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Case Study
patient with type 1 diabetes present to the ER with blood ph of 7.1, which is a sign of metabolic acidosis
Recall Bohr effect in which a decrease of pH reduces hemoglobin’s affinity for O2
Examination reveals the histidine residue becoming protonated and forming a salt bridge, resulting in the release, instead of affinity for O2
How can a minor change in a AA sequence change the function of an entire protein

Are all molecules zwitterions at psychological pH
Why does the
Titration of histidine
how many function groups can be protonated and deprotonated
Therefore how many buffering regions and exists at what pH?
three functional groups
Three buffering regions around the three pKas
The Bohr effect
what happens to histidine at physiological pH
What happens
What does his forms what with what amino acid functional group
What is histine’s new function?
physiological pH, histidine side chains are mostly deprotonated
Therefore, under acidic conditions, there is an increase in H+ concentration which protonated His 146
His will forms a salt bridge with Asp 94, changing the non-covalent interactions in the protein to stabilize the molecule and therefore release O2
