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​Hemoglobin A₁c (HbA₁c) from diabetic mellitus individuals has a glucose molecule attached to which one of the terminal amino acid residues of globin
Question

Hemoglobin A₁c (HbA₁c) from diabetic mellitus individuals has a glucose molecule attached to which one of the terminal amino acid residues of globin chain?

A.

Lysine of each α chain

B.

Lysine of each β chain

C.

Valine of each α chain

D.

Valine of each β chain

Correct option is D

Explanation-

Hemoglobin (HbA) has 2 α-chains and 2 β-chains. In diabetes, excess glucose in blood reacts non-enzymatically with the N-terminal valine of the β-chain. This forms a Schiff base initially, which later undergoes rearrangement into a stable ketoamine structure , this process is called glycation. Hemoglobin A1c (HbA1c) is a modified form of normal adult hemoglobin (HbA). It is used clinically to measure long-term blood sugar (glucose) levels. HbA1c is formed when glucose molecules in the blood attach to hemoglobin, the oxygen-carrying protein in red blood cells.

Step-by-Step Mechanism of HbA1c Formation:
1. Glucose in blood (open-chain form) reacts with the free amino group (–NH2) at the N-terminal valine of the β-globin chain.
2. This forms a Schiff base (aldimine):
        Val–NH2 + Glucose (CHO group)  → Val–N=CH–Glucose 
3. The Schiff base undergoes Amadori rearrangement to form a stable ketoamine structure → This stable molecule is  called  HbA1c.

So, the correct answer is option D - Valine of each β chain

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