Thermohaemolysis of human erythrocytes in sucrose containing isotonic media

Thermal sensitivity and haemolysis of erythrocytes with membranopathy

Measuring the impedance of heated suspensions of erythrocytes and erythrocyte ghost membranes, two thermally-induced alterations are registered in the plasma membrane at T_A (denaturation of spectrin with inducing temperature at 49,5 °C) and T_G (hyperthermic activation of basal ion permeability with inducing temperature at 60.7 °C). In this study erythrocytes from 9 healthy patients and 15 patients with hemolytic anemia were studied and divided into four groups depending on their T_A and T_G top temperatures. The T_A and T_G of erythrocytes with hemoglobinopathy were the same as those of control erythrocytes while those of erythrocytes with membranopathy were significantly reduced. In erythrocytes with severe membranopathy, the T_G was decreased by about 5 °C. In latter cells the normal value of T_G was restored and the resistance to thermal haemolysis was increased by 90% after the specific stabilization of band 3 protein by 4,4'-diisothiocyanato-stilbene-2,2'-disulfonic acid (DIDS). Obtained results indicate the involvement of band 3 in the membrane alteration at T_G and in the heat target responsible for thermal haemolysis.

Dielectric relaxations on erythrocyte membrane as revealed by spectrin denaturation

We studied the effect of spectrin denaturation at 49.5°C (TA) on the dielectric relaxations and related changes in the complex impedance, Z*, complex capacitance, C*, and dielectric loss curve of suspensions containing human erythrocytes, erythrocyte ghost membranes (EMs) and Triton-X-100 residues of EMs. The loss curve prior to, minus the loss curve after TA, resulted in a bell-shaped peak at 1.5MHz. The changes in the real and imaginary components of Z* and C* at TA, i.e., ΔZre, ΔZim, ΔCre and ΔCim, calculated in the same way, strongly varied with frequency. Between 1.0 and 12MHz the -ΔZim vs ΔZre, and ΔCim vs ΔCre plots depicted semicircles with critical frequencies, fcr, at 2.5MHz expressing recently reported relaxation of spectrin dipoles. Between 0.02 and 1.0MHz the -ΔZim vs ΔZre plot exhibited another relaxation whose fcr mirrored that of beta relaxation. This relaxation was absent on Triton-X-shells, while on erythrocytes and EMs it was inhibited by selective dissociation of either attachment sites between spectrin and bilayer. Considering above findings and inaccessibility of cytosole to outside field at such frequencies, the latter relaxation was assumed originating from a piezoelectric effect on the highly deformable spectrin filaments.

Dipole relaxation in erythrocyte membrane: involvement of spectrin skeleton

Polarization of spectrin-actin undermembrane skeleton of red blood cell (RBC) plasma membranes was studied by impedance spectroscopy. Relatedly, dielectric spectra of suspensions that contained RBCs of humans, mammals (bovine, horse, dog, cat) and birds (turkey, pigeon, duck), and human RBC ghost membranes were continuously obtained during heating from 20 to 70°C. Data for the complex admittance and capacitance were used to derive the suspension resistance, R, and capacitance, C, as well as the energy loss as a function of temperature. As in previous studies, two irreversible temperature-induced transitions in the human RBC plasma membrane were detected at 49.5°C and at 60.7°C (at low heating rate). The transition at 49.5°C was evident from the abrupt changes in R, and C and the fall in the energy loss, due to dipole relaxation. For the erythrocytes of indicated species the changes in R and C displayed remarkable and similar frequency profiles within the 0.05-13MHz domain. These changes were subdued after cross-linking of membranes by diamide (0.3-1.3mM) and glutaraldehyde (0.1-0.4%) and at the presence of glycerol (10%). Based on the above results and previous reports, the dielectric changes at 49.5°C were related to dipole relaxation and segmental mobility of spectrin cytoskeleton. The results open the possibility for selective dielectric thermolysis of cell cytoskeleton.

Anion exchanger and the resistance against thermal haemolysis

4,4'-Diiso-thiocyanato stilbene-2,2'-disulphonic acid (DIDS) is a membrane-impermeable, highly specific covalent inhibitor and powerful thermal stabiliser of the anion exchanger (AE1), the major integral protein of erythrocyte membrane (EM). Suspensions of control and DIDS-treated (15 µM, pH 8.2) human erythrocytes were heated from 20° to 70°C using various but constant heating rates (1-8°C/min). The cellular electrolyte leakage exhibited a sigmoidal response to temperature as detected by conductometry. The critical midpoint temperature of leakage, T(mo), extrapolated to low heating rate (0.5°C/min) was used as a measure for EM thermostability. T(mo) was greater for DIDS-treated erythrocytes, 63.2° ± 0.3°C, than for intact erythrocytes, 60.7° ± 0.2°C. The time, t(1/2), for 50% haemolysis of erythrocytes, exposed to 53°C was used as a measure for the resistance of erythrocytes against thermal haemolysis. The t(1/2) was also greater for DIDS-treated erythrocytes, 63 ± 3 min, than for intact erythrocytes, 38 ± 2 min. The fluorescent label N-(3-pyrenyl)maleimide and EPR spin label 3-maleimido-proxyl, covalently bound to sulphydryl groups of major EM proteins, were used to monitor the changes in molecular motions during transient heating. Both labels reported an intensification of the motional dynamics at the denaturation temperatures of spectrin (50°C) and AE1 (67°C), and, surprisingly, immobilisation of a major EM protein, presumably the AE1, at T(mo). The above results are interpreted in favour of the possible involvement of a predenaturational rearrangement of AE1 copies in the EM thermostability and the resistance against thermal haemolysis.

Erythrocyte death in vitro induced by starvation in the absence of Ca(2+)

Human erythrocytes (RBCs), stored at 4 degrees C under nominal absence of external energy sources and calcium ions, show a gradual decrease in membrane roughness (R(rms)) at the end of which the appearance of morphological phenomena (spicules, vesicles and spherocytes) is observed on the cell membrane, phenomena that can mainly be ascribed to the ATP-dependent disconnection of the cortical cytoskeleton from the lipid bilayer. After depletion of the intracellular energy sources obtained under the extreme conditions chosen, treatment with a minimal rejuvenation solution makes the following remarks possible: (i) RBCs are able to regenerate adenosine triphosphate (ATP) and 2,3-bisphosphoglycerate only up to 4 days of storage at 4 degrees C, whereas from the eighth day energy stocks cannot be replenished because of a disorder in the transmembrane mechanisms of transport; (ii) the RBCs' roughness may be restored to the initial value (i.e. that observed in fresh RBCs) only in samples stored up to 4-5 days, whereas after the eighth day of storage the rejuvenation procedure appears to be inefficient; (iii) membrane physical properties - as measured by R(rms) - are actually controlled by the metabolic production of ATP, necessary to perform the RBCs' basic functions; (iv) once energy stores cannot be replenished, a regulated sequence of the morphological events (represented by local buckles that lead to formation of spicules and vesicles of the lipid bilayer with generation of spherocytes) is reminiscent of the RBCs' apoptotic final stages; (v) the morphological phenomenology of the final apoptotic stages is passive (i.e. determined by simple mechanical forces) and encoded in the mechanical properties of the membrane-skeleton; and (vi) necrotic aspects (e.g. disruption of cell membrane integrity, so that intracellular protein content is easily released) ensue when RBCs are almost totally (> or =90%) depleted in an irreversible way of the energetic stores.

Allometric dependence of the life span of mammal erythrocytes on thermal stability and sphingomyelin content of plasma membranes

Thermal stability of erythrocyte membrane is a measure for its ability to maintain permeability barrier at deleterious conditions. Hence, it could impact the resistance of erythrocytes against detrimental factors in circulation. In this study the thermostability of erythrocyte membranes was expressed by the temperature, T(go), at which the transmembrane gradient of ion concentration rapidly dissipated during transient heating. T(go) is the inducing temperature of the membrane transition that activated passive ion permeability at hyperthermia causing thermal hemolysis. A good allometric correlation of T(go) to the resistance against thermal hemolysis and the life span of erythrocytes were found for 13 mammals; sheep, cow, goat, dog, horse, man, rabbit, pig, cat, hamster, guinea pig, rat, and mouse. For the same group, the values of T(go) were strictly related to the sphingomyelin content of erythrocyte membranes. The residual ion permeability, P, was temperature activated from 38 to 57 degrees C with activation energy of 250+/-15 kJ/mol that strongly differed from that below 37 degrees C. The projected value of P at 37 degrees C was about half that of residual physiological permeability for Na+ and K+ that build ground for possible explanation of the life span vs membrane thermostability allometric correlation.

Erythrocyte membrane defects in hemolytic anemias found through derivative thermal analysis of electric impedance

Hereditary hemolytic anemias originate mainly from defects in hemoglobin and plasma membrane proteins. Here, we propose a new method, thermal analysis of impedance, sensitive to membrane defects. It detects three processes in erythrocyte membrane; fall in membrane capacity at 49.5 degrees C and activation of passive PO(4)(2+) permeability at 37 degrees C and inorganic ions at 61.5 degrees C. The denaturation of spectrin is involved in the first process whilst the anion channel is involved in latter processes. Using this method three persons with xerocytosis were found whereby the fall in membrane capacity and spherization of erythrocytes were both postponed (53 degrees C) compared to control (49.5 degrees C). In contrast to control cells, strong activation of passive permeability for Cl(-) at 37 degrees C and sucrose at 61 degrees C were detected that were both eliminated by pre-inhibition of the anion channel with 4,4'-diisothiocyanato-stilbene-2,2'-disulfonic acid (DIDS). In addition, erythrocytes from 15 patients with various forms of anemia were studied in intact state and after refreshment. The results were compared with the data of clinical laboratory and osmotic fragility test. The final conclusion is that this method detects membrane defects with altered spectrin and anion channel syndrome (hereditary xerocytosis, spherocytosis, poikilocytosis and pyropoikilocytosis, elliptocytosis and stomatocytosis) and, after refreshment, helps differentiate them from the anemia with hemoglobinopathy.

Spectrofluorometric and microcalorimetric study of the thermal poration relevant to the mechanism of thermohaemolysis

This study sheds light on the structural changes in erythrocyte membrane during thermally induced poration, an event involved in thermohaemolysis. Two major membrane disturbing events can be induced during transient heating, the denaturation of spectrin and thermoporation. The first one precedes the latter but is not involved in it. Ethanol linearly reduces the onset temperature of both events but with different efficiencies. Thermoporation efficiency exceeds by 3.5 fold that of spectrin denaturation. Thus, at a specific concentration of ethanol (18% v/v), the poration occurs at 39.5 degrees C, which precedes the denaturation of spectrin by 6 degrees C. To induce and study the poration avoiding spectrin denaturation, cells were put in contact with preheated (39 degrees C) isotonic (60mM) NaCl) media containing 18% v/v ethanol and sucrose as an osmotic protectant. After 3 min heating, the porated cells were washed, their membranes isolated and studied. The control cells were processed similarly except that they were incubated at 23 degrees C, thus avoiding thermoporation. Using scanning microcalorimetry, the enthalpy and the temperature of denaturation of spectrin were found to be the same in control as well as in porated membranes which indicates similar spectrin structure in both membranes. While the enthalpy of denaturation of the anion channel was preserved, its denaturation temperature was lowered by 2.5 degrees C after poration. These results confirmed that the heat denaturation of the main membrane proteins was not needed and not involved in thermoporation and, hence, in thermohaemolysis. Analysis of the fluorescence of membrane bound ANS gave an apparent increase in the number of binding sites for ANS in membranes after poration. In relation to the control, the eximerization of pyrene in porated membranes changed, depending on the location of the probe: in the domain of free lipids it decreased by 18% but it increased by 60% in the lipid milieu proximal to membrane proteins. Likewise, the eximerization of N-(3-Pyrene) maleimide bound to membrane proteins increased by 67% after poration, which proves increased intramolecular mobility of proteins following poration. The maximal efficiency for transferring energy from tryptophans to neighbouring pyrene was determined to be 0.93 in control, which is almost the same as in intact membranes, and 0.70 in porated membranes, indicating a strong decrease in the lipid/protein contact zone. This data suggests a mild conformational change, possibly an irreversible perturbance of the transbilayer distribution of membrane proteins in porated membranes in comparison to the control and intact ones.

Correlation between the n-alkanols-induced sensitization of erythrocytes to hyperthermia and the fluidization of their membrane

It was reported recently that the thermohaemolysis of mammalian erythrocytes is related to a thermo-induced membrane event of permeability barrier impairment in which the inactivation of membrane proteins is implicated. Here, the influence of different n-alkanols, methanol to octanol, on the onset temperature Tm of this barrier impairment event was compared with the changes in the dynamic properties of the membrane lipid region for human erythrocytes. The potencies of these n-alkanols to decrease Tm, to fluidize and disorder the lipid region were strongly related to their lipid solubilities. With respect to their membrane concentration, all the applied n-alkanols were roughly equipotent in decreasing Tm and in fluidizing and disordering the membrane lipids. Since Tm corresponds to the stability of erythrocytes against hyperthermia, this result indicates that the heat sensitization of these cells, induced by the n-alkanols employed, strongly correlated the fluidization (disordering) of the lipid region of their membranes.