The covalent fixation of benzenehexacarboxylate (BHC) onto dextran was
carried out according to several reaction schemes, The polvanionic po
lymers thus synthesized were capable of decreasing the oxygen affinity
of hemoglobin by specifically interacting with the 2,3-diphosphoglyce
rate (2,3-DPG) binding site of the protein. The intensity of this effe
ct was correlated to both the chemical structure of the polyanionic po
lymers and the BHC content in polymer. The polvanionic polymer, contai
ning 0.035 mol BHC/g and presenting no cross-linking between its polym
er chains, possessed the best effector properties. These properties we
re used to direct the covalent fixation of the dextran-benzenehexacarb
oxylate onto the phosphate binding site of the protein. The resulting
hemoglobin was mainly substituted at the same time by one or more link
ed BHC onto both alphabeta dimers in the vicinity of the 2,3-DPG site.
Thus, the modification of hemoglobin led to an increase in the hydrod
ynamic volume of each dimer sufficient to limit the diffusion of the c
onjugates through the kidney membrane, even if the conjugates had diss
ociated into alphabeta dimers. Compared to that of free hemoglobin, th
e oxygen affinity of the conjugates was significantly decreased. This
type of covalent conjugate exhibited general properties quite suitable
for use as blood substitutes.