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Blood, 1 November 2002, Vol. 100, No. 9, pp. 3392-3399
RED CELLS
Phorbol ester stimulates a protein kinase C-mediated
agatoxin-TK-sensitive calcium permeability pathway in human red
blood cells
Dina A. Andrews,
Lu Yang, and
Philip S. Low
From the Departments of Veterinary Pathobiology and
Chemistry, Purdue University, West Lafayette, IN.
Calcium entry into mature erythrocytes (red blood cells; RBCs) is
associated with multiple changes in cell properties. At low
intracellular Ca2+, efflux of potassium and water
predominates, leading to changes in erythrocyte rheology. At higher
Ca2+ content, activation of kinases and phosphatases,
rupture of membrane-to-skeleton bridges, stimulation of a phospholipid
scramblase and phospholipase C, and induction of
transglutaminase-mediated protein cross-linking are also observed.
Because the physiologic relevance of these latter responses depends
partially on whether Ca2+ entry involves a regulated
channel or nonspecific leak, we explored mechanisms that initiate
controlled Ca2+ influx. Protein kinase C (PKC) was
considered a prime candidate for the pathway regulator, and phorbol-12
myristate-13 acetate (PMA), a stimulator of PKC, was examined for its
influence on erythrocyte Ca2+. PMA was found to stimulate a
rapid, dose-dependent influx of calcium, as demonstrated by the
increased fluorescence of an entrapped Ca2+-sensitive dye,
Fluo-3/AM. The PMA-induced entry was inhibited by
staurosporine and the PKC-selective inhibitor chelerythrine chloride,
but was activated by the phosphatase inhibitors okadaic acid and
calyculin A. The PMA-promoted calcium influx was also inhibited by
-agatoxin-TK, a calcium channel blocker specific for
Cav2.1 channels. To confirm that a
Cav2.1-like calcium channel exists in the mature
erythrocyte membrane, RBC membrane preparations were immunoblotted with
antiserum against the 1A subunit of the channel. A
polypeptide of the expected molecular weight (190 kDa) was visualized.
These studies indicate that an -agatoxin-TK-sensitive, Cav2.1-like calcium permeability pathway is present in the
RBC membrane and that it may function under the control of kinases and phosphatases.

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