A modulator of sickle hemoglobin
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GBT-440 is a modulator of sickle hemoglobin (HbS) that binds covalently to the N-terminal valine of the α chain of HbS.1 In vitro, GBT-440 increases HbS affinity for oxygen (EC50s = 8.2 and 415 μM for purified HbS and whole blood from sickle cell anemia patients, respectively) and delays oxygen release from and polymerization of HbS in a concentration-dependent manner. GBT-440 (100-150 mg/kg) increases red blood cell half-life and reduces sickling ex vivo in whole blood isolated from a murine model of sickle cell anemia. It also reduces ex vivo sickling of sickle cell trait red blood cells under conditions of hypoxia, acidosis, and dehydration.2
1.Oksenberg, D., Dufu, K., Patel, M.P., et al.GBT440 increases haemoglobin oxygen affinity, reduces sickling and prolongs RBC half-life in a murine model of sickle cell diseaseBr. J. Haematol.175(1)141-153(2016) 2.Dufu, K., Lehrer-Graiwer, J., Ramos, E., et al.GBT440 inhibits sickling of sickle cell trait blood under in vitro conditions mimicking strenuous exerciseHematol. Rep.8(3)6637(2016)
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