Hemoglobin, nitric oxide and molecular mechanisms of hypoxic vasodilation
Open accessAbstract
The protected transport of nitric oxide (NO) by hemoglobin (Hb) links the metabolic activity of working tissue to the regulation of its local blood supply through hypoxic vasodilation. This physiologic mechanism is allosterically coupled to the O(2) saturation of Hb and involves the covalent binding of NO to a cysteine residue in the beta-chain of Hb (Cys beta93) to form S-nitrosohemoglobin (SNO-Hb). Subsequent S-transnitrosation, the transfer of NO groups to thiols on the RBC membrane and then in the plasma, preserves NO vasodilator activity for delivery to the vascular endothelium. This SNO-Hb paradigm provides insight into the respiratory cycle and a new therapeutic focus for diseases involving abnormal microcirculatory perfusion. In addition, the formation of S-nitrosothiols in other proteins may regulate an array of physiological functions.
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Evidence for nitrite reactions with erythrocytic hemoglobin and stimulation of hypoxic blood flow remains more limited and is the subject of much debate.
“The evidence for nitrite reactions with erythrocytic hemoglobin and stimulation of hypoxic blood flow remains more limited and is the subject of much debate [16, 61].”
From Current perspectives and challenges in understanding the role of nitrite as an integral player in nitric oxide biology and therapy (2011) · cites this paper as [61]
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Anemia contributes to cardiovascular disease through reductions in nitric oxide
Andreotti, F., Coluzzi, G., Pafundi, T., Rio, T., Navarese, E. P., Crea, F., Pistolesi, M., Maseri, A., & Hennekens, C. H. (2016) · Journal of Applied Physiology · doi:10.1152/japplphysiol.00995.2015 · Cited by 7 · see citing works
S‐Nitrosohemoglobin Levels and Patient Outcome After Transfusion During Pediatric Bypass Surgery
Matto, F., Kouretas, P. C., Smith, R., Ostrowsky, J., Cina, A. J., Hess, D. T., Stamler, J. S., & Reynolds, J. D. H. (2017) · Clinical and Translational Science · doi:10.1111/cts.12530 · Cited by 7 · see citing works
Endocrine Nitric Oxide Bioactivity and Hypoxic Vasodilation by Inhaled Nitric Oxide
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Red Blood Cell Storage in Transfusion-Related Acute Gut Injury
Gamma, E. F. L., Feldman, A., Mintzer, J. P., Lakshminrusimha, S., & Alpan, G. (2015) · NeoReviews · doi:10.1542/neo.16-7-e420 · Cited by 6 · see citing works
RRx-001 Increases Erythrocyte Preferential Adhesion to the Tumor Vasculature
Jani, V. P., Asaro, R. J., Oronsky, B. T., & Cabrales, P. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms22094713 · Cited by 6 · see citing works
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Peñuela, O., Palomino, F., & Gómez, L. A. (2015) · Revista Brasileira de Hematologia e Hemoterapia · doi:10.1016/j.bjhh.2015.10.003 · Cited by 6 · see citing works
Nitric Oxide Signaling in Health and Disease
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Cardioprotective role of S-nitrosylated hemoglobin from rbc
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- Authors
- Allen, B. W., Stamler, J. S., & Piantadosi, C. A.
- Affiliations
- Duke University (US)
- Corresponding author
- Allen, Barry W.
- ORCID
- Stamler, Jonathan S.
- Venue
- Trends in Molecular Medicine
- Publisher
- Elsevier BV
- Published
- 2009-10
- Volume
- 15
- Issue
- 10
- Pages
- 452-460
- ISSN
- 1471-4914 (ISSN-L)
- PMC
- PMC2785508
- OpenAlex
- W2033703576
- Cited by
- 165
- References
- 100
- Citations by year
- 2026: 2 · 2025: 10 · 2024: 7 · 2023: 7 · 2022: 11 · 2021: 12 · 2020: 8 · 2019: 4 · 2018: 5 · 2017: 5 · 2016: 10 · 2015: 8 · 2014: 12 · 2013: 9 · 2012: 23
- FWCI
- 1.38
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Trends in Molecular Medicine (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Heart, Lung, and Blood Institute (R01HL091876)
- Office of Naval Research
- National Institute of Allergy and Infectious Diseases (R01AI064789)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Hemoglobin structure and function
- Health Sciences › Medicine › Physiology › Nitric Oxide and Endothelin Effects
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Heme Oxygenase-1 and Carbon Monoxide
- Keywords
- nitric oxide, hemoglobin, hypoxic vasodilation, S-nitrosohemoglobin, S-nitrosothiols, oxygen saturation, erythrocyte membrane, microvascular blood flow, respiratory cycle, endothelium
- MeSH terms
- Animals, Endothelium, Vascular, Hemoglobins, Humans, Nitric Oxide, Oxygen, Vasodilation, Nitrosation, Cell Hypoxia, S-Nitrosothiols
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