Hypertonicity and/or acidosis induce marked rheological changes under hypoxic conditions in sickle trait red blood cells

Author:

Ellsworth Patrick12ORCID,Pawlinski Izabela J.1,Sielaty Rachel1,Ilich Anton1,Prokopenko Yuriy1,Moonla Chatphatai13,Monroe Dougald M.12,Pawlinski Rafal12,Key Nigel S.12ORCID

Affiliation:

1. UNC Blood Research Center, University of North Carolina at Chapel Hill Chapel Hill North Carolina USA

2. Division of Hematology, Department of Medicine University of North Carolina at Chapel Hill Chapel Hill North Carolina USA

3. Department of Medicine and Center of Excellence in Translational Hematology, Faculty of Medicine Chulalongkorn University and King Chulalongkorn Memorial Hospital Bangkok Thailand

Abstract

SummaryDeformability and sickling of red blood cells (RBCs) from individuals with sickle cell trait (SCT) was evaluated under harsh biophysical conditions that mimic certain vascular beds in vivo. RBC deformability in osmotic‐gradient ektacytometry was decreased in HbAS (SCT) compared to HbAA (wild‐type) RBCs at supraphysiological osmolalities. RBC deformability was also measured by oxygen‐gradient ektacytometry. Whereas RBC sickling was not observed under isotonic and neutral pH conditions, hypertonicity and acidosis alone or in combination induced reversible sickling of SCT RBC. These data suggest that hyperosmolality and/or acidosis enhance hypoxia‐induced sickling of SCT RBC.

Funder

National Institutes of Health

Publisher

Wiley

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