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Originally published In Press as doi:10.1074/jbc.M402578200 on April 14, 2004
J. Biol. Chem., Vol. 279, Issue 26, 27518-27524, June 25, 2004
A Recombinant Human Hemoglobin with Anti-sickling Properties Greater than Fetal Hemoglobin*
Dana N. Levasseur ¶,
Thomas M. Ryan ,
Michael P. Reilly|| **,
Steven L. McCune  ,
Toshio Asakura||, and
Tim M. Townes 
From the
Department of Biochemistry and Molecular Genetics, Schools of Medicine and Dentistry, University of Alabama at Birmingham, Birmingham, Alabama 35294 and the ||Department of Pediatrics and Department of Biochemistry and Biophysics, The Children's Hospital of Philadelphia, University of Pennsylvania, Philadelphia, Pennsylvania 19104
A new recombinant, human anti-sickling -globin polypeptide designated AS3 ( Gly16 Asp/ Glu22 Ala/ Thr87 Gln) was designed to increase affinity for -globin. The amino acid substitutions at 22 and 87 are located at axial and lateral contacts of the sickle hemoglobin (HbS) polymers and strongly inhibit deoxy-HbS polymerization. The 16 substitution confers the recombinant -globin subunit ( AS3) with a competitive advantage over S for interaction with the -globin polypeptide. Transgenic mouse lines that synthesize high levels of HbAS3 ( 2 AS32) were established, and recombinant HbAS3 was purified from hemolysates and then characterized. HbAS3 binds oxygen cooperatively and has an oxygen affinity that is comparable with fetal hemoglobin. Delay time experiments demonstrate that HbAS3 is a potent inhibitor of HbS polymerization. Subunit competition studies confirm that AS3 has a distinct advantage over S for dimerization with -globin. When equal amounts of S- and AS3-globin monomers compete for limiting -globin chains up to 82% of the tetramers formed is HbAS3. Knock-out transgenic mice that express exclusively human HbAS3 were produced. When these mice were bred with knock-out transgenic sickle mice the AS3 polypeptides corrected all hematological parameters and organ pathology associated with the disease. Expression of AS3-globin should effectively lower the concentration of HbS in erythrocytes of patients with sickle cell disease, especially in the 30% percent of these individuals who coinherit -thalassemia. Therefore, constructs expressing the AS3-globin gene may be suitable for future clinical trials for sickle cell disease.
Received for publication, March 8, 2004
, and in revised form, April 8, 2004.
* This work was supported in part by National Institutes of Health Grants HL 57619, HL 43508, HL 35559, and HL 38632 and by a grant from the Mizuno Fund. The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
These authors contributed equally to this work.
¶ Supported by National Institutes of Health Predoctoral Fellowship Training Grant 5 T32 CA09467.
** Current address: Thomas Jefferson University, Philadelphia, PA 19104.
 Current address: Northwest Georgia Oncology Centers, P.C., 55 Whitcher St., Ste. 300, Marietta, GA 30060.
 To whom correspondence should be addressed: University of Alabama at Birmingham, Dept. of Biochemistry and Molecular Genetics, 502 Kaul Genetics Bldg., 720 20th St. South, Birmingham, AL 35294. Tel.: 205-934-5294; Fax: 205-934-2889; E-mail: ttownes{at}uab.edu.

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Copyright © 2004 by the American Society for Biochemistry and Molecular Biology.
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