Native red cells: hemoglobin packaged inside a membrane, cooperative binding, sharp unloading at tissue pO₂.
This is a cutaway of a small blood vessel, oxygenated at the left ("lung") end and delivering oxygen at the right ("tissue") end. Particles flowing through the tube represent whichever oxygen carrier you select, colour-coded from bright red (fully oxygen-loaded) to blue-violet (oxygen released). The physics driving each carrier's colour change is a simplified version of its real oxygen-binding curve.
Every haemoglobin-based oxygen carrier tested in large US trials through the 2000s was eventually withdrawn or halted after meta-analyses linked them to increased risk of myocardial infarction and death — a cautionary tale in encapsulation engineering that still shapes how newer carriers are designed today.
A cutaway blood vessel comparing how native red blood cells, hemoglobin-based oxygen carriers (HBOCs) and perfluorocarbon (PFC) emulsions load oxygen at the lung and release it at the tissue.
Each carrier follows a different oxygen-binding curve: red cells unload sharply and cooperatively, cell-free HBOCs cling to oxygen too tightly, and inert PFC droplets simply dissolve oxygen in proportion to pressure.
Pick a carrier, set the tissue oxygen tension and flow rate, then toggle the NO-scavenging effect to see why free-hemoglobin substitutes triggered vasoconstriction and stalled in clinical trials.
Nearly every hemoglobin-based oxygen carrier tested in large human trials was eventually withdrawn after being linked to a higher risk of heart attack — a direct consequence of free hemoglobin scavenging nitric oxide.