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Blood, 1 September 2006, Vol. 108, No. 5, pp. 1611-1617.
Prepublished online as a Blood First Edition Paper on May 9, 2006; DOI 10.1182/blood-2005-11-012328.
Previous Article | Next Article 
Submitted November 15, 2005
Accepted April 24, 2006
Phosphatidylserine exposure in B lymphocytes: a role for
lipid packing
James I Elliott*, Alessandro Sardini, Joanne C Cooper, Denis R Alexander, Suzel Daventure, Giovanna Chimini, and Christopher F Higgins
MRC Clinical Sciences Centre, Faculty of Medicine, Imperial College, London, UK
Laboratory of Lymphocyte Signalling and Development, The Babraham Institute, Cambridge, UK
Centre d'Immunologie de Marseille-Luminy, Parc Scientifique et Technologique de Luminy, France
* Corresponding author; email: james.elliott{at}csc.mrc.ac.uk.
Plasma membrane lipids are usually distributed
asymmetrically, with phosphatidylserine (PS) confined to
the inner leaflet. PS exposure at the outer leaflet
occurs early in apoptosis, but is also constitutive on
some non-apoptotic cell populations where it plays a
role in cell signalling. How PS is transported
(" flopped" ) to the cell surface is unknown.
Contrary to
previous reports that normal murine B lymphocytes lack
lipid asymmetry, we show that PS is normally restricted
to the inner leaflet of these cells. PS exposure on
normal B cells did, however, occur spontaneously ex
vivo. Consistent with the hypothesis that loss of PS
asymmetry is regulated by CD45, PS is constitutively
exposed on viable, CD45-deficient B cells. We show that
calcium-stimulated PS exposure in B cells is
strain-variable, ABCA1-
independent, and is preceded by and dependent on a
decrease in lipid packing. This decrease in lipid
packing is concomitant with cell shrinkage and
consequent membrane distortion. Both are potently
inhibited by blockers of volume-regulatory K+ and Cl-
ion channels. Thus, changes in plasma membrane
organisation precede PS translocation. The data suggest
a model in which PS redistribution may occur by a
translocase-independent mechanism at energetically
favourable sites of membrane perturbation where lipid
packing is decreased.

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