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Blood, 1 January 2005, Vol. 105, No. 1, pp. 382-386.
Prepublished online as a Blood First Edition Paper on September 7, 2004; DOI 10.1182/blood-2003-11-3755.


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Submitted November 4, 2003
Accepted August 20, 2004

Abnormal regulation of Mg transport via Na/Mg exchange in sickle erythrocytes

Alicia Rivera*, Ana Ferreira, Danielle Bertoni, Jose R Romero, and Carlo Brugnara

Department of Laboratory Medicine, Children's Hospital, Boston, MA, USA; Department of Pathology, Harvard Medical School, Boston, MA, USA
Division of Endocrinology, Diabetes and Hypertension, Brigham and Women's Hospital, Boston, MA, USA; Dept. of Medicine, Harvard Medical School, Boston, MA, USA

* Corresponding author; email: alicia.rivera{at}childrens.harvard.edu.

Erythrocyte magnesium (Mg) deficiency has been demonstrated in sickle cell disease to contribute to erythrocyte dehydration and K loss and thus sickling. No studies have assessed the functional properties of the Na/Mg exchanger in sickle cell disease. Using Mg2+ loaded erythrocytes, we measured Mg2+ efflux induced by extracellular Na+. We estimated that the Na/Mg exchanger had higher maximal velocity, higher affinity for Na+, and lower cooperativity for Mg2+ in sickle than in normal erythrocytes. The activity of the exchanger was markedly decreased by hypotonic and hypertonic conditions in normal erythrocytes but not in sickle erythrocytes. Studies of density-separated erythrocytes showed that the activity of the exchanger decreased as the mean cellular hemoglobin concentration increased in normal but not in sickle erythrocytes. Inhibition of PKC activity by calphostin C and chelerythrine increased the activity of the exchanger in normal but not in sickle erythrocytes. Inhibition of serine/threonine phosphatases did not affect the activity of the exchanger in either normal or sickle erythrocytes. Altogether, these data indicate that Na/Mg exchanger is abnormally regulated in sickle erythrocytes. Therefore, Mg2+ depletion in sickle erythrocytes might be mediated by an upregulated Na/Mg exchanger, possibly by dephosphorylation of the transporter or a closely associated regulator.


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