N-Phenylacetyl-L-phenylalanine (PAP) and L-phenylalanyl-3-aminopyridine (PAPA) are biaromatic agents with properties that make them suitable candidates for the development of a useful therapeutic agent for the treatment-of sickle cell disease. PAP and PAPA are taken up by the erythrocyte to give intra-/extracellular concentration ratios of 2.2 and 1.5, respectively, after a 2-hr exposure period. The intracellular buildup of PAP and PAPA produces moderate decreases in the mean corpuscular hemoglobin concentration (MCHC) of 6 and 10%, respectively, at 3 mM and a further decline in MCHC with increased concentration. Both PAP and PAPA increase the deoxy-Hb S solubility, C,. If Many of the approaches and rationales (1, 2) aimed at the development of chemical agents for the treatment of sickle cell disease have centered on agents that can interact covalently or noncovalently with the Hb S tetramer to increase the delay time of Hb S gelation. With respect to the latter, in vitro studies of small peptides, alkylureas, and amino acids (3-6), aryl-substituted alanines (7), and halogenated aryl derivatives of oxy acids (8) have revealed several general stereochemical criteria associated with antigelation activity for a noncovalent inhibitor. Biaromatic and bicyclic compounds are more effective than monocyclic compounds and aromatic moieties, more so than aliphatic groups. With regard to aromatic nuclei, the higher the degree of ring polarizability and hydrophobicity of the compound, the greater is its antigelation activity. However, little is known of erythrocyte penetration by these compounds except for amino acids and peptides.Another result was found with noncovalent binding compounds in the study of aromatic amino acid esters including L-phenylalanyl benzyl ester (9) and Cetiedil (10, 11), a tricyclic ester. Both of these compounds induce water uptake by the erythrocyte. The exact mechanism by which the benzyl ester can cause water uptake is not known whereas Cetiedil has been shown to alter cation permeability so as to induce water gain by the cell. The net effect of water uptake, of course, is a reduction in the mean corpuscular hemoglobin concentration (MCHC), with an attendent increase in the delay time for intracellular gelation (12).Drawbacks to the benzyl ester of L-phenylalanine are its low solubility and gradual hydrolysis in the cell. We have addressed these problems by synthesizing biaromatic derivatives of L-phenylalanine that are held together by a stable amide bond rather than an ester bond. We report on two such antisickling agents, one of which is N-phenylacetyl-Lphenylalanine (PAP), where the linkage is through the a-amino group of L-phenylalanine. The other is L-phenylalanyl-3-aminopyridine (PAPA), which has a linkage through the carboxyl group of L-phenylalanine. In this paper, we describe properties of both compounds as they relate to their permeability in the erythrocyte, their antigelation activity as measured by deoxy-Hb S solubility, and their effects on the MCHC. In addition, these e...