Carbon monoxyhemoglobin (HbCO)
CO binds tightly (but reversibly) to the heme Fe, forming carbon monoxyhemoglobin
When CO binds to one or more of the four heme sites, Hb shifts to the R conformation, causing the remaining heme sites to bind O2 with high affinity
The saturation curve turns from sigmoidal to hyperbolic
60% Hb-CO from total Hb – is fatal!