Publisher Summary The chapter describes the understanding of the physics and physical chemistry of sickle cell hemoglobin polymerization in solutions and in red cells. The polymerization of sickle cell hemoglobin has probably become the best understood of all protein self-assembly systems. The structure of the hemoglobin S molecule, the structure of the various aggregated forms of hemoglobin S, and the structural analysis of the polymers are discussed in the chapter. The chapter discusses the thermodynamics of hemoglobin S polymerization, and includes a description of the nonideal behavior of concentrated hemoglobin S solutions and the effects of physiologically relevant variables, especially oxygen, and the presence of non-S hemoglobins on the polymerization process. Understanding the polymerization process is not only important for understanding the pathophysiology of sickle cell disease, but is critical to the major problem of developing a specific therapy that could be used in the treatment of patients. The kinetic and thermodynamic studies have played a major role by providing relevant and sensitive assays for potential therapeutic agents. The results of the thermodynamic and kinetic studies of solutions are used to explain various properties of cells, including morphological and rheological properties.

Sickle cell hemoglobin polymerization.

Hemoglobin S gelation and sickle cell disease.

Kinetic studies on photolysis-induced gelation of sickle cell hemoglobin suggest a new mechanism

THE term "molecular disease" was coined almost 30 years ago by Linus Pauling and his associates to describe their analysis of the abnormality in sickle-cell anemia.1 Since that time tremendous prog...

Sickle-cell anemia: molecular and cellular bases of therapeutic approaches (first of three parts).

The intracellular polymerization of sickle hemoglobin and its relevance to sickle cell disease

Solubilities of deoxygenated sickle cell hemoglobin (deoxy-Hb S), at varying pH and temperature over a range of concentrations encompassing those found in erythrocytes, were measured. The technique involved ultracentrifugation, which gave values of the supernatant concentration and the mass of the sedimented material. The data establish that the solubility of doexy-Hb S is the saturation concentration and is independent of initial concentration. The mass of the pellet phase increases linearly with initial concentration. Moreover, the saturation concentration represents the critical concentration above which monomers are in equilibrium with polymers. These polymers are the putative cause of erythrocytes deformation associated with sickle cell anemia. The solubility-pH profiles of deoxy-Hb S at various temperatures, unlike those of other proteins, show no minima at the isoelectric pH but instead show a marked decrease in solubility below pH 7.0, indicating the predominance of polymerization over the expected increase in solubility. Deoxy-Hb S, within specified ranges of temperature and pH, possesses a negative temperature coefficient of solubility, a property characteristic of hydrophobic interactions. The saturation concentration is, however, temperature independent at conditions close to physiological. The enthalpy of polymerization (3.5 kcal/mol) is temperature independent from 6 degrees to 22 degrees for all pH values between 6.45 and 7.40. In the range of 22 degrees to 38 degrees, this parameter becomes less endothermic, having a value of 2.5 kcal/mol at pH 6.45 and a value of zero at pH 7.20. Such behavior of the system suggests a phase transition near 22 degreas. Within the range of conditions examined the polymerization is entropically driven.

William N. Poillon

Papers

Thermodynamic studies of polymerization of deoxygenated sickle cell hemoglobin