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# Oxygen binding: haemoglobin versus myoglobin

Myoglobin stores oxygen and releases it late; haemoglobin picks it up in the lung and delivers it to tissues thanks to its S-shaped curve.

Updated 2026-11-01

## Key facts

- Myoglobin: one chain and one haem; hyperbolic curve, P50 ≈ 2–3 mmHg (very high affinity).
- Haemoglobin: four chains (α₂β₂) and four haems; sigmoidal curve from cooperativity, P50 ≈ 26–27 mmHg, Hill coefficient ≈ 2.8.
- Right shift (lower affinity, more delivery): ↑ CO₂, ↑ H⁺ (↓ pH, Bohr effect), ↑ 2,3-BPG, ↑ temperature, exercise.
- Left shift (higher affinity, less delivery): HbF, CO, methaemoglobin, alkalosis, hypothermia, stored blood (low 2,3-BPG).
- Haldane effect: deoxygenated haemoglobin takes up more H⁺ and CO₂; in the lung, as it is oxygenated, it releases them.

## In detail

- With O₂ bound, the iron (Fe²⁺) moves into the haem plane and pulls the proximal histidine (F8); that movement passes to the other subunits and eases the next binding (T → R).
- In the lung (PO₂ ≈ 100 mmHg) haemoglobin is about 98 % saturated; in resting tissue (≈ 40 mmHg) it stays at ≈ 75 %, and in exercising muscle it falls much further.
- Myoglobin stays almost saturated at 40 mmHg: it gives up its O₂ only when muscle PO₂ falls very low, as a reserve.
- 2,3-BPG binds in the central cavity of deoxyhaemoglobin (between the β chains) and stabilises the T form; it rises at altitude, in anaemia and in chronic hypoxia.
- HbF (α₂γ₂) binds 2,3-BPG poorly, so it has higher affinity than HbA and takes O₂ from maternal blood.
- CO binds haem about 200–250 times more strongly than O₂ and also shifts the curve to the left: O₂ loading and delivery both fall.
- O₂ content ≈ 1.34 × Hb (g/dL) × SaO₂ + 0.003 × PaO₂: nearly all of it travels bound to haemoglobin.

## Memory aid

Right shift: “CADET, face right” (CO₂, Acid, 2,3-DPG, Exercise, Temperature).

**Also called**
Oxyhaemoglobin dissociation curve, Bohr effect, P50

## Clinical notes

- In CO poisoning the pulse oximeter reads normal because it cannot tell carboxyhaemoglobin from oxyhaemoglobin; co-oximetry is needed.
- At altitude (for example Bogotá, at about 2,600 m) 2,3-BPG and haemoglobin rise as an adaptation to the lower PO₂.
- Blood stored for a long time has little 2,3-BPG and delivers O₂ poorly during the first hours after transfusion.

## Related conditions

- [Carbon monoxide poisoning](https://durgical.com/en/conditions/carbon-monoxide-poisoning/)
- [Methemoglobinemia](https://durgical.com/en/conditions/methemoglobinemia/)
- [Sickle cell disease](https://durgical.com/en/conditions/sickle-cell-disease/)
- [Thalassemias (α and β)](https://durgical.com/en/conditions/thalassemias/)

## Related

- [Hemoglobin and 2,3-BPG](https://durgical.com/en/biochemistry/enzymes/hemoglobin-and-2-3-bpg/)
- [Myoglobin](https://durgical.com/en/biochemistry/enzymes/myoglobin/)
- [Hemoglobin variants (HbA, HbA2, HbF, HbS, HbC)](https://durgical.com/en/biochemistry/topics/hemoglobin-variants/)
- [Heme](https://durgical.com/en/biochemistry/molecules/heme/)
- [Allosteric and covalent regulation of enzymes](https://durgical.com/en/biochemistry/topics/allosteric-and-covalent-regulation-of-enzymes/)
- [Histidine](https://durgical.com/en/biochemistry/molecules/histidine/)

## Test yourself

Think of the answer, then tap the question to see it.

## Why is the haemoglobin curve sigmoidal and the myoglobin curve hyperbolic?

Haemoglobin has four sites that cooperate (binding one eases the others); myoglobin has a single site.

## Which changes shift the haemoglobin curve to the right?

More CO₂, more H⁺ (acidosis), more 2,3-BPG and higher temperature: affinity falls and O₂ delivery to tissue rises.

## Why does HbF have higher O₂ affinity than HbA?

Its γ chains bind 2,3-BPG poorly, and 2,3-BPG normally stabilises the low-affinity form.

## What is the Haldane effect?

Deoxygenated haemoglobin carries more CO₂ and H⁺; when it is oxygenated in the lung it releases them, which helps clear CO₂.

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Educational information, not medical advice. For any symptom, see a health professional.

Sources: [PDB-101: Molecule of the Month: Hemoglobin](https://pdb101.rcsb.org/motm/41) (RCSB Protein Data Bank (PDB-101), 2026); [PDB-101: Molecule of the Month: Myoglobin](https://pdb101.rcsb.org/motm/1) (RCSB Protein Data Bank (PDB-101), 2026); [Blood gases: MedlinePlus Medical Encyclopedia](https://medlineplus.gov/ency/article/003855.htm) (MedlinePlus, US National Library of Medicine, 2026); [HBB gene: MedlinePlus Genetics](https://medlineplus.gov/genetics/gene/hbb/) (MedlinePlus, US National Library of Medicine, 2026); Textbook of Biochemistry for Medical Students, 6th ed. (Jaypee Brothers Medical Publishers (Vasudevan DM, Sreekumari S, Vaidyanathan K), 2011).

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