Hypertension

Sickle Trait and Alpha Thalassemia Increase NOS-Dependent Vasodilation of Human Arteries Through Disruption of Endothelial Hemoglobin-eNOS Interactions

CirculationPublished Mechanistic study

Authors' conclusion

Alpha and beta globin subunits of hemoglobin interact with eNOS to restrict NO signaling in human resistance arteries. Malaria-protective genetic variants that alter the expression of alpha globin or the structure of beta globin are associated with increased NOS-dependent vasodilation.

Study context

Population
Human resistance arteries from donors; population study for alpha globin gene deletion and BP
Comparison
Sickle trait and alpha globin gene deletion vs no variant; mimetic peptides disrupting hemoglobin-eNOS interactions
Outcome
NOS-dependent vasodilation of human arteries and the eNOS-hemoglobin complex
Methodological detailshuman resistance arteries, multiphoton imaging, coimmunoprecipitation, molecular modeling and simulation, pressure myography, population study
  • Human resistance arteries
  • Multiphoton imaging
  • Coimmunoprecipitation
  • Molecular modeling and simulation
  • Pressure myography
  • Population study

Main finding

As reported in the abstract

  • Alpha and beta globin transcripts detected in the endothelial layer of the artery wall
  • Imaging colocalized alpha and beta globin proteins with endothelial NOS (eNOS) at myoendothelial junctions
  • Immunoprecipitation: alpha globin and beta globin form a complex with eNOS and cytochrome b5 reductase
  • Modeling predicted negatively charged glutamic acids at beta globin positions 6 and 7 interact with positively charged arginines at eNOS positions 97 and 98
  • Sickle trait arteries: increased NOS-dependent vasodilation
  • Alpha globin gene deletions: decreased arterial alpha globin expression, increased NOS-dependent vasodilation, lower BP
  • Mimetic peptides targeting hemoglobin-eNOS interactions recapitulated the effects of these genetic variants on human arterial vasoreactivity

Original publication

Sickle Trait and Alpha Thalassemia Increase NOS-Dependent Vasodilation of Human Arteries Through Disruption of Endothelial Hemoglobin-eNOS Interactions. Circulation. Published 5 December 2024. doi:10.1161/circulationaha.123.066003

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