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Copyright © 2002, The National Academy of Sciences Chemistry Liquid–liquid separation in solutions of normal and sickle cell hemoglobin *Department of Chemical Engineering, University of Houston, Houston, TX 77204; †Center for Microgravity and Materials Research, University of Alabama, Huntsville, AL 35899; and Departments of ‡Medicine (Division of Hematology), §Physiology and Biophysics, and ¶Anatomy and Structural Biology, Albert Einstein College of Medicine and Montefiore Hospital, Comprehensive Sickle Cell Center, Bronx, NY 10461 ‖To whom reprint requests should be addressed. E-mail: vekilov/at/uh.edu. Edited by John M. Prausnitz, University of California, Berkeley, CA, and approved April 1, 2002 Received January 30, 2002. This article has been cited by other articles in PMC.Abstract We show that in solutions of human hemoglobin (Hb)—oxy- and deoxy-Hb A or S—of near-physiological pH, ionic strength, and Hb concentration, liquid–liquid phase separation occurs reversibly and reproducibly at temperatures between 35 and 40°C. In solutions of deoxy-HbS, we demonstrate that the dense liquid droplets facilitate the nucleation of HbS polymers, whose formation is the primary pathogenic event for sickle cell anemia. In view of recent results that shifts of the liquid–liquid separation phase boundary can be achieved by nontoxic additives at molar concentrations up to 30 times lower than the protein concentrations, these findings open new avenues for the inhibition of the HbS polymerization. The primary pathogenic event in sickle cell anemia (1) is the polymerization of the mutated hemoglobin (Hb) S into linear fibers (2), mostly in the postcapillary venules (3–5), forming spherulitic domains, sheaves of parallel polymers (6–8), and other secondary structures, which stretch the erythrocytes and increase the intracellular viscosity leading to vasoclussion (9). In the absence of a curative treatment (2, 10), the main impetus for research has been on slowing and preventing the polymerization of deoxy-HbS (11). Recent experiments (12), simulations (13), and theory (14) suggest that the kinetics of formation of protein solid phases can be controlled by shifting the phase boundary for liquid–liquid (L–L) separation, occurring with some proteins (15–17). In this article, we discuss the tests of the first prerequisite for the action of this control mechanism—the existence of a dense liquid phase in the solutions of normal and sickle cell Hb at near-physiological conditions. Methods Procedures for Direct Monitoring of L–L Separation and Nucleation of Polymers. Samples of Hb solutions (A or S) with concentration in the range 9.6–35 g/dl, in oxygenated or deoxygenated state, in 0.15 M potassium phosphate buffer at pH 7.35, with 0.1–1% (wt/vol) polyethylene glycol (PEG) of molecular mass 8,000 g/mol (PEG 8000) were held between two microscope slides. The solution layer thickness, determined by focusing on imperfections on the bottom and top inside glass surfaces, was 10–40 μm and the sample volume was a few microliters. The slides were sealed with Maunt-Quick (Daido Sangyo, Japan) sealant, and mounted on a custom-made temperature control stage. The latter consists of an aluminum block attached to thermoelectric (Peltier, Sterling, MA) coolers and has an opening that allows the approach of the microscope condenser from the slide bottom for differential interference contrast (DIC) imaging. The controller ensures temperature stability and control within ±0.05°C between −5 and 70°C. For the detection of the HbS polymers, polymer bundle domains, and gels, we used a DIC-equipped microscope (Leitz Orthoplan, magnification ×1,000) as in refs. 6, 7, and 18. To avoid heat loss through the microscope lens or the condenser, they were both inserted in brass coolers through which we flowed water coming from a temperature-controlled circulator. Polymerization or L–L phase separation was induced by the fast (within 10 s) temperature jump as in refs. 19–21. Preparation and Deoxygenation of Hb. Blood from homozygous sickle cell patients or from donors with normal Hb was drawn following National Institutes of Health-established regulations at the Bronx Sickle Cell Center at Albert Einstein College of Medicine, Bronx, NY, and shipped overnight on ice to Huntsville, AL. Upon arrival, it was washed 3 times with a 0.9-wt % saline solution and centrifuged at 3,000 rpm to remove the plasma. The cells were lysed with water and the Hb was separated from the membranes by centrifugation at 5,000 rpm and filtered through a 0.45-μm filter. For purification, we used anion exchange FPLC system with an Amersham Pharmacia Biotech Hiload 26/10 Q Sepharose High Performance column. The mobile phase was 25 mM Tris HCl flowing at 6 ml/min; an ionic strength gradient was used. Gel electrophoresis with Amersham Pharmacia Biotech Phastgel native buffer strips and gradient 8–25 gels was applied to test the purity of the fractions of Hb solution coming from the FPLC column. The fractions deemed pure were mixed and concentrated. Then Hb was dialyzed to 0.15 M or higher potassium phosphate buffer in a dialysis cassette of 10,000 Mw cutoff and concentrated. Hb concentrations were determined with Drabkin's reagent (Sigma) and spectrophotometry at 540 nm. Deoxygenation was carried out in a plastic glove chamber with humidified He and sodium dithionate (Na2S2O4). Completeness of deoxygenation was confirmed spectrophotometrically. The solution was introduced in a sealed spectrophotometer cuvette. The spectrum of the Hb thus processed showed a single peak at ~555 nm, while the spectrum of the original Hb in the oxygenated form has 2 peaks of different intensities at about 575 and 541 nm.Results and Discussion In a first series of experiments, we studied solutions of oxy- and deoxy-Hbs A and S in 0.15 M phosphate buffer in the presence of 0.1–1% (wt/vol) PEG 8000. With all four Hb forms, immediately after the temperature was raised to a value around 41–42°C, motion in the solution was observed; for a complete list of all tested conditions, see Table 1. In a few seconds, droplets of a few tenths of a micrometer were visible that in a mater of seconds grew to sizes of about 1–5 μm; see Fig. Fig.11
The following sets of observations convinced us that (i) these are liquid droplets, (ii) containing native Hb in a concentration higher than the surrounding solution, and that (iii) this is a true, reversible phase transition, and (iv) with deoxy-HbS, the existence of liquid droplets facilitates the polymerization. The droplets partook in Brownian motion and gradually sedimented downward as they grew (gravity effect) or were carried over distances of a few tens of micrometers by solution convection driven by temperature gradients (Fig. (Fig.1).1 With time, the droplets of the high-density phase merge, and the low- and high- density phases occupy well separated areas (Fig. (Fig.2).2
When deoxy-HbS samples at concentrations above ~18 g/dl are cooled to ~30°C after L–L separation has occurred at T = 42°C, the smaller droplets disappear within several seconds indistinguishable from the droplets of the other Hb forms. The larger droplets, which have not disappeared, serve as initiators for the formation of deoxy-HbS polymers (see Fig. Fig.44
After cross-linking with glutaraldehyde, the observed fibers were characterized by ex situ atomic force microscopy (AFM) (for experimental details, see ref. 22). The AFM images in Fig. Fig.55
Cooling to temperatures around 5°C dissolves the deoxy-HbS polymers into a low-density solution. In contrast, heating to 35–40°C transforms them into droplets of the dense liquid, with each spherulite forming one droplet (Fig. (Fig.44 The observations illustrated in Fig. Fig.44 In solutions of same Hb concentration, the L–L separation with all four Hb forms tested occurred at similar temperatures. On the other hand, only deoxy-HbS generates polymers. As demonstrated by binary mixtures of HbS with Hb mutants (27), the deoxy-HbS fiber has as assembly unit, the Wishner–Love double strand (5, 28). This structure requires strong up and down and lateral contacts between tetramers and also between double strands. In contrast, we conclude that the L–L separation is not induced by the direct intertetramer contacts but rather by long-range attraction, whose nature has not yet been elucidated. While 2,3-bisphosphoglycerate (DPG) and other allosteric effectors of oxygen binding enhance the polymerization of deoxy-HbS (29), we found that the addition of DPG in molar ratios with respect to the Hb ranging from 1:10 to 10:1 does not induce L–L separation with any Hb form in the absence of PEG and does not change the temperature of L–L separation in the presence of PEG. We also tested higher (0.5 and 1.0 M) concentrations of the phosphate buffer at the same pH 7.35 with oxy- and deoxy-HbA and S—the solubility of the deoxy-HbS polymers is significantly reduced at such buffer concentrations (5). We found that the L–L separation occurs at temperatures lower by ~5–10°C and at Hb concentrations as low as 1 g/dl. Higher concentrations of inorganic ions have been shown to enhance the hydrophobic attraction between the protein molecules (30–32). If hydrophobic attraction is the main long-range force underlying the L–L separation (33), such attraction is a candidate mechanism underlying the observed buffer concentration effect. No L–L separation occurs with any of the Hb forms tested if the solutions do not contain PEG, even if the Hb concentration is raised to 45 g/dl. With deoxy-HbS at concentrations lower than ~30 g/dl and in the absence of PEG, the polymer domains, present at T >10°C, disappear at ~40°C after crossing of the upper branch of the solubility curve (5, 34) and homogeneous solution obtains. Higher temperatures were not tested because of the danger of protein denaturation. The lack of L–L separation in pure Hb solutions is attributable to the slight repulsion between the Hb molecules as evidenced by the dimensionless value of the second virial coefficient of 6–8 [higher than the 4, the value for noninteracting hard spheres (35, 36)]. In analogy to other studied proteins, we assume that PEG suppresses this repulsion and enhances the attraction between the protein molecules through a combination of depletion and specific forces, including enhancement of hydrophobicity (12, 37). The red cell cytosol contains a long list of compounds with a variety of polar functional groups and in concentrations of the order of 1% (wt/vol) (38). Although the effects of these compounds on the interactions and the phase transitions in Hb solutions have not been studied, it is possible that many of these compounds have significant effects on these transitions. Thus, one can argue that the use of 1% (wt/vol) PEG in the experiments discussed here, in a sense, simulates the intraerythrocytic environment. Parallel experiments with lower PEG concentrations showed that L–L separation occurs and proceeds very similarly to that above even in the presence of 0.1% PEG (see Table 1). Conclusions and Perspectives for Further Work The existence of a dense liquid phase in the solutions of normal and sickle cell Hb at near-physiological conditions suggests a strategy for the search of a means to suppress the polymerization of sickle cell Hb. A positive outcome of this search could serve as a basis for the development of a treatment for sickle cell anemia. A first task is to investigate the thermodynamics of the L–L phase separation. This task includes determinations of the L–L coexistence curves in the plane (temperature, Hb concentration) and evaluations of the thermodynamic potentials associated with this phase transition. A crucial next step is data and insight into the effects of additives on the phase diagram. Such insight would require investigations of the effects of the additives on the intermolecular interactions using, for instance, scattering and spectroscopic techniques, analytical centrifugation, etc. In contrast to protein crystallization, where virial expansions limited to the second-order terms in concentration seem to adequately characterize the interactions and nonideality, the high concentration of Hb demands the use of higher-order virial terms (35, 39). There exist at least two possible strategies for screening of the additives to be tested for their effects: start with the polyols, polyelectrolytes, and other polar organics used by protein crystallographers (40–42) or alternatively, test the compounds present in the red cell cytosol (38) that may be contributing to the physiological variability of the HbS polymerization in vivo (43). To test if the additives that shift the L–L coexistence line affect the rate of nucleation of the HbS polymers, determinations of the nucleation rate will have to be performed in the presence and absence of an additive. These tests will require the development of a new method to measure the homogeneous nucleation rates of deoxy-HbS polymers. The existing methods extract the nucleation rates from the delay time for the onset of turbidity in polymerizing samples and rely on assumptions needed to separate the nucleation from the growth and replication of the polymers fibers (44–47). Supporting Movies
Acknowledgments We thank J. Hofrichter and W. Eaton for discussions of aspects of this work, and B. R. Thomas, M. D. Serrano, A. R. Feeling-Taylor, L. Adhock-Downey, and S. Bohannon for help with purification of the Hb and solutions preparation. This work was supported by grants from the National Heart, Lung, and Blood Institute, the National Institutes of Health (RO1 HL58038), and by the Office of Physical and Biological Sciences, National Aeronautics and Space Administration (NAG8-1354 and NAG8-1790). Footnotes This paper was submitted directly (Track II) to the PNAS office. References 1. Steinberg M H, Forget B G, Higgs D R, Nagel R L. Disorders of Hemoglobin: Genetics, Pathology, Clinical Management. Cambridge, U.K.: Cambridge Univ. Press; 2000. 2. Cole-Strauss A, Yoon K, Xiang Y, Byrne B C, Rice M C, Crynn J, Holloman W K, Kmiec E B. Science. 1996;273:1386–1389. [PubMed] 3. Hahn E V, Gillespie E B. Arch Int Med. 1927;39:233–254. 4. Sunshine H R, Hofrichter J, Ferrone F A, Eaton W A. J Mol Biol. 1982;158:251–273. [PubMed] 5. Eaton W A, Hofrichter J. In: Advances in Protein Chemistry. Anfinsen C B, Edsal J T, Richards F M, Eisenberg D S, editors. Vol. 40. San Diego: Academic; 1990. pp. 63–279. 6. Samuel R E, Salmon E D, Briehl R W. Nature (London). 1990;345:833–835. [PubMed] 7. Briehl R W. J Mol Biol. 1995;245:710–723. [PubMed] 8. Corbett J D, Mickols W E, Maestre M F. J Biol Chem. 1995;270:2708–2715. [PubMed] 9. Kaul D, Fabry M, Nagel R. Proc Natl Acad Sci USA. 1989;86:3356–3360. [PubMed] 10. Weatherall D J. Curr Biol. 1998;8:R696–R698. [PubMed] 11. Ohnishi S T. In: Membrane Abnormalities in Sickle Cell Disease. Ohnishi S T, Ohnishi T, editors. Boca Raton, FL: CRC Press; 1994. 12. Galkin O, Vekilov P G. Proc Natl Acad Sci USA. 2000;97:6277–6281. [PubMed] 13. ten Wolde P R, Frenkel D. Science. 1997;277:1975–1978. [PubMed] 14. Talanquer V, Oxtoby D W. J Chem Phys. 1998;109:223–227. 15. Thomson J A, Schurtenberger P, Thurston G M, Benedek G B. Proc Natl Acad Sci USA. 1987;84:7079–7083. [PubMed] 16. Broide M L, Berland C R, Pande J, Ogun O O, Benedek G B. Proc Natl Acad Sci USA. 1991;88:5660–5664. [PubMed] 17. Asherie N, Lomakin A, Benedek G B. Phys Rev Lett. 1996;77:4832–4835. [PubMed] 18. Samuel R E, Guzman A E, Briehl R W. Blood. 1993;82:3474–3481. [PubMed] 19. Ferrone F A, Hofrichter H, Sunshine H R, Eaton W A. Biophys J. 1980;32:361–380. [PubMed] 20. Hofrichter H, Ross P D, Eaton W A. Proc Natl Acad Sci USA. 1974;71:4864–4868. [PubMed] 21. Ferrone F A, Hofrichter H, Eaton W A. J Mol Biol. 1985;183:591–610. [PubMed] 22. Yau S-T, Petsev D N, Thomas B R, Vekilov P G. J Mol Biol. 2000;303:667–678. [PubMed] 23. Bookchin R M, Balazs T, Wang Z, Josephs R, Lew V L. J Biol Chem. 1999;274:6689–6697. [PubMed] 24. Makinen M W, Sigountos C W. J Mol Biol. 1984;178:439–476. [PubMed] 25. ten Wolde P R, Oxtoby D W, Frenkel D. Phys Rev Lett. 1998;81:3695–3698. 26. Soga K G, Melrose J M, Ball R C. J Chem Phys. 1999;110:2280–2288. 27. Nagel R, Johnson J, Bookchin R, Garel M, Rosa J, Schiliro G, Wajcman H, Labie D, Moo-Penn W, Castro O. Nature (London). 1980;283:832–834. [PubMed] 28. Wishner B, Ward K, Lattman E, Love W. J Mol Biol. 1975;98:179–194. [PubMed] 29. Poillon W N, Robinson M D, Kim B C. J Biol Chem. 1985;260:13897–13900. [PubMed] 30. Tanford C. Physical Chemistry of Macromolecules. New York: Wiley; 1961. 31. Tanford C. The Hydrophobic Effect: Formation of Micelles and Biological Membranes. New York: Wiley; 1980. 32. Eisenberg D, Kauzmann W. The Structure and Properties of Water. Oxford: Oxford Univ. Press; 1969. 33. Israelachvili J, Pashley R. Nature (London). 1982;300:341–342. [PubMed] 34. Ross P D, Hofrichter J, Eaton W A. J Mol Biol. 1977;115:111–134. [PubMed] 35. Minton A P. J Mol Biol. 1975;95:289–307. [PubMed] 36. Hill T L. Thermodynamics of Small Systems. New York: Benjamin; 1963. 37. Kulkarni A M, Chatterjee A P, Schweitzer K S, Zukoski C F. Phys Rev Lett. 1999;83:4554–4557. 38. Pennell R B. In: The Red Blood Cell. Surgenor D M, editor. Vol. 1. New York: Academic; 1974. pp. 93–146. 39. Minton A P. J Mol Biol. 1977;110:89–103. [PubMed] 40. McPherson A. In: Methods in Enzymology. Wyckoff H W, Hirs C H W, Timasheff S N, editors. Vol. 114. Orlando, FL: Academic; 1985. pp. 120–125. 41. McPherson A. In: Crystallization of Membrane Proteins. Michel H, editor. Boca Raton, FL: CRC; 1990. pp. 1–51. 42. McPherson A. Crystallization of Biological Macromolecules. Plainview, NY: Cold Spring Harbor Lab. Press; 1999. 43. Koduri P R, Leon M, Honig G R, Lu S J. Am J Hematol. 1999;62:62. [PubMed] 44. Ferrone F A, Hofrichter H, Eaton W A. J Mol Biol. 1985;183:611–631. [PubMed] 45. Cao Z, Ferrone F A. Biophys J. 1997;72:343–352. [PubMed] 46. Cao Z, Liao D, Mirchev R, Martin de Llano J J, Himanen J P, Manning J M, Ferrone F A. J Mol Biol. 1997;265:580–589. [PubMed] 47. Ivanova M, Jasuja R, Kwong S, Briehl R W, Ferrone F A. Biophys J. 2000;79:1016–1022. [PubMed] |
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[Nature. 1990]J Biol Chem. 1995 Feb 10; 270(6):2708-15.
[J Biol Chem. 1995]Proc Natl Acad Sci U S A. 1989 May; 86(9):3356-60.
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[Blood. 1993]Biophys J. 1980 Oct; 32(1):361-80.
[Biophys J. 1980]J Mol Biol. 1985 Jun 25; 183(4):591-610.
[J Mol Biol. 1985]J Mol Biol. 2000 Nov 10; 303(5):667-78.
[J Mol Biol. 2000]J Biol Chem. 1999 Mar 5; 274(10):6689-97.
[J Biol Chem. 1999]J Mol Biol. 1984 Sep 15; 178(2):439-76.
[J Mol Biol. 1984]Proc Natl Acad Sci U S A. 2000 Jun 6; 97(12):6277-81.
[Proc Natl Acad Sci U S A. 2000]Science. 1997 Sep 26; 277(5334):1975-8.
[Science. 1997]Nature. 1980 Feb 28; 283(5750):832-4.
[Nature. 1980]J Mol Biol. 1975 Oct 15; 98(1):179-94.
[J Mol Biol. 1975]J Biol Chem. 1985 Nov 15; 260(26):13897-900.
[J Biol Chem. 1985]Nature. 1982 Nov 25; 300(5890):341-2.
[Nature. 1982]J Mol Biol. 1977 Sep 15; 115(2):111-34.
[J Mol Biol. 1977]J Mol Biol. 1975 Jun 25; 95(2):289-307.
[J Mol Biol. 1975]Proc Natl Acad Sci U S A. 2000 Jun 6; 97(12):6277-81.
[Proc Natl Acad Sci U S A. 2000]J Mol Biol. 1975 Jun 25; 95(2):289-307.
[J Mol Biol. 1975]J Mol Biol. 1977 Feb 15; 110(1):89-103.
[J Mol Biol. 1977]Am J Hematol. 1999 Sep; 62(1):62.
[Am J Hematol. 1999]J Mol Biol. 1985 Jun 25; 183(4):611-31.
[J Mol Biol. 1985]Biophys J. 2000 Aug; 79(2):1016-22.
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