Michael reaction of the methoxymethyl-protected monodiazeniumdiolate of pip
erazine (MOMPIPERAZI/NO) with 3-maleimidobutyric acid followed by its conve
rsion to the N-hydroxy-succinimido ester produces a reagent capable of tran
sferring the nitric oxide (NO)-donating diazeniumdiolate group to the termi
nal amines of the lysine residues contained in proteins. The reagent has be
en used to produce diazeniumdiolated bovine serum albumin (D-BSA) and diaze
niumdiolated human serum albumin (D-HSA) containing 22 and 19 modified lysy
l groups, respectively. Upon dissolution in pH 7.4 phosphate buffer at 37 d
egrees C, these albumin derivatives gradually released all of their contain
ed NO (approximately 40 mol/mol of protein) with initial rates of about 30-
40 pmol/min/mg and half-lives on the order of 3 weeks. This methodology is
now available for use in exploiting the unique specific metabolic interacti
ons of proteins to target NO therapy to specific physiological processes in
vivo.