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Sickle cell anemia and vascular dysfunction: The nitric oxide connection
Author(s) -
Akinsheye Idowu,
Klings Elizabeth S.
Publication year - 2010
Publication title -
journal of cellular physiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.529
H-Index - 174
eISSN - 1097-4652
pISSN - 0021-9541
DOI - 10.1002/jcp.22195
Subject(s) - nitric oxide , pathogenesis , hemolysis , sickle cell anemia , pulmonary hypertension , medicine , hemoglobin , anemia , bioavailability , endothelial dysfunction , endothelium , immunology , pharmacology , disease
Endothelial dysfunction and impaired nitric oxide bioavailability have been implicated in the pathogenesis of sickle cell anemia. Nitric oxide is a diatomic gas with a role in vascular homeostasis. Hemoglobin polymerization resulting from the HbS mutation produces erythrocyte deformation and hemolysis. Free hemoglobin, released into plasma by hemolysis scavenges on nitric oxide, and leads to reduced nitric oxide bioavailability. Pulmonary hypertension is a known consequence of sickle cell anemia. It occurs in 30–40% of patients with sickle cell anemia, and is associated with increased mortality. Several studies have implicated intravascular hemolysis, and impaired nitric oxide bioavailability in the pathogenesis of pulmonary hypertension. In this review, we summarize the mechanisms of altered nitric oxide bioavailability in sickle cell anemia and its possible role in the pathogenesis of pulmonary hypertension. J. Cell. Physiol. 224: 620–625, 2010. © 2010 Wiley‐Liss, Inc.