“…This phosphorylation is catalyzed by protein kinase C (PKC), which disassembles the spectrin/actin/4.1 trimer, the essential cytoskeletal complex that determines the mechanical stability of the RBC membrane (12). Indeed, PKC activation is known to lead to a decreased overall stability of the membrane skeleton (12,53,54), a structural effect that is consistent with a measurable increase of the dynamic fluctuations of the RBC membrane, as revealed by Betz et al (7). Therefore, assuming the currently accepted mechanochemical model of the 4.1 nodes (51,53), every unpinning event bears a reaction kicking force that should be stressed on the lipid membrane upon dissociation of a spectrin filament from the junctional complex (14,26).…”