“…It is also known that with an increase in the intracellular Ca 2+ ion concentration, the cells suffer from a partial loss of the whole cell deformability (11,20,22,26,40,43). The erythrocyte deformability is assumed to be generally determined by the following factors: (a) physical properties of the membrane and cytoskeleton (e.g., elasticity); (b) the state of the cytoplasm (e.g., viscosity, hemoglobin concentration and aggregation); and (c) the geometry of the cell (e.g., shape, the surplus of the membrane surface area of the cell relative to its given volume) (14,19,23,32,35). Of the three factors, the second has been proposed in the past to be the principal mechanism of the Ca 2+-induced loss of deformability as the result of the cell dehydration and the consequent high internal viscosity (increase in hemoglobin concentration), because no loss of deformability was observed in a high potassium medium in which dehydration and K+ effilux are prevented (11,20).…”