Sickle cell hemoglobin polymerization.

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.