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Blood, 15 March 2004, Vol. 103, No. 6, pp. 2384-2390. Prepublished online as a Blood First Edition Paper on November 13, 2003; DOI 10.1182/blood-2003-01-0237.
RED CELLS Expression of HbC and HbS, but not HbA, results in activation of K-Cl cotransport activity in transgenic mouse red cellsFrom the Division of Endocrinology, Diabetes and Hypertension, Harvard Medical School, Boston, MA; and Division of Hematology, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, NY.
Elevation of K-Cl cotransport in patients with homozygous hemoglobin (Hb) S or HbC increases red cell mean corpuscular hemoglobin concentration (MCHC) and contributes significantly to pathology. Elucidation of the origin of elevated K-Cl cotransport in red cells with mutant hemoglobins has been confounded by the concomitant presence of reticulocytes with high K-Cl cotransport. In red cells of control mice (C57BL), transgenic mice that express only human HbA, and transgenic mice that express both mouse globins and human HbS, volume stimulation is weak and insensitive to NO3- and dihydroindenyl-oxy-alkanoic acid (DIOA). DIOA and NO3- are inhibitors in all other mammalian red cells. In contrast, in knock-out mice expressing exclusively human hemoglobin HbC or HbS+
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