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Blood, 1 January 2005, Vol. 105, No. 1, pp. 361-367. Prepublished online as a Blood First Edition Paper on August 31, 2004; DOI 10.1182/blood-2004-01-0125.
Submitted January 13, 2004
Physiological Laboratory, University of Cambridge, Cambridge, United Kingdom * Corresponding author; email: vll1{at}cam.ac.uk.
The Ca2+-activated K+ channels of human red blood cells (RBCs) (Gardos channels, hIK1, hSK4) can mediate rapid cell dehydration, of particular relevance to the pathophysiology of sickle cell disease. Previous investigations gave widely discrepant estimates of the number of Gardos channels per RBC, from 1-3 to 300, with large cell-to-cell differences, suggesting that RBCs could differ extensively in their susceptibility to dehydration by elevated Ca2+. Here we investigated the distribution of dehydration rates induced by maximal and uniform Ca2+ loads in normal (AA) and sickle (SS) RBCs by measuring the time-dependent changes in osmotic fragility and RBC volume distributions. We found a remarkable conservation of osmotic lysis and volume distribution profiles during Ca2+-induced dehydration, indicating overall uniformity of dehydration rates among both AA and SS RBCs. In the light of these results, alternative interpretations were suggested for the previously proposed low estimates and heterogeneity of channel numbers per cell. The results support the view that stochastic Ca2+ permeabilization rather than Gardos channel variation is the main determinant selecting which SS cells dehydrate via Gardos channels in each sickling episode.
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