Nakanishi Akira, Kinuta Keiko, Abe Tadashi, Araki Kenta, Yoshida Yumi, Liang Shuang, Li Shun-Ai, Takei Kohji, Kinuta Masahiro
Department of Neuroscience, Okayama University Graduate School of Medicine and Dentistry, Okayama 700-8558, Japan.
Acta Med Okayama. 2003 Oct;57(5):249-56. doi: 10.18926/AMO/32823.
Administration of phenylhydrazine to rabbits resulted in the denaturation of hemoglobins in erythrocytes, causing the formation of intracellular precipitates known as Heinz bodies, severe hemolytic anemia, and reticulocytosis. To elucidate the molecular mechanism of the destabilization, we allowed human oxyhemoglobins to react aerobically with phenylhydrazine. After treatment with acetic acid/HCl and H2SO4/methanol, the chloroform extract contained blue-green pigments of major products accompanied by different minor products. Each product was isolated by column chromatography. By fast-atom-bombardment mass spectrometry (FAB-MS) and proton nuclear magnetic resonance (1H-NMR) spectrometry, dimethyl esters of N-phenylprotoporphyrin IX and meso, N-diphenylprotoporphyrin IX were determined. Other major products also were determined to be dimethyl esters of triphenyl-and tetraphenyl-substituted protoporphyrins by FAB-MS. The formation of meso, N-diphenylprotoporphyrin indicated that the addition of a phenyl radical to the meso-carbon atom of the protoporphyrin ring occurred. Triphenyl and tetraphenyl adducts also indicated the formation of phenyl radicals in the aerobic reaction of phenylhydrazine with oxyhemoglobins. From these results, we suggest that the formation of phenyl radicals and the replacement of heme with phenyl-substituted protoporphyrins cause the destabilization of hemoglobins to induce Heinz bodies and hemolytic anemia with phenylhydrazine.
给兔子注射苯肼会导致红细胞中的血红蛋白变性,形成称为海因茨小体的细胞内沉淀物、严重的溶血性贫血和网织红细胞增多症。为了阐明这种不稳定的分子机制,我们让人类氧合血红蛋白与苯肼进行需氧反应。用乙酸/盐酸和硫酸/甲醇处理后,氯仿提取物中含有主要产物的蓝绿色色素以及不同的次要产物。每种产物通过柱色谱法分离。通过快原子轰击质谱(FAB-MS)和质子核磁共振(1H-NMR)光谱法,确定了N-苯基原卟啉IX和中-,N-二苯基原卟啉IX的二甲酯。通过FAB-MS还确定其他主要产物为三苯基和四苯基取代原卟啉的二甲酯。中-,N-二苯基原卟啉的形成表明在原卟啉环的中位碳原子上添加了一个苯基自由基。三苯基和四苯基加合物也表明在苯肼与氧合血红蛋白的需氧反应中形成了苯基自由基。从这些结果来看,我们认为苯基自由基的形成以及用苯基取代的原卟啉替代血红素会导致血红蛋白不稳定,从而引发苯肼所致的海因茨小体和溶血性贫血。