Michael reaction of the methoxymethyl-protected monodiazeniumdiolate of piperazine (MOM-PIPERAZI/NO) with 4-maleimidobutyric acid followed by its conversion to the N-hydroxy-succinimidoester produces a reagent capable of transferring the nitric oxide (NO)-donating diazeniumdiolate groupto the terminal amines of the lysine residues contained in proteins. The reagent has been used toproduce diazeniumdiolated bovine serum albumin (D-BSA) and diazeniumdiolated human serumalbumin (D-HSA) containing 22 and 19 modified lysyl groups, respectively. Upon dissolution in pH7.4 phosphate buffer at 37
C, these albumin derivatives gradually released all of their contained NO(approximately 40 mol/mol of protein) with initial rates of about 30-40 pmol/min/mg and half-liveson the order of 3 weeks. This methodology is now available for use in exploiting the unique specificmetabolic interactions of proteins to target NO therapy to specific physiological processes in vivo.