2,3-Bisphosphoglyceric Acid - Diseases Related To 2,3-BPG

Diseases Related To 2,3-BPG

  • Hyperthyroidism

A 2004 study checked the effects of thyroid hormone on 2,3-BPG levels. The result was that the hyperthyroidism modulates in vivo 2,3-BPG content in erythrocytes by changes in the expression of phosphoglycerate mutase (PGM) and 2,3-BPG synthase. This result shows that the increase in the 2,3-BPG content of erythrocytes observed in hyperthyroidism doesn’t depend on any variation in the rate of circulating hemoglobin, but seems to be a direct consequence of the stimulating effect of thyroid hormones on erythrocyte glycolytic activity.

  • Iron deficiency anaemia

This illness is characterized by a lack of iron, and as 2,3-BPG needs this chemical element to be synthesized, BPG concentration decreases and hemoglobin binds tightly to oxygen. As a result, oxygen release to tissue is reduced.

  • Chronic respiratory disease with hypoxia

Recently, scientists have found similarities between low amounts of 2,3-BPG with the occurrence of high altitude pulmonary edema at high altitudes.

CONCENTRATION OF 2.3-BPG ERYTHROCYTE FOUND IN DIFFERENT CLINICAL SITUATIONS STUDIED
n Hb (g/dl) 2,3-BPG (mM)
1 Normality 120 14.2 ± 1.6 4.54 ± 0.57
2 Hyperthyroidism 35 13.7 ± 1.4 5.66 ± 0.69
3 Iron deficiency anaemia 40 10.0 ± 1.7 5.79 ± 1.02
4 Chronic respiratory disease with hypoxia 47 16.4 ± 2.2 5.29 ± 1.13

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