Our overall goal is to elucidate biochemical and biophysical aspects of nitric oxide (NO) in sickle cell blood. The use of NO, which is produced naturally, is being considered as a treatment for sickle cell disease. It may benefit patients in its ability to act as a vasodllator, to decrease red blood cell sickling, decrease sickle cell adherence, and to improve oxygen transport. However, the potential of NO to benefit or harm patients cannot be properly assessed without a thorough understanding of its effects in blood, primarily through its interaction with hemoglobin. Much of nitric oxide biology in sickle cell blood, and even in normal blood, is not understood and previous studies on this subject have sometimes reported contradictory results. We will focus on the effects of NO in whole blood or, at least, under conditions that mimic those in vivo as much as possible. We will compare our results from sickle blood to those from studies we conduct on normal blood, on preparations of isolated normal and sickle red blood cells, and on purified hemoglobins prepared under various conditions. We will use a variety of spectroscopic and other biophysical tools, some of which will be developed as part of this project. These include microscopy, ektacytometry, ultracentrifugation, stopped and quench-flow mixing, laser photolysis and diffraction, chemiluminescence, electron spin resonance, nuclear magnetic resonance, and absorption spectroscopy using an integrating sphere detector. We will use these tools to assess nitric oxide's effects on both the kinetics and equilibrium state of red blood cell sickling. We will also study how NO affects the mechanism and kinetics of red blood cell unsickling due to sickle cell polymer melting. We will study the effects of NO on the oxygen affinity of sickle and normal hemoglobin in whole blood and examine the effects of NO on the kinetics of oxygen binding and dissociation. In addition, we will examine how NO effects membrane damage in sickle red blood cells and study the resulting consequences as they relate to red blood cell deformability. Finally, we will study the primary reactions of NO with deoxy and oxy HbS using static and time resolved spectroscopies under physiological conditions. Our studies will help us understand important issues related to NO's role in sickle cell disease and in the general population.

Agency
National Institute of Health (NIH)
Institute
National Heart, Lung, and Blood Institute (NHLBI)
Type
Research Project (R01)
Project #
5R01HL058091-10
Application #
7060462
Study Section
Molecular and Cellular Biophysics Study Section (BBCA)
Program Officer
Evans, Gregory
Project Start
1998-02-01
Project End
2007-04-30
Budget Start
2006-05-01
Budget End
2007-04-30
Support Year
10
Fiscal Year
2006
Total Cost
$306,206
Indirect Cost
Name
Wake Forest University Health Sciences
Department
Physics
Type
Schools of Arts and Sciences
DUNS #
041418799
City
Winston-Salem
State
NC
Country
United States
Zip Code
27106
Helms, Christine C; Gladwin, Mark T; Kim-Shapiro, Daniel B (2018) Erythrocytes and Vascular Function: Oxygen and Nitric Oxide. Front Physiol 9:125
Wajih, Nadeem; Basu, Swati; Ucer, Kamil B et al. (2018) Erythrocytic bioactivation of nitrite and its potentiation by far-red light. Redox Biol 20:442-450
Kim-Shapiro, Daniel B; Gladwin, Mark T (2018) Nitric oxide pathology and therapeutics in sickle cell disease. Clin Hemorheol Microcirc 68:223-237
Lee, Janet S; Kim-Shapiro, Daniel B (2017) Stored blood: how old is too old? J Clin Invest 127:100-102
Raval, Jay S; Mazepa, Marshall A; Kim-Shapiro, Daniel B et al. (2017) Rainbow of hemolysis associated with acquired thrombotic thrombocytopenic purpura. J Clin Apher 32:274-275
Shaltout, Hossam A; Eggebeen, Joel; Marsh, Anthony P et al. (2017) Effects of supervised exercise and dietary nitrate in older adults with controlled hypertension and/or heart failure with preserved ejection fraction. Nitric Oxide 69:78-90
Helms, Christine C; Kapadia, Shannon; Gilmore, Anne C et al. (2017) Exposure of fibrinogen and thrombin to nitric oxide donor ProliNONOate affects fibrin clot properties. Blood Coagul Fibrinolysis 28:356-364
Wajih, Nadeem; Basu, Swati; Jailwala, Anuj et al. (2017) Potential therapeutic action of nitrite in sickle cell disease. Redox Biol 12:1026-1039
Petrie, Meredith; Rejeski, W Jack; Basu, Swati et al. (2017) Beet Root Juice: An Ergogenic Aid for Exercise and the Aging Brain. J Gerontol A Biol Sci Med Sci 72:1284-1289
Wajih, Nadeem; Liu, Xiaohua; Shetty, Pragna et al. (2016) The role of red blood cell S-nitrosation in nitrite bioactivation and its modulation by leucine and glucose. Redox Biol 8:415-21

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