The intermediates and the rate-limiting step in the crystallization of deoxygenated sickle hemoglobin have been determined by a kinetic study with the use of electron microscopy. In slowly stirred solutions of deoxygenated hemoglobin S [Pumphrey, J. & Steinhardt, J. (1977)J. MoL. Biol. 112, 359-3751, the sequential appearance of fibers having a diameter of ;;210 A, bundles of aligned fibers in well-ordered arrays, "thick" fibers of -47O A diameter, and microcrystals is observed. Only the fibers having a diameter of --210 A and bundles of aligned fibers are assigned as kinetically important intermediates of the fiber-to-crystal transition. Addition of microscopic seed crystals obtained from slowly stirred solutions of deoxyhemoglobin S to a solution composed of only fibers and hemoglobin monomers results in more rapid crystallization than in control solutions. Addition of seed crystals after the formation of bundles of aligned fibers does not alter the overall kinetics of crystallization. The results demonstrate that alignment of fibers is the rate-limiting step in the crystallization process and results in formation of nucleation sites for crystal growth.The aggregation of hemoglobin S (Hb S) in deoxygenated solutions is accompanied by changes in several physical properties of the solution. The most important with respect to physiological consequences is the large increase in viscosity attendant with gelation and associated with the formation of helical fibers (1-4). Because the kinetics of gelation exhibit a concentration dependence similar to that observed for condensation processes, the phase transition to a gel has been assumed to require the crystallization of fibers by their alignment (5-8). However, conditions of gentle agitation or stirring inhibit gelation and promote the crystallization of Hb S (9). These observations imply that two physically distinct processes govern the aggregation of Hb S. Because the kinetics of gelation may be a major determinant of the clinical severity of sickle cell anemia (8,10), it is important to define the molecular packing of Hb S in gels and crystals and to characterize those factors that govern its aggregation and polymerization tendencies.In this communication we report the results of an electron microscopic study of the kinetics of crystallization of Hb S in gently agitated solutions. The results demonstrate that fiber formation is part of this crystallization process and that the rate-limiting step in crystal formation is the alignment of helical fibers. Designation of the rate-limiting step in crystal formation as the alignment of fibers requires that gelation is governed by a different rate-determining step and results simply in the entanglement of fibers in highly viscous media. Differentiation of the two rate-governing processes, when correlated with the results of other structural and physiological studies, suggests that gelation and fiber alignment have different roles in the pathophysiology of sickle cell anemia.
EXPERIMENTAL PROCEDURESOxygenated H...