = −0.84, −1.03, −0.80, −0.86, average −0.88. Samples of solution Cequilibrated with CO: Δw = −0.28, −0.68, average −0.48. Samples of solution D equilibrated with CO: Δw = −0.36, −0.45, average, −0.41. (Completeness of saturation with carbon monoxide was generally tested by adding Na2S2O4.2H2O to the magnetic tube and measuring the increase in susceptibility due to formation of hemoglobin.)

We have established in the previous paper2 the presence of no unpaired electrons in globin hemochromogen and dicyanide hemochromogen. For globin hemochromogen made by denaturing 32 ml. of whole blood with 10 ml. of 6N NaOH after reduction of the heme: average Δw = −1.71; for dicyanide hemochromogen prepared in a similar manner: average Δw = −1.53; average for the two, Δw = −1.62. Measurement of the 6N NaOH against water in the same tube gives Δw = −4.88, −4.95. Assuming the additivity of atomic diamagnetism (Wiedemann’s rule), whole blood without paramagnetic constituent should give Δw = −0.58 in the tube used for the hemoglobin series. This value is in satisfactory agreement with the Δw values given above. The calculated value for blood with two unpaired electrons per heme, and independent hemes, is Δw = +1.52, for four, Δw = +5.69; the calculated values for the hemoglobin solutions are about twice as great.

Conclusion: carbonmonoxyhemoglobin contains no unpaired electrons.

Oxyhemoglobin

Samples of blood A: Δw = −0.65, −0.40, −0.44, average, −0.50. Blood B: Δw = −0.58, −0.62, −0.62, average, −0.61. Solution C: Δw = −0.44, −0.55, −0.50, −0.50, average, −0.50. Solution D: Δw = −0.38, −0.36, average, −0.37. Oxyhemoglobin relative to carbonmonoxyhemoglobin: A, +0.13; B, +0.27; C, +0.02; D, +0.04; calculated for two unpaired electrons on oxyhemoglobin: A, +2.03; B, +2.07; C, +3.74; D, +4.11.

Conclusion: oxyhemoglobin contains no unpaired electrons.

Hemoglobin

35 ml. of blood A reduced in differential tube by addition of from 0.4 to 1.0 g. Na2S204.2H20: Δw= +7.32, 6.85, 6.98, 6.97, average, +7.03. Taking the mean of the oxy- and carbonmonoxyhemoglobin values (−0.57) for Δw of diamagnetism of hemoglobin, the change on removing coördinating group (O2, CO) is +7.60 gm., corresponding to paramagnetism and a magnetic moment of 5.48 Bohr magnetons per heme, assuming independent hemes. (The change in diamagnetism involved in loss of of CO or O2 is negligible.)

Blood B, reduced: Δw = +7.21, 7.16, 7.51, 7.22, 7.50, 7.20, 7.51, 7.06, average, +7.30; diamagnetic value, −0.74; change, +8.04; μ = 5.58.

Solution C, reduced: Δw = +13.09, 12.83, 12.89, 13.28, average, 13.02; diamagnetic value, −0.49; change, +13.52; μ = 5.38.

Solution D, reduced: Δw = +14.95, 14.33, average, +14.64; diamagnetic value, −0.39; change, +15.03; μ = 5.40.

Summary of results for hemoglobin: blood Aμ = 5.48; blood B, 5.58; solution C, 5.38; solution D, 5.40; average of the four, μ = 5.46.

Spin moment for four unpaired electrons, 4.9; for two, 2.83; for none, 0.00. Moment observed for ferrous ion in solution, about 5.3; moment observed for solid Fe(N2H4)2Cl2, 4.86. Conclusion: ferrohemoglobin has a susceptibility corresponding to four unpaired electrons per heme, with evidence for some magnetic interaction between the hemes.

Summary

It is shown by magnetic measurements that oxyhemoglobin and carbonmonoxyhemoglobin contain no impaired electrons; the oxygen molecule, with two unpaired electrons in the free state, accordingly undergoes a profound change in electronic structure on attachment to hemoglobin. The magnetic susceptibility of hemoglobin itself (ferrohemoglobin) corresponds to an effective magnetic moment of 5.46 Bohr magnetons per heme, calculated for independent hemes. This shows the presence of four impaired electrons per heme, and indicates that the heme-heme interaction tends to stabilize to some extent the parallel configuration of the moments of the four hemes in the molecule. The bonds from iron to surrounding atoms are ionic in hemoglobin, and covalent in oxyhemoglobin and carbonmonoxyhemoglobin.

We have been helped a great deal by the advice and encouragement of Dr. Alfred E. Mirsky of the Hospital of the Rockefeller Institute. This investigation is part of a program of research on the structure of hemoglobin being carried on with the aid of a grant from the Rockefeller Foundation.

Source : https://www.pnas.org/doi/full/10.1073/pnas.22.4.210

ChooseLife : Johanna Budwig did try to engage contact with Linus Pauling, sending him her research findings, what a great shame he did not reciprocate and begin collaboration. Linus Pauling won 2 Nobel Prizes, 1954 for Chemistry “for his research into the nature of the chemical bond and its application to the elucidation of the structure of complex substances” and the 1962 Nobel Peace Prize “for his fight against the nuclear arms race between East and West”

Discovery of the magnetic behavior of hemoglobin: A beginning of bioinorganic chemistry

Authors : Kara L Bren, Richard Eisenberg,  Harry B Gray 

Abstract

Two articles published by Pauling and Coryell in PNAS nearly 80 years ago described in detail the magnetic properties of oxy- and deoxyhemoglobin, as well as those of closely related compounds containing hemes. Their measurements revealed a large difference in magnetism between oxygenated and deoxygenated forms of the protein and, along with consideration of the observed diamagnetism of the carbonmonoxy derivative, led to an electronic structural formulation of oxyhemoglobin. The key role of hemoglobin as the main oxygen carrier in mammalian blood had been established earlier, and its allosteric behavior had been described in the 1920s. The Pauling–Coryell articles on hemoglobin represent truly seminal contributions to the field of bioinorganic chemistry because they are the first to make connections between active site electronic structure and the function of a metalloprotein.

Keywords: heme, bioinorganic, magnetism, oxygen transport, metalloproteins

https://pmc.ncbi.nlm.nih.gov/articles/PMC4629386/

Linkages Between Geomagnetic Activity and Blood Pressure

Author : Alexander Muacevic

Abstract

This review aims to critically examine and present evidence for and against potential linkages between geomagnetic activity and its effects on blood pressure (BP). Four databases were searched for peer-reviewed papers written in English: PubMed, Web of Science, EMBASE, and Biomedical Reference Collection. Retrieved titles were first screened for potential relevance followed by an abstract review for further clarifications if warranted. The preponderance of the reported evidence is consistent with the concept that space weather and related events that cause sufficiently large changes in the geomagnetic field (GMF) can impact BP. The associated BP change in most but not all cases is one in which both systolic blood pressure (SBP) and diastolic blood pressure increase, with SBP appearing to be more consistently involved. The magnitude of the reported BP increase ranges from about 3 to 8 mmHg depending on the intensity of the geomagnetic activity. The initiation of these BP changes has been variably reported to occur shortly before the GMF change or in synchrony with the abrupt change in the GMF. Such GMF-linked BP changes are not present in all persons and there appears to be increased sensitivity in women and in persons with co-existing hypertension. The utility of these findings in assessing or treating persons with known or suspected hypertension remains to be determined via future research. Further, research directed at determining the factors that determine responders from non-responders to GMF changes is warranted.

Keywords: earth magnetic field, space weather, heliobiology, solar activity, diastolic blood pressure, systolic blood pressure, geomagnetic activity, hypertension, solar storms, geomagnetic storms

Source and Full Study :

https://pmc.ncbi.nlm.nih.gov/articles/PMC10589055/

The £ and Science

Some years ago, attending a family Wedding, was at breakfast the day of the Wedding. Conversation flowed on dynamics of food, one attendee asked another (Oncologist) “why are soo many people now advised against Grapefuit?”, to which the Oncologist replied “it reacts badly with Statin medications”. Clearly happy to show his knowledge to the huge table, no mention of them having similar benefits with the Grapefuit lacking the perilous side effects of Statins.

As conversation moved around, Cancer was discussed, happily I added that Otto Warburg had won the Nobel Prize for his research showing cellular respiration was key to understanding this. The Oncologist replied “well that is very old research”, to which I retorted “well has physiology changed?” to which he sheepishly smiled and pulled his face away, unable to articulate any reasonable counter to the discussion.

This brief conversation stuck with me, as this Oncologist was employed by Pharmaceutical companies, to fly first class around the world, selling Thalidomide to stage 4 Cancer sufferers in third world countries.

This man, barely in his 30’s had a Mansion, was hugely wealthy, selling grotesque drugs into regions it was not banned. It perfectly summed up how money unduly exerts influence on the healing fields. Most people marvelled at this young man, attaining all that wealth, yet at what cost to his Spirit/Karma? And, much more importantly, at what cost to the well being of those poor sufferers.

What a sad thing, so prevalent in these times.

Choose Life Or Death

Carey A. Reams with Cliff Dudley

Choose-life-or-Death

Reams Biological Theory of Ionization

Understand what health is and what it means.
Understand levels of body chemistry using urine and saliva.
Understand the proper relationship of mental and spiritual aspects of
health relating to body chemistry.


Throughout his research, Dr. Reams discovered that only two bodily fluids were needed to show your body chemistry levels – saliva and urine. If a person keeps his numbers in the Perfect Health or Healing range – it is believed the human body will maintain health. If the human body in not kept in the Perfect Health or in the Healing range – it is believed the body becomes diseased. The great news in pH testing is that you can manipulate your balances by controlling what you put into your body.


REAMS testing, this is how it works.

¬ The Carbohydrate measurement is made with a refractometer and it measures the number of brix in a urine specimen. It also represents the amount of potential energy available per pound of body weight. The ideal carbohydrate measure is 1.5 brix. Healing range is 1.2-2.0 brix. Below 1.2 represents low blood sugar. 5.5 and above represents borderline diabetes.


¬ The pH is a measurement of resistance and indicates the speed at which energy is moving through the body. A reading of 6.4 is the ideal speed for energy to move through the body. The pH is written as a fraction. The top number is the urine pH and the bottom number is the saliva pH. Healing range is 6.2-6.6. If you add the urine pH number to two times the saliva pH number and divide by three – the results will yield your average bodily pH. This is helpful in analyzing the direction of the overall pH of your body. Urine pH provides information about the blood, saliva pH provides information about the liver.


¬ The Salt or conductivity reading is ideally 6-7C. The conductivity number indicates the
level of salts in the body. The salt number indicates whether the body has the correct
number of electrolytes. Electrolyte levels indicate whether the body is undercharging or
overcharging.


¬ Cell debris is an indication of the number of dead cells leaving the body. A sick body needs to rid itself of excess dead cells. The ideal cell debris number is .04M. The cell debris number tells how well the body is cooperating in the healing process. It is also the last number to come into balance.


¬ Urea readings are the Ammonia Nitrates and the Nitrate Nitrates added together. They equal the total ureas. Total ureas represent the total amount of unutilized protein that is being handled by the liver and sent to the kidneys for elimination.


¬ Cell Exchange Rate – Ultimately the entire body chemistry depends upon the correct cell
exchange rate. Homeostasis – a new healthy cell is produced for each old cell dying off. If any of the numbers are off, the cell exchange rate is off and cells are not getting produced to maintain homeostasis. There are three classes of cells: Alpha Cells – perfect whole cells, Delta Cells – damaged or dead cells ready to be replaced, and Omega Cells – dead cells clumping and sticking together. Good health demands an even exchange rate – dead cells out and new cells in. If any of the numbers in the equation are out of range then the delta cells are not leaving the body. Any time the cell exchange is off, there is a mineral problem in the body. The body is made of minerals…The dust of the earth…Minerals are the basis for good health…You cannot build healthy cells without minerals.


¬ Mineral Assimilation is determined by the pH of the digestive system. A second issue is the atomic number of each of the minerals. The higher the frequency, the more difficult it is to assimilate the particular mineral.


What does this test reveal?
Determines calcium needs for your body chemistry
Tells what you are digesting or not digesting
Tells if your body is assimilating nutrients
Shows vitamin and mineral deficiencies
Reveals if blood sugar is high, low or normal
Will show if your body is supporting excess yeast candidiasis) or parasites
Indicates if there is excess stress on internal organs such as the kidneys, liver, heart, colon or gall
bladder
Gives the health level of the liver and gall bladder
Reveals if your body’s environment may be supporting:
circulatory problems
high blood pressure
low blood pressure
arthritis
weight gain
high cholesterol
kidney/gall stones


PERFECT NUMBERS
Through extensive research, Dr. Carey Reams discovered the “perfect numbers” for Biological Ionization, which represent the ideal cellular resistance required for life, just as 98.6 degrees represents the perfect resistance (temperature) for a healthy body. The higher the resistance, the higher the temperature. The lower the resistance, the colder the temperature. Death may occur from either extreme.


ENERGY FROM FOOD
We do not live off the food we eat but off the energy produced by the food we eat. It is believed that we receive approximately 20% of our mineral energy from this digestive principal. Approximately 80% comes from the atmosphere. The more efficient the digestion, the more efficient the body is in extracting mineral energy from the air.

PREMATURE AGING
Resistance is required for life. An excess of resistance can result in disease and death. Likewise, a deficiency of resistance can also result in disease and death. Dr. Reams determined that each of the 7 parameters, when all occurring simultaneously, represents the perfect 100% Metabolism Efficiency (the conversion of food into energy). The theory being that, if one could maintain a lifestyle that continually manifested the “perfect numbers”, there would be no premature aging.


BIOLOGICAL IONIZATION
Of course there is no such perfect world, hence aging does occur. The objective, using “Reams Testing” as a guide, is to determine the proper lifestyle that allows a person to age, but not prematurely age. As the metabolism efficiency decreases, premature aging is more likely to occur, predisposing one to the disease process.
How are urine and saliva tests different than a blood test? According to Dr. Reams, the blood changes every 15 minutes. The urine and saliva test was found to be more accurate. The testing of these two substances is amazingly accurate in determining the degree of wellness one might be experiencing and importantly what minerals, vitamins, and foods one should or should not eat.
Biological Ionization Analysis is an excellent metabolic biofeedback device to indicate whether a particular lifestyle is beneficial or detrimental for any individual. It gives specific information on what vitamins and minerals are not being assimilated into the body’s cellular structure. It provides biofeedback on a holistic (emotional, physical, spiritual) level.

By Donald Kraus (Reams Practitioner) : http://www.bodylifedirect.com/