ICAM-4 (LW blood group glycoprotein) is an erythroid-specific membrane component that belongs to the family of intercellular adhesion molecules and interactsThe main physiological function of red blood cells (RBCs), 1 which encapsulate hemoglobin, is to ensure the respiratory gases transport throughout the human body. However, the recent demonstration that mature RBCs express a growing number of adhesion molecules, many of which exhibit blood group specificities (1-3), reinforces the necessity to revisit the functional interaction of RBCs with leukocytes, platelets, and vascular endothelium under normal and pathological conditions.It is interesting that many RBC adhesion molecules contain protein domains characteristic of the immunoglobulin superfamily, suggesting some recognition function. These molecules might participate in the normal RBC physiology by playing a role during erythropoiesis (differentiation, maturation, enucleation, release), self-recognition mechanisms, red cell turnover, and cell aging through cellular interactions with counter