1989
DOI: 10.1111/j.1365-2141.1989.tb07692.x
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Alteration of the mechanical properties of sickle cells by repetitive deoxygenation: role of calcium and the effects of calcium blockers

Abstract: The formation of dense, poorly deformable sickle cells was studied by subjecting pre-separated, less dense cells to repeated deoxygenation and reoxygenation for 15 h. In the presence of Ca (2 mmol/l), this process caused the number of irreversible sickled cells to increase five-fold, mean cell haemoglobin concentration to increase by 13% and cellular potassium to decrease by 22%. Also, red cell filterability through 5 microns filter pores was greatly worsened. These effects decreased but were not totally aboli… Show more

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Cited by 27 publications
(9 citation statements)
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“…We previously showed that when less dense sickle cells were subjected to 15 hr of cyclical deoxygenationreoxygenation in the presence of calcium, they lost potassium and water via the Gardos channel and a proportion became ISC; 15-hr incubation without deoxygenation did not affect these parameters [26]. Here, cyclically deoxygenated cells showed significantly higher adhesion than control cells incubated at 37°C but kept fully oxgenated (Table 111).…”
Section: Effect Of In Vitro Incubation and Formation Of Dense Cellsmentioning
confidence: 86%
“…We previously showed that when less dense sickle cells were subjected to 15 hr of cyclical deoxygenationreoxygenation in the presence of calcium, they lost potassium and water via the Gardos channel and a proportion became ISC; 15-hr incubation without deoxygenation did not affect these parameters [26]. Here, cyclically deoxygenated cells showed significantly higher adhesion than control cells incubated at 37°C but kept fully oxgenated (Table 111).…”
Section: Effect Of In Vitro Incubation and Formation Of Dense Cellsmentioning
confidence: 86%
“…At the onset of crisis, identification of the prodromal phase allowed the detection of a sub-population of poorly deformable dense cells that would not have been detected had the study been limited to the later phase of established crisis. Formation of dense, poorly deformable sickle cells may occur continuously in vivo, because of repeated cycles of deoxygenation and reoxygenation (Nash et al, 1989), with accelerated removal during vaso-occlusive events. The implication of the present study is that this subpopulation had increased sufficiently to become an initiating factor in vaso-occlusive crisis.…”
Section: Discussionmentioning
confidence: 99%
“…Specifically, the goal was to obtain leaflet compressibility from area fluctuations in the spirit of the above-described theory (Eqs. [2][3][4][5].…”
Section: Methodsmentioning
confidence: 99%
“…A cell's ability to take on distinct shapes is directly dependent on the flexibility of its bounding plasma membrane (PM), and thus maintaining a certain level of flexibility of the PM is essential to both cell and human physiology. A prominent example of the consequences of deficits in PM flexibility is sickle cell anemia, a disease characterized by a drastic change in the shape and stiffness of red blood cells that leads to their accumulation on vessel walls and blockage of blood flow [1][2][3][4][5][6].…”
Section: Introductionmentioning
confidence: 99%