3752 J ournal of Medicinal Chemistry, 2003, Vol. 46, No. 17
Huang et al.
temperature. These reaction solutions were transferred to an
EPR tube and frozen in liquid nitrogen (77K) and EPR spectra
were taken as previously described.13
hydroxyureas require at least one hydrogen substituent
on the non-hydroxy nitrogen of the urea group and
further refine the structural requirements of HbNO
formation.
Nitr ite a n d Nitr a te An a lysis. Nitrite and nitrate were
measured with a Sievers 280 Nitric Oxide Analyzer chemilu-
minescence detector as reported earlier.13
The described reactivity of hydroxyurea and its
analogues with oxyHb could have important implica-
tions in sickle cell disease therapy. Sickle cell patients
demonstrate elevated levels of ferrous cell-free (outside
of the red cell yet within the plasma) hemoglobin that
rapidly scavenges NO thus reducing its bioavailability.26
The ability of hydroxyurea to react with oxyHb to form
metHb, which reacts slowly with NO,27 and to produce
NO that rapidly reacts with both oxy and deoxyHb to
give metHb and HbNO could be an important mecha-
nism of action of hydroxyurea in addition to its ability
to stimulate HbF synthesis. The conversion of ferrous
cell-free hemoglobin to cell-free metHb or cell-free
HbNO through reactions with hydroxyurea or hydroxy-
urea-derived NO would allow endogenously produced
NO to assume its normal function.
p Ka Deter m in a tion of Hyd r oxyu r ea Der iva tives. The
pKa’s of the hydroxyurea derivatives were determined by
titration as previously described.20
Electr och em istr y of Hyd r oxyu r ea Der iva tives. Cyclic
voltammetry (CV) was carried out in a three-electrode mini-
cell (2-3 mL) containing a glassy carbon-working electrode
(diameter 1.5 mm), a platinum flag counter electrode, and a
reference electrode (saturated Ag/AgCl) at a scan rate of 100
mV/s. Potentials were reported against the saturated Ag/AgCl
electrode. Samples were typically 2.5 mM in 0.01 M phosphate
buffer (pH 7.3) with 0.2 M NaClO4 as the supporting electro-
lyte. Solutions were purged with argon prior to use and kept
under argon during the experiment. The glassy carbon-
working electrode was polished with 1.0, 0.3, and 0.05 µm
R-alumina (Buehler Corp.) and rinsed with deionized water.
This cleaning treatment was repeated using 0.05 µm R-alu-
mina for polishing between runs. Data were collected using a
Pine AFRDE4 (Pine Instrument Company, Grove City, PA)
with bi-potentiostat/waveform generator.
Exp er im en ta l Section
Hydroxyurea was purchased from Aldrich Chemical CO
(Milwaukee, WI). All other chemicals were of the highest
analytical grade commercially available.
P r ep a r a tion of Hem oglobin . HbS and normal adult
hemoglobin (Hb) were prepared and stored at -80 °C as
previously described.13 Hemoglobin concentrations are ex-
pressed in terms of heme and were determined using previ-
ously reported extinction coefficients.28
Syn th esis of Hyd r oxyu r ea Der iva tives. O-Methyl N-
hydroxyurea (3), N-methyl-N-hydroxyurea (4), N′-phenyl N-
hydroxyurea (5), and N′-n-butyl N-hydroxyurea (6) were
synthesized as previously described.13,29,30
Ack n ow led gm en t. The authors wish to thank Dr.
Howard Shields for assistance with EPR experiments
and Drs. Ronald E. Noftle and J ian Dai for assistance
with cyclic voltammetry experiments. This work was
supported by the National Institutes of Health (HL62198,
S.B.K.). The NMR spectrometers used in this work were
purchased with partial support from NSF (CHE-
9708077) and the North Carolina Biotechnology Center
(9703-IDG-1007).
Syn th esis of N′,N′-Dieth yl N-Hyd r oxyu r ea (7). N,N-
diethylcarbamoyl chloride (3 g, 22.1 mmol, 2.8 mL) was added
dropwise to a solution of hydroxylamine hydrochloride (1.8 g,
25.9 mmol) and potassium carbonate (2.5 g, 23.6 mmol) in
ethyl acetate (15 mL) and distilled water (0.25 mL) at 0 °C
with stirring. This solution was allowed to stand at room
temperature overnight. After evaporation of the solvents, the
crude product was purified by flash chromatography (ethyl
acetate) to afford 7 as a white powder (1.7 g, 58%): mp 64-
66 °C; 1H NMR (300 MHz, CD3SOCD3) δ 8.76 (s, 1H), 7.87 (s,
1H), 3.15 (q, 4H, J ) 7 Hz), 1.00 (t, 6H, J ) 7 Hz); 13C NMR
(75 MHz, CD3SOCD3) δ 159.8, 40.3, 13.9. Anal. (C5H12N2O2)
C, H, N.
Refer en ces
(1) Charache, S.; Terrin, M. L.; Moore, R. D.; Dover, G. J .; Barton,
F. B.; Eckert, S. V.; McMahon, R. P.; Bonds, D. R.; and the
Investigators of the Multicenter Study of Hydroxyurea in Sickle
Cell Anemia. Effect of Hydroxyurea on the Frequency of Painful
Crises in Sickle Cell Anemia. N. Engl. J . Med. 1995, 332, 1317-
1322.
(2) Charache, S.; Barton, F. B.; Moore, R. D.; Terrin, M. L.;
Steinberg, M. H.; Dover, G. J .; Ballas, S. K.; McMahon, P.;
Castro, O.; Orringer, E. P.; and the Investigators of the Multi-
center Study of Hydroxyurea in Sickle Cell Anemia. Hydroxy-
urea and Sickle Cell Anemia. Medicine 1996, 75, 300-326.
(3) Rucknagel, D.L In Sickle Cell Anemia and Other Hemoglobin-
pathies; Levere, R.D., Ed.; Academic Press: New York, 1975; p
1.
(4) Halsey, C.; Roberts, I. A. G. The Role of Hydroxyurea in Sickle
Cell Disease. Brit. J . Haematol. 2003, 120, 177-186.
(5) King, S. B. The Nitric Oxide Producing Reactions of Hydroxy-
urea. Curr. Med. Chem. 2003, 10, 437-452.
(6) Reiter, C. D.; Gladwin, M. T. An Emerging Role for Nitric Oxide
in Sickle Cell Disease Vascular Homeostasis and Therapy. Curr.
Opin. Hematol. 2003, 10, 99-107.
(7) Gladwin, M. T.; Schechter, A. N. Nitric Oxide Therapy in Sickle
Cell Disease. Semin. Hematol. 2001, 38, 333-342.
(8) J iang, J .; J ordan, S. J .; Barr, D. P.; Gunther, M. R.; Maeda, H.;
Mason, R. P. In Vivo Production of Nitric Oxide in Rats after
Administration of Hydroxyurea. Mol. Pharmacol. 1997, 52,
1081-1086.
(9) Glover, R. E.; Ivy, E. D.; Orringer, E. P.; Maeda, H.; Mason, R.
P. Detection of Nitrosyl Hemoglobin in Venous Blood in the
Treatment of Sickle Cell Anemia with Hydroxyurea. Mol.
Pharmacol. 1999, 55, 1006-1010.
(10) Gladwin, M. T.; Shelhamer, J . H.; Ognibene, F. P.; Pease-Fye,
M. E.; Nichols, J . S.; Link, B.; Patel, D. B.; J ankowski, M. A.;
Pannell, L. K.; Schechter, A. N.; Rodgers, G. P. Nitric Oxide
Donor Properties of Hydroxyurea in Patients with Sickle Cell
Disease. Brit. J . Haematol. 2002, 116, 436-444.
(11) Nahavandi, M.; Tavakkoli, F.; Wyche, M. Q.; Perlin, E.; Winter,
W. P.; Castro, O. Nitric Oxide and Cyclic GMP Levels in Sickle
Cell Patients Receiving Hydroxyurea. Brit. J . Haematol. 2002,
119, 855-857.
Syn th esis of N′-4-Meth oxyp h en yl N-Hyd r oxyu r ea (8).
4-Methoxyphenylisocyanate was substituted for phenylisocy-
anate in the previously described preparation of 5:29 mp 158-
1
162 °C; H NMR (300 MHz, CD3SOCD3) δ 8.86 (s, 1H), 8.74
(s, 1H), 8.61 (s, 1H), 7.54 (d, 2H, J ) 9 Hz), 6.88 (d, 2H, J )
9 Hz), 3.75 (s, 3H); 13C NMR (75 M Hz, CD3SOCD3) δ 163.3,
159.1, 136.8, 125.3, 118.1, 59.6. Anal. (C8H10N2O3) C, H, N.
P r ep a r a tion of Hyd r oxyu r ea Der iva tives Solu tion s.
Solutions of hydroxyurea derivatives in sodium phosphate
buffer (0.1 M, pH 7.3) were prepared fresh daily.
Absor p tion Sp ectr oscop y. Hemoglobin solutions (70 µM,
in heme) in 0.1 M sodium phosphate buffer (pH 7.3) were
treated with hydroxyurea derivatives (50 mM) unless other-
wise indicated. Absorption measurements were made every 5
min for 12 h or unless otherwise noted on a Cary 100 Bio UV-
Visible spectrophotometer at 25 °C. Kinetic data was analyzed
with Specfit (Spectrum Software Associates, Boston, MA) using
singular value decomposition (SVD) and global analysis.17,18
Rate constants for the reaction of each hydroxyurea derivative
with hemoglobin were obtained in triplicate and averaged.
Electr on P a r a m a gn etic Sp ectr oscop y. Hemoglobin so-
lutions (1-2 mM in heme) were treated with hydroxyurea
derivatives (50 mM) and allowed to react for 12 h at room