In 2003, Cosby and coworkers showed that infusions of slightly supraphysiological levels of nitrite led to increased nitric oxide production and increased blood flow that was further increased during exercise [
1]. These data suggested that nitrite is converted to nitric oxide under deoxygenated conditions and the authors proposed that the activity is due to nitrite reductase activity of deoxygenated hemoglobin [
1]. Several other mechanisms have been explored to explain nitrite reduction under physiological or therapeutic conditions including those involving myoglobin [
2], xanthine oxidase [
3;
4;
5;
6;
7], endothelial nitric oxide synthase [
8;
9], cytochrome oxidase [
10;
11;
12], and cytochrome c [
13;
14]. It is likely that each of these mechanisms are important under different conditions in different tissues. However, several studies examining the interaction of hemoglobin and nitrite in aortic ring preparations [
15;
16], the ability of hemoglobin-based substitutes to vasodilate when infused with nitrite [
17], and human nitrite infusion studies that included inhibition of alternate enzymatic mechanisms, such as xanthine oxidase [
18], all suggest a major role for deoxygenated hemoglobin in effecting nitrite mediated vasodilation.
A major challenge, however, to the notion that red cell hemoglobin reduces nitrite to NO which leads to increased blood flow is that hemoglobin is a potent scavenger of NO, thus limiting NO escape from red blood cell. The primary reaction within the red blood cell will be the reaction of NO with oxygenated hemoglobin to form methemoglobin (MetHb) and nitrate, eliminating NO bioactivity. The kinetics of this reaction are governed by a bimolecular rate constant of 6–8 × 10
7 M
−1s
−1 [
19;
20;
21] so that the half-life of NO in an oxygenated red blood cell (RBC) is about 0.5 microseconds. During this time, NO could only diffuse about 0.02 μm (assuming an intraerythrocytic diffusion constant of 1000 μm
2 s
−1). Some NO may bind to deoxygenated hemoglobin but once it comes off, it still finds itself surrounded by hemoglobin. Thus, many have argued that NO formed in the red blood cell cannot get out without going through additional chemical reactions to form more stable intermediate species. This has also been suggested by computational analysis where only 0.1 picomolar NO was calculated to escape the red cell from 1 μM nitrite [
22].
One hypothesis that has been proposed to explain nitrite mediated export of NO bioactivity from RBCs is that some intermediate species is formed during the reaction such as N
2O
3 that can escape the red cell or export NO activity through the intermediacy of a nitrosothiol [
22;
23;
24;
25]. This proposal is consistent with the observation of S-nitrosohemoglobin formation that was observed during nitrite infusions [
1]. Two ways that N
2O
3 could form include the following reactions:
where HbFe
II-NO
+ represents NO bound to MetHb (HbFe
III-NO) and the NO
+ bound to ferrous heme character of this resonance structure is emphasized. The term HbFe
III-NO
2− in
Equation 2 is nitrite bound to MetHb. The nature of these reactions has been explored in the context of reductive nitrosylation [
24;
25]. Reductive nitrosylaton begins with reduction of HbFe
II-NO
+ through the nucleophilic attack by H
2O forming nitrite (
Equation 3), with subesequent nitrosylation of the ferrous heme by excess NO (
Equation 4).
Fernandez and Ford discovered that reductive nitrosylation is catalyzed by nitrite and hypothesized that this catalysis involved nitrite reacting with NO bound MetHb to form N
2O
3 [
25]. We subsequently examined the kinetics of nitrite catalysis of reductive nitrosylation and, based on that and other analysis, proposed that N
2O
3 could be made via the reaction of NO with nitrite bound MetHb (
Equation 2) [
24]. The viability of this reaction has recently been supported by studies of glass embedded MetHb [
26]. Interestingly, it has recently been observed that nitrophorin 7, a salivary ferric hemoprotein from a blood-feeding insect, can catalzye the convertion of nitrite to NO, suggesting similar interesting biological signaling properties of a ferric hemoprotein and nitrite [
27].
We hypothesized that the reaction of MetHb-nitrite with NO to form N
2O
3 could constitute a mechanism of nitrite mediated export of NO activity from the red blood cell. Thus, the nature of the MetHb bond and its reactivity have become an area of considerable interest. Performing density functional theory calculations, we found that the nitrite could bind to the ferric heme with either N-bound (Fe
III-nitro) or O-bound (Fe
III-O-nitrito) configuration, with the nitro form being more stable by about 7 kcal mol
−1 [
24]. Some configurations of the O-nitrito form were found to have some Fe
II-NO
2• character, and we therfore hypothesized that it is this form that can react rapidly with NO. One may suggest that the fact that this species is less stable than nitro form by 7 kcal mol
−1 makes it energetically unfeasible, given that a Boltzman distribution would predict that only one in one-hundred thousand MetHb-nitrite molecules would have this conformation. However, 7 kcal mol
−1 is about the energy of a single strong H-bond which would not be included in the density functional theory calculations. Indeed, recent studies using x-ray crystallography have shown that MetHb-nitrite crystallizes in the O-nitrito mode, suggesting that this is a viable or perhaps favored binding mode in solution under certain conditions [
28].
Another important factor that needs to be considered in evaluating the feasibility of the MetHb-nitrite + NO reaction contributing to nitrite mediated NO activity export from the RBC is the affinity of nitrite for metHb. The lower the affinity, the less MetHb-nitrite there would be available for the reaction to proceed and the less likely it would be important in NO activity export. Based on analysis of EPR data, we reported that the affinity of nitrite for MetHb is much higher under some conditions than has been reported previously [
24]. The methods used in the EPR experiments and conclusions drawn have been challenged [
29] and we have presented a short, formal reply arguing that our original methods and conclusions are valid [
30].
In this paper, we present new data and analysis exploring the binding characteristics of MetHb-nitrite. We have performed more EPR experiments and present results supporting complex binding of nitrite to MetHb with the affinity being much higher than previously reported under different experimental conditions, suggesting that the interaction of nitirte with ferric hemoglobin is not simple.