ABSTRACIOxygen uptake of fully deoxygenated sickle (SS) erythrocytes is slower than that of normal (AA) erythrocytes, as demonstrated by the half-times of the overall oxygenation reactions: at 250 in an isotonic phosphate buffer the normal red cells have a tl/2 = 82 ± 4.7 msec, as compared to sickle red cells where t1/2 = 135 i 17.6 msec. The effects of temperature, extracellular osmolality, and the presence of an antisickling agent (n-butylurea) on the rate of red cell oxygenation strongly suggest that the differences in oxygenation rates encountered with sickle red cells is directly related to the intracellular polymerization of deoxyhemoglobin S. Erythrocytes from persons with sickle cell anemia have an abnormal oxygen equilibrium curve, reflecting an increase in the partial pressure of oxygen needed to half-saturate the available binding sites (1-3). The mechanism of this shift is not clearly established, but it is connected with the intraerythrocytic polymerization of the deoxy form of hemoglobin (Hb) S (4, 5).Rates of oxygen and carbon monoxide uptake by red blood cells were first measured 50 years ago by Hartridge and Roughton (6, 7), using the reversion spectroscope and their continuous flow, rapid reaction technique. Improvements in the detections system by Legge and Roughton (8) and by Forster et al. (9) were followed by contributions from the laboratories of Gibson (10), Roughton (11), and Forster (9). Subsequently, Sirs and Roughton (12) constructed an apparatus for the study of red blood cells, combining the split-beam detection system (9) with the stopped-flow principle. This apparatus or modifications of it have been used by later workers.The findings of Hartridge, Roughton, Gibson, Forster and their colleagues have been summarized by Roughton (13,14) and by Forster (15). The pure chemical kinetics of the reactions of Hb in solution and in the red cell appear to be the same. Nonetheless, the rates of reaction of Hb in the red cell are slower than in solution. It is noted that the discrepancy between the rate of a given process in Hb solutions and in the red cell suspension increases pari passu with the speed of the reaction in solution. The rate of the fast process, combination of Hb with oxygen, is 30-fold slower in the red cell at 370 than in solution.Since the transit time for the erythrocytes in the pulmonary capillaries is about 700-800 msec, several questions arise regarding oxygen exchange in the Hb S-containing red cells that could have physiological significance. To approach these questions we have utilized a custom-made stopped-flow apparatus specially designed for the study of red cell ligand kinetics. Our investigations explored the effects of variations in temperature and in extracellular osmolality, and the effects of an antisickling agent (n-butylurea) on the rate of red cell oxygenation. In addition, a high-density fraction of sickle red cells rich in irreversibly sickled forms (ISC), which possess rigid membranes (17), were compared to the low density fraction to help assess the ...