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Blood, 15 August 2002, Vol. 100, No. 4, pp. 1511-1511

CORRESPONDENCE

To the editor:

Acidic and neutral sialidase in the erythrocytes of patients with Type 2 diabetes: influence on erythrocyte lifespan

Venerando et al reported an increased quantity of sialic acid at the surface of erythrocytes in diabetic patients and associated the increase with decreased activity of neutral sialidase, an enzyme for which they had previously demonstrated a role in physiologic desialylation of red cells.1 In their discussion they hypothesized that this excess in sialic acid was responsible for a shorter life span of erythrocytes in diabetes mellitus.

This second assertion is in contradiction with what is commonly known about phagocytosis of senescent red cells. Indeed, several lines of evidence support the contrary hypothesis. The mechanism proposed for this selective recognition and uptake of desialylated red cells is that the macrophage recognizes the adjacent galactose group, which is unmasked by desialylation of glycophorin glycans. Several studies support this hypothesis.

First, in vivo studies showed that neuraminidase-treated erythrocytes are sequestrated more quickly by resident macrophages of the spleen, liver, and bone marrow.2,3,4 Their life span is also decreased.2

Second, centrifugation and lectin recognition studies have showed that older erythrocytes carry less sialic acid residue than younger ones. Moreover, these erythrocytes can be resialylated in vitro, suggesting that the rest of the sialic acid-binding group remains intact. Older red cells can be more resialylated than younger ones.2

Third, a receptor for galactose residue has been identified at the surface of peritoneal macrophages that are capable of performing erythrophagocytosis in vitro.2,3,5

Fourth, in vitro studies showed that older erythrocytes are preferentially by murine peritoneal macrophages, a reaction that can be inhibited by lactose, which is used as a competitive inhibitor of galactose recognition.2

To our knowledge no recent data have invalidated this theory.


Thibault Richard, Karim Zouaoui Boudjeltia, Michaël Piagnerelli, and Michel Vanhaeverbeek
Correspondence: Thibault Richard, ISPPC André Vésale, Laboratory of experimental medicine, 706, route de Gozée 6110, Montigny Le Tilleul, Belgium; e-mail: tqr{at}swing.be.

References

1. Venerando B, Fiorilli A, Tettamanti G. Presence in human erythrocyte membranes of a novel form of sialidase acting optimally at neutral pH. Blood. 1997;90:2047-2056[Abstract/Free Full Text].

2. Bratosin D, Masurier D, Mazurier J, et al. Cellular and molecular mechanisms of senescent erythrocyte phagocytosis by macrophage: a review. Biochimie. 1998;80:173-195[Medline] [Order article via Infotrieve].

3. Deiss A. Destruction of erythrocytes. In: Richard Lee G,Foerster J,Lukens J, et al., eds. Wintrobe's Clinical Hematology. Baltimore, MD: Williams & Wilkins; 1999:267-299.

4. Simchon S, Jan KM, Chien S. Studies on sequestration of neuraminidase-teated red blood cells. Am J Physiol. 1988;254:H1167-H1171[Medline] [Order article via Infotrieve].

5. Traving C, Schauer R. Structure, function and metabolism of sialiv acids. Cell Mol Life Sci. 1998;54:1330-1349[CrossRef][Medline] [Order article via Infotrieve].


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Related Letter in Blood Online:

Acidic and neutral sialidase in the erythrocytes of patients with type 2 diabetes: an answer to comments by Richard et al
Bruno Venerando, Amelia Fiorilli, Gianluigi Croci, Cristina Tringali, Giancarlo Goi, Laura Mazzanti, Giovanna Curatola, Giovanni Segalini, Luca Massaccesi, Adriana Lombardo, and Guido Tettamanti
Blood 2003 101: 2071. [Full Text] [PDF]

Related Article in Blood Online:

Acidic and neutral sialidase in the erythrocyte membrane of type 2 diabetic patients
Bruno Venerando, Amelia Fiorilli, Gianluigi Croci, Cristina Tringali, Giancarlo Goi, Laura Mazzanti, Giovanna Curatola, Giovanni Segalini, Luca Massaccesi, Adriana Lombardo, and Guido Tettamanti
Blood 2002 99: 1064-1070. [Abstract] [Full Text] [PDF]



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B. Venerando, A. Fiorilli, G. Croci, C. Tringali, G. Goi, L. Mazzanti, G. Curatola, G. Segalini, L. Massaccesi, A. Lombardo, et al.
Acidic and neutral sialidase in the erythrocytes of patients with type 2 diabetes: an answer to comments by Richard et al
Blood, March 1, 2003; 101(5): 2071 - 2071.
[Full Text] [PDF]


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