It has recently been shown that the Gardos channel activity of mouse erythrocytes can be modified by endothelins, suggesting a functional linkage between endothelin receptors and the Gardos channel. Using 86 Rubidium ( 86 Rb) influx, effects were estimated of proinflammatory molecules such as platelet activator factor (PAF), endothelin-1 (ET-1), interleukin-10 (IL-10), and regulated on activation normal T cells expressed and secreted (RANTES) on the Gardos channel activity in human normal and sickle red cells. It was found that PAF (EC 50 : 15 ؎ 7 nM), RANTES (EC 50 , 9 ؎ 6 ng/mL [1.2 ؎ 0.8 nM]), IL-10 (EC 50 , 11 ؎ 8 ng/mL [204 ؎ 148 nM]), and ET-1 (EC 50 , 123 ؎ 34 nM) induce a significant increase in Gardos channel activity-between 28% and 84%-over the control. In addition, these agents modify the Gardos channel affinity for internal Ca ؉؉ (K 0.5 ) by 2-to 6-fold. Biochemical evidence is provided for the presence of ET receptor subtype B in sickle and normal red cells. Furthermore, it was found that ET-1, PAF, RANTES, and IL-10 induce a significant increase in red cell density (P < .05). These data suggest that activation of the Gardos channel is functionally coupled to receptor motifs such as C-X-C (PAF), C-C (RANTES), and ET receptor subtype B. Thus, cell volume regulation or erythrocyte hydration states might be altered by activation of the Gardos channel by cytokines in vivo. The role of these mediators in promoting sickle cell dehydration in vivo is under investigation.
IntroductionSickle cell disease is characterized by chronic hemolytic anemia, frequent infection, and occlusion of the microcirculation that result in organ damage and painful episodes. Plasma levels of several proinflammatory and adhesive cytokines have been shown to be increased in sickle cell disease. [1][2][3][4][5] However, little is known about their contribution to its pathogenesis, though a relationship between adhesiveness of the sickle cells and the clinical state of the patients has been observed. 6 It has been postulated that factors that activate vascular endothelium may enhance the attachment of young reticulocytes and sickle cells to the endothelium and may cause delays in the passage of red cells through the microcirculation. 7,8 The prolonged microvascular transit time of sickle red cells may then provide the necessary time for hemoglobin polymerization, cell sickling, and vaso-occlusion to occur. 9 Red cell sickling and adhesion are favored by cellular dehydration, which increases the rate of hemoglobin polymerization and cell sickling. 10 Previous data have shown that the dehydration of sickle erythrocytes mediated by the Ca ϩϩ -activated K ϩ channel (Gardos channel) can be activated in vitro by oxygenationdeoxygenation cycles. 11 Blockade of the Gardos channel by clotrimazole induces a reduction in red cell dehydration in vivo and in vitro. 12,13 We postulated that activators of the Gardos channel might favor the formation of dense sickle cells and cell entrapment in the microvasculature. The arachidonic acid derivati...