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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.
Submitted January 27, 2003
Division of Endocrinology, Diabetes, and Hypertension, Harvard Medical School, Boston, MA, USA * Corresponding author; email: fabry{at}aecom.yu.edu.
Elevation of K-Cl cotransport in patients with homozygous HbS or HbC increases red cell 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 knockout mice expressing exclusively human hemoglobin HbC or HbS+
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