A prooxidant drug, primaquine (PQ) was used to produce oxidative stres
s in human red blood cells (RBC) in vitro. Rutin, a plant flavonoid, d
id not prevent PQ-induced cell lysis but protected against hemoglobin
(Hb) oxidation inside RBC. After PQ removal, rutin failed to reduce pr
eformed met-Hb indicating that the rutin protective effect manifests o
nly in the presence of PQ. Since H2O2 was proved to mediate PQ-induced
Hb oxidation, authentic Hb was studied for its reaction with H2O2 and
rutin in solution. Rutin partially protected oxy-Hb against H2O2-indu
ced oxidation and heme loss. Rutin was also shown to delay H2O2-induce
d met-Hb oxidation to ferryl-Hb. Rutin directly reduced ferryl-Hb to m
et-Hb in stoichiometric (1:1) reaction characterized by a rate constan
t of 100 to 130/M/sec. It is assumed that by reducing ferryl-Hb, rutin
prevents oxy-Hb from reacting with ferryl-Hb (comproportionation reac
tion), thus preventing half of the oxy-Hb molecules from being convert
ed to met-Hb. This mechanism is consistent with 50% inhibition by ruti
n (at the maximum of its activity) of PQ-induced oxy-Hb oxidation in R
BC. The present results demonstrate new antioxidant properties of ruti
n that may be useful in diminishing oxidative damage to pathological r
ed blood cells.