“…and other electrolytes. Moreover, during the long history of the development of Hb-based O 2 carriers (HBOCs) to substitute the function of RBCs, many side effects of molecular Hb have become apparent, such as the dissociation of tetrameric Hb subunits into two dimers (α 2 β 2 → 2αβ), which might induce renal toxicity, and entrapment of gaseous messenger molecules (NO and CO) inducing vasoconstriction, hypertension, reduced blood flow, and impaired tissue oxygenation at microcirculatory levels (Goda et al, 1998;Nakai et al, 1998;, neurological disturbances, and the malfunctioning of esophageal motor function (Murray et al, 1995). These side effects of molecular Hb also imply the importance of the cellular structure of RBC to encapsulate Hb.…”