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InsP6 cannot diffuse through the erythrocytes membrane and is the most effective Hb allosteric effector (Ropars et al., 1985) and shown to be effective in mini pig animal models and in sickle transgenic mice ( Although these and other data support the possible use of inositol hexaphosphate-loaded erythrocytes as effective treatments to improve the delivery of O 2 to tissues in need, there is an ongoing debate about the advantages of higher or lower hemoglobinoxygen affinity in humans, particularly during hypoxia (Webb et al., 2021) that require further investigations

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