Evidence map›Paper›PMID 30905171›Full record

ArticleCirculation2019

Hemoglobin β93 Cysteine Is Not Required for Export of Nitric Oxide Bioactivity From the Red Blood Cell.

Chiao-Wang Sun, Jiangning Yang, Andrei L Kleschyov, Zhengbing Zhuge, Mattias Carlström, John Pernow, Nadeem Wajih, T Scott Isbell, Joo-Yeun Oh, Pedro Cabrales and 5 more

Open access · bronzeAbstract read
In one paragraph

Article in Circulation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
4.2field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 48 citations in OpenAlex.

  1. Hemoglobin levels and myocardial blood flow in patients undergoing positron emission tomography.European journal of nuclear medicine and molecular imaging · 2026
    Article
  2. Review
  3. Review
  4. Nitric Oxide Signaling and Sensing in Age-Related Diseases.Antioxidants (Basel, Switzerland) · 2024
    Review
  5. Article
  6. Review
  7. Hemoglobin and cerebral hypoxic vasodilation in humans: Evidence for nitric oxide-dependent andJournal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2023
    Article
  8. Article
  9. Review
  10. Review
  11. Review
  12. Article
  13. Erythrocyte oxidative stress and thrombosis.Expert reviews in molecular medicine · 2022
    Review
  14. Article
  15. Article
  16. Review
  17. Optimized S-nitrosohemoglobin Synthesis in Red Blood Cells to Preserve Hypoxic Vasodilation ViaThe Journal of pharmacology and experimental therapeutics · 2022
    Article
  18. Review
  19. Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 2 institutions in 2 countries.

Chiao-Wang SunDepartment of Biochemistry (C.W.S., T.T.), University of Alabama at Birmingham.
Jiangning YangDepartment of Medicine, Division of Cardiology, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden (J.Y., J.P.).
Andrei L KleschyovDepartment of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden (A.L.K., Z.Z., M.C., J.O.L.).
Zhengbing ZhugeDepartment of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden (A.L.K., Z.Z., M.C., J.O.L.).
Mattias CarlströmDepartment of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden (A.L.K., Z.Z., M.C., J.O.L.).
John PernowDepartment of Medicine, Division of Cardiology, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden (J.Y., J.P.).
Nadeem WajihDepartment of Physics, Wake Forest University, Winston-Salem, NC (N.W., D.B.K.-S.).
T Scott IsbellDepartment of Pathology, Saint Louis University, MO (T.S.I.).
Joo-Yeun OhDepartment of Pathology (J.-Y.O., R.P.P.), University of Alabama at Birmingham.
Pedro CabralesDepartment of Bioengineering, University of California San Diego (P.C., A.G.T.).
Amy G TsaiDepartment of Bioengineering, University of California San Diego (P.C., A.G.T.).
Tim TownesDepartment of Biochemistry (C.W.S., T.T.), University of Alabama at Birmingham.
Daniel B Kim-ShapiroDepartment of Physics, Wake Forest University, Winston-Salem, NC (N.W., D.B.K.-S.).
Rakesh P PatelDepartment of Pathology (J.-Y.O., R.P.P.), University of Alabama at Birmingham.
Jon O LundbergDepartment of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden (A.L.K., Z.Z., M.C., J.O.L.).
Karolinska Institutet · SEUniversity of Alabama at Birmingham · US

Funding

Storage Lesion in Banked Blood Due to Disruption of Nitric Oxide HomeostasisR01HL098032 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Mark T Gladwin · 2009 to 2026
$12.5M
Effects of Nitric Oxide in Sickle Cell BloodR37HL058091 · NHLBI · WAKE FOREST UNIVERSITY · PI KIM-SHAPIRO, DANIEL B · 2007 to 2016
$3.5M
PEGylated megahemoglobin for use as a red blood cell substituteR01HL138116 · NHLBI · OHIO STATE UNIVERSITY · PI CABRALES, PEDRO, KAUMAYA, PRAVIN T. P. · 2017 to 2020
$2.9M
Attenuating the Oxidative and Myocardial Side-Effects of Acellular HemoglobinR01HL126945 · NHLBI · OHIO STATE UNIVERSITY · PI CABRALES, PEDRO, PALMER, ANDRE FRANCIS · 2016 to 2019
$1.7M
Effects of Nitric Oxide in Sickle Cell BloodR01HL058091 · NHLBI · WAKE FOREST UNIVERSITY · PI KIM-SHAPIRO, DANIEL B · 2002 to 2006
$1.6M
Role of hemoglobin b93cys residue in nitric oxide bioactivityR01HL092624 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI PATEL, RAKESH P. · 2010 to 2013
$1.5M
MECHANISM AND KINETICS OF SICKLE CELL HEMOGLOBINR29HL058091 · NHLBI · WAKE FOREST UNIVERSITY · PI KIM-SHAPIRO, DANIEL B · 1998 to 2002
$260k
NHLBI NIH HHS R01 HL058091NHLBI NIH HHS R01 HL092624NHLBI NIH HHS R01 HL098032NHLBI NIH HHS R01 HL126945NHLBI NIH HHS R01 HL138116NHLBI NIH HHS R29 HL058091NHLBI NIH HHS R37 HL058091
6 · The paper itself

Abstract

backgroundNitrosation of a conserved cysteine residue at position 93 in the hemoglobin β chain (β93C) to form S-nitroso (SNO) hemoglobin (Hb) is claimed to be essential for export of nitric oxide (NO) bioactivity by the red blood cell (RBC) to mediate hypoxic vasodilation and cardioprotection.

methodsTo test this hypothesis, we used RBCs from mice in which the β93 cysteine had been replaced with alanine (β93A) in a number of ex vivo and in vivo models suitable for studying export of NO bioactivity.

resultsIn an ex vivo model of cardiac ischemia/reperfusion injury, perfusion of a mouse heart with control RBCs (β93C) pretreated with an arginase inhibitor to facilitate export of RBC NO bioactivity improved cardiac recovery after ischemia/reperfusion injury, and the response was similar with β93A RBCs. Next, when human platelets were coincubated with RBCs and then deoxygenated in the presence of nitrite, export of NO bioactivity was detected as inhibition of ADP-induced platelet activation. This effect was the same in β93C and β93A RBCs. Moreover, vascular reactivity was tested in rodent aortas in the presence of RBCs pretreated with S-nitrosocysteine or with hemolysates or purified Hb treated with authentic NO to form nitrosyl(FeII)-Hb, the proposed precursor of SNO-Hb. SNO-RBCs or NO-treated Hb induced vasorelaxation, with no differences between β93C and β93A RBCs. Finally, hypoxic microvascular vasodilation was studied in vivo with a murine dorsal skin-fold window model. Exposure to acute systemic hypoxia caused vasodilatation, and the response was similar in β93C and β93A mice.

conclusionsRBCs clearly have the fascinating ability to export NO bioactivity, but this occurs independently of SNO formation at the β93 cysteine of Hb.

Indexed as

AlanineAmino Acid SubstitutionAnimalsbeta-GlobinsBiological TransportBlood PlateletsCysteineDisease Models, AnimalErythrocytesHemoglobinsHumansHypoxiaIsolated Heart PreparationMaleMice, Inbred C57BLMice, TransgenicAlaninebeta-GlobinsCysteineHemoglobinsNitric OxideS-nitrosohemoglobinhemoglobinsnitric oxidenitritenitrosationS-nitrosothiols

Identifiers

PMID30905171
PMCPMC6546526
OpenAlexW2923306122

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.