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Fig 1 shows oxygen molecules binding to haemoglobin.
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The main factor driving O2 to bind to Hb is its partial pressure but the relationship between PO2 and Hb-O2 binding is not proportional.
Initial binding of O2 is difficult, but as the first O2 molecule binds it changes the shape of the Hb molecule slightly, making other binding sites more accessible.
Subsequent binding of the second and third O2 molecules is therefore easier (cooperativity), but once these sites are occupied, full saturation with the fourth molecule becomes more difficult as only one free binding site remains.
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