Bize, Isabel, Samara Taher, and Carlo Brugnara. Regulation of K-Cl cotransport during reticulocyte maturation and erythrocyte aging in normal and sickle erythrocytes. Am J Physiol Cell Physiol 285: C31-C38, 2003. First published February 26, 2002 10.1152/ajpcell.00447.2002The age/density-dependent decrease in K-Cl cotransport (KCC), PP1 and PP2A activities in normal and sickle human erythrocytes, and the effect of urea, a known KCC activator, were studied using discontinuous, isotonic gradients. In normal erythrocytes, the densest fraction (d ϳ33.4 g/dl) has only about ϳ5% of the KCC and 4% of the membrane (mb)-PP1 activities of the least-dense fraction (d ϳ24.7 g/dl). In sickle and normal erythrocytes, density-dependent decreases for mb-PP1 activity were similar (d50% 28.1 Ϯ 0.4 vs. 27.2 Ϯ 0.2 g/dl, respectively), whereas those for KCC activity were not (d50% 31.4 Ϯ 0.9 vs. 26.8 Ϯ 0.3 g/dl, respectively, P ϭ 0.004). Excluding the 10% least-dense cells, a very tight correlation exists between KCC and mb-PP1 activities in normal (r 2 ϭ 0.995) and sickle erythrocytes (r 2 ϭ 0.93), but at comparable mb-PP1 activities, KCC activity is higher in sickle erythrocytes, suggesting a defective, mb-PP1-independent KCC regulation. In normal, least-dense but not in densest cells, urea stimulates KCC (two-to fourfold) and moderately increases mb-PP1 (20-40%). Thus mb-PP1 appears to mediate part of urea-stimulated KCC activity. phosphorylation; protein phosphatase; urea; cell size; density IT HAS BEEN POSTULATED that the elevated activity of K-Cl cotransport (KCC) in sickle erythrocytes contributes to their dehydration, their short life-span, and the pathology associated with this disease (7). Reticulocyte maturation is associated with a decrease in cell volume mediated by KCC (23), followed by a sharp decrease in KCC activity (2,7,8,15,16,24). The functional inactivation of KCC in denser cells can be reversed by a variety of stimuli except in the 5% densest cells, indicating that in mature erythrocytes a significant amount of KCC-protein remains in the membrane in a latent state (9,14). In normal (AA) and sickle (SS) erythrocytes of increasing densities, a slight decrease in membrane-associated KCC-protein has been reported (31). Thus it appears that the large decrease in KCC activity with increasing cell densities is due almost exclusively to functional inactivation. The functional state of KCC is determined by phosphorylation/ dephosphorylation, either directly or via an associated protein. In mature erythrocytes, the low activity of KCC in isosmotic media appears to be due to high levels of phosphorylation of the transporter (or an associated protein) and is thought to be the result of the high activity of a kinase relative to the activity of a phosphatase, the substrate of which is the KCC transporter (19,13,17), although direct phosphorylation of the KCC-protein has yet to be demonstrated.In erythrocytes, KCC dephosphorylation appears to be mediated by membrane-associated protein phosphatase(s) (4, 28). The activating ph...