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Blood, 1 November 2004, Vol. 104, No. 9, pp. 2954-2960.
Prepublished online as a Blood First Edition Paper on July 8, 2004; DOI 10.1182/blood-2004-01-0112.


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RED CELLS

KCl cotransport mediates abnormal sulfhydryl-dependent volume regulation in sickle reticulocytes

Clinton H. Joiner, R. Kirk Rettig, Maorong Jiang, and Robert S. Franco

From the Cincinnati Comprehensive Sickle Cell Center, Cincinnati, OH; Division of Hematology/Oncology, Children's Hospital Medical Center, Cincinnati, OH; and Division of Medical Hematology/Oncology, Department of Internal Medicine, University of Cincinnati, Cincinnati, OH.

KCl cotransport (KCC) activation by cell swelling and pH was compared in sickle (SS) and normal (AA) red blood cells (RBCs). KCC fluxes had the same relationship to mean corpuscular hemoglobin concentration (MCHC) in SS and AA RBCs when normalized to the maximal volume-stimulated (VSmax) flux (MCHC < 270 g/L [27 g/dL]). Acid-stimulated (pH 6.9) KCC flux in SS RBCs was 60% to 70% of VSmax KCC versus 20% in AA RBCs. Density gradients were used to track changes in reticulocyte MCHC during KCC-mediated regulatory volume decrease (RVD). Swelling to MCHC of 260 g/L (26 g/dL) produced Cl-dependent RVD that resulted in higher MCHC in SS than AA reticulocytes. In acid pH, RVD was also greater in SS than AA reticulocytes. Sulfhydryl reduction by dithiothreitol (DTT) lowered VSmax KCC flux in AA and SS RBCs by one third but did not alter swelling-induced RVD. DTT lowered acid-activated KCC in SS RBCs by 50% and diminished acid-induced RVD in SS reticulocytes. Thus, swelling activation of KCC is normal in SS RBCs but KCC-mediated RVD produces higher MCHC in SS than AA reticulocytes. Acid activation of KCC is exaggerated in SS RBCs and causes dehydration in SS reticulocytes. KCC response to acid stimulation was mitigated by DTT, suggesting that it arises from sulfhydryl oxidation.


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C. H. Joiner, R. Kirk Rettig, M. Jiang, M. Risinger, and R. S. Franco
Urea stimulation of KCl cotransport induces abnormal volume reduction in sickle reticulocytes
Blood, February 15, 2007; 109(4): 1728 - 1735.
[Abstract] [Full Text] [PDF]


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ASH ANNUAL MEETING ABSTRACTSHome page
C. H. Joiner, R. K. Rettig, M. Palascak, A. Sheriff, R. M. Cohen, and R. S. Franco
Mature Sickle and Normal Red Cells Exhibit Regulatory Volume Decrease Activated by Urea and Mediated by KCl Cotransport.
Blood (ASH Annual Meeting Abstracts), November 16, 2005; 106(11): 2321 - 2321.
[Abstract]



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