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Prepublished online as a Blood First Edition Paper on March 6, 2003; DOI 10.1182/blood-2002-03-0914.
Submitted March 25, 2002
Center for Sickle Cell Disease, Howard University, College of Medicine and Howard University Hospital, Washington, DC, USA * Corresponding author; email: jkurantsin-mills{at}howard.edu.
Sickle erythrocytes have increased ferritin and increased molecular iron on the inner membrane leaflet, and we postulated that cytosolic labile iron is also elevated. We used the fluorescent metallosensor, calcein, and a permeant Fe2+ chelator to estimate labile cytosolic Fe2+ and calcein plus Fe3+ chelator to estimate total cytosolic labile iron (Fe2+ + Fe3+). We measured membrane nonheme iron by its reactivity with ferrozine. As estimated by calcein and Fe2+ chelator, the mean ± SD labile iron concentration was significantly lower in hemoglobin SS (n=29) than hemoglobin AA (n=17) erythrocytes (0.56±0.35 µM versus 1.25±0.65µM; P<0.001). In contrast, as estimated by calcein and Fe3+ chelator, total erythrocyte labile iron was similar in hemoglobin SS (n=12) and hemoglobin AA (n=10)participants (1.75±0.41µM versus 2.14±0.93µM; P=0.2). Mean membrane nonheme iron levels were higher in hemoglobin SS cells than hemoglobin AA cells (0.0016x10-4 versus 0.0004x10-4 fmoles/cell; p=0.01), but much lower than the mean amounts of total labile iron (1.6-1.8x10-4 fmoles/cell) or hemoglobin iron (18,000-19,000x10-4 fmoles/cell). Both membrane iron and labile iron were much less than the mean amount of iron potentially present in erythrocyte ferritin as calculated from results of other investigators (15x10-4 versus 34x10-4 fmoles/cell in HbAA versus HbSS erythrocytes). We conclude that cytosolic labile iron is not elevated in hemoglobin SS erythrocytes and that elemental membrane iron is present in only trace amounts.
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