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The phospholipids of the human red cell are distributed asymmetrically in the bilayer of the red cell membrane. In certain pathologic states, such as sickle cell anemia, phospholipid asymmetry is altered. Although several methods can be used to measure phospholipid organization, small organizational changes have been very difficult to assess. Moreover, these methods fail to identify subpopulations of cells that have lost their normal phospholipid asymmetry. Using fluorescently labeled annexin V in flow cytometry and fluorescent microscopy, we were able to identify and quantify red cells that had lost their phospholipid asymmetry in populations as small as 1 million cells. Moreover, loss of phospholipid organization in subpopulations as small as 0.1% of the total population could be identified, and individual cells could be studied by fluorescent microscopy. An excellent correlation was found between fluorescence-activated cell sorter (FACS) analysis results using annexin V to detect red cells with phosphatidylserine (PS) on their surface and a PS-requiring prothrombinase assay using similar red cells. Cells that bound fluorescein isothiocyanate (FITC)-labeled annexin V could be isolated from the population using magnetic beads covered with an anti-FITC antibody. Evaluation of blood samples from patients with sickle cell anemia under oxygenated conditions demonstrated the presence of subpopulations of cells that had lost phospholipid asymmetry. While only a few red cells were labeled in normal control samples (0.21% +/- 0.12%, n = 8), significantly increased (P < .001) annexin V labeling was observed in samples from patients with sickle cell anemia (2.18% +/- 1.21%, n = 13). We conclude that loss of phospholipid asymmetry may occur in small subpopulations of red cells and that fluorescently labeled annexin V can be used to quantify and isolate these cells.

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Phospholipid asymmetry in the red blood cell (RBC) lipid bilayer is well maintained during the life of the cell, with phosphatidylserine (PS) virtually exclusively located in the inner monolayer. Loss of phospholipid asymmetry, and consequently exposure of PS, is thought to play an important role in red cell pathology. The anemia in the human thalassemias is caused by a combination of ineffective erythropoiesis (intramedullary hemolysis) and a decreased survival of adult RBCs in the peripheral blood. This premature destruction of the thalassemic RBC could in part be due to a loss of phospholipid asymmetry, because cells that expose PS are recognized and removed by macrophages. In addition, PS exposure can play a role in the hypercoagulable state reported to exist in severe β-thalassemia intermedia. We describe PS exposure in RBCs of 56 comparably anemic patients with different genetic backgrounds of the α- or β-thalassemia phenotype. The use of fluorescently labeled annexin V allowed us to determine loss of phospholipid asymmetry in individual cells. Our data indicate that in a number of thalassemic patients, subpopulations of red cells circulate that expose PS on their outer surface. The number of such cells can vary dramatically from patient to patient, from as low as that found in normal controls (less than 0.2%) up to 20%. Analysis by fluorescent microscopy of β-thalassemic RBCs indicates that PS on the outer leaflet is distributed either over the entire membrane or localized in areas possibly related to regions rich in membrane-bound α-globin chains. We hypothesize that these membrane sites in which iron carrying globin chains accumulate and cause oxidative damage, could be important in the loss of membrane lipid organization. In conclusion, we report the presence of PS-exposing subpopulations of thalassemic RBC that are most likely physiologically important, because they could provide a surface for enhancing hemostasis as recently reported, and because such exposure may mediate the rapid removal of these RBCs from the circulation, thereby contributing to the anemia.

There is a nearly continuous record of magmatism through the Late Cretaceous-early Paleogene in Idaho and adjacent areas of Oregon and Montana, including the various phases of the Idaho batholith. We suggest that much of this magmatic record, however, has been obscured by subsequent tectonic deformation, erosion, and magmatic disruption and cannibalization, the latter of which can be tracked by zircon inheritance. Specifically, a mid-Cretaceous magmatic arc was significantly deformed by the western Idaho shear zone and intruded by the 83-67 Ma Atlanta peraluminous suite of the Idaho batholith. The northern part of the Atlanta peraluminous suite was, in turn, intruded by the 65-55 Ma Bitterroot lobe of the Idaho batholith. Consequently, the present age distribution of magmatism is strongly biased toward the youngest phases of plutonism; much of the older phases were destroyed by tectonic, magmatic, and erosional processes. The destruction of granitic batholiths may characterize Cordilleran-style orogens worldwide, which can lead to significant underestimates of magmatic fluxes.

The authors analyzed detrital zircon grains from 10 metasedimentary rock samples of the Priest River complex and three other amphibolite-facies metamorphic sequences in north-central Idaho to test the previous assignment of these rocks to the Mesoproterozoic Belt–Purcell Supergroup. Zircon grains from two samples of the Prichard Formation (lower Belt) and one sample of Cambrian quartzite were also analyzed as controls with known depositional ages. U–Pb zircon analysis by laser ablation — inductively coupled plasma — mass spectrometry reveals that 6 of the 10 samples contain multiple age populations between 1900 and 1400 Ma and a scatter of older ages, similar to results reported from the Belt–Purcell Supergroup to the north and east. Results from the Priest River metamorphic complex confirm previous correlations with the Prichard Formation. Samples from the Golden and Elk City sequences have significant numbers of 1500–1380 Ma grains, which indicates that they do not predate the Belt. Rather, they are probably from a relatively young, southwestern part of the Belt Supergroup (Lemhi subbasin). Non-North American (1610–1490 Ma) grains are rare in these rocks. Three samples of quartzite from the Syringa metamorphic sequence northwest of the Idaho batholith contain zircon grains younger than the Belt Supergroup and support a Neoproterozoic age. A single Cambrian sample has abundant 1780 Ma grains and none younger than ∼1750 Ma. These results indicate that the likely protoliths of many high-grade metamorphic rocks in northern Idaho were strata of the Belt–Purcell Supergroup or overlying rocks of the Neoproterozoic Windermere Supergroup and not basement rocks.

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