The polymerization of mixtures of Hb S with hemoglobins A, A2, and F has been investigated by analysis of the proportions of S and non-S hemoglobin both in the supernate and-in the pellet after centrifugation. In all cases the non-S hemoglobin was incorporated into the polymer even in the absence of hybrids in the order A > A2 > F. The solubility of Hb S is substantially increased by the other hemoglobins, especially by Hb F. which would account for its antisickling effect. It appears that the excluded volume effect of the other hemoglobin on Hb S is largely counterbalanced by the solubilizing effect arising from the interaction between the two hemoglobins in solution. The ability of hybrid hemoglobins to gel was demonstrated directly with tetramers in which afts dimers were covalently linked to aflA, a5A2, and ayF dimers.The so-called "sickle-sparing" effect of other hemoglobins on hemoglobin S (Hb S) was described more than 20 years ago by Singer and Singer (1) and by Allison (2), who found that some hemoglobins such as Hb A and Hb C greatly decrease the concentration of Hb S necessary for gelling, whereas Hb F had a much smaller effect. It was assumed by these authors and in much of the subsequent work with other hemoglobins (3-6) that the "sickle-sparing" hemoglobins act by substituting for Hb S in the polymer, i.e., by copolymerizing with it. By contrast, it was concluded that Hb F and, more recently, Hb A2 (7-9) do not copolymerize with Hb S.However, it has now been realized that another factor plays a major role in the gelling of Hb S in the presence of other hemoglobins (10-12). In these very concentrated and nonideal solutions the presence of any other hemoglobin [and, indeed, any The purpose of the work reported here was therefore to investigate the participation of Hb F and Hb A2 in the polymerization of Hb S by direct analysis, not only of the supernate, but also of the gel. In addition, hemoglobins in which an af3s dimer was covalently crosslinked to either an acy or an a6 dimer were used to test the ability of these mixed tetramers to polymerize.
MATERIALS AND METHODSThe hemoglobins were isolated from hemolysates, prepared as described (19) from normal blood, sickle trait blood, and cord blood. After dialysis against 0.1 M glycine at pH 7.6, the hemolysates were fractionated on DEAE-cellulose, Whatman DE52 (20), under the conditions shown in Table 1. Sectional columns (Kontes Glass) were used and the desired hemoglobin was removed from the appropriate segment without elution of the column (21).Crosslinked (XL) hemoglobins were prepared by using the reagent 2-nor-2-formylpyridoxal 5'-phosphate as described (22,23). For the preparation of crosslinked mixed tetramers, the reaction was performed on equimolar amounts of Hb S and the other hemoglobin that had been mixed under oxygen to allow for hybridization. After the coupling reaction, which takes place under anaerobic conditions, the hemoglobins were converted to the cyanmet form by oxidation with 1.2 equivalents of potassium ferricyanide...