Characteristics of the functional state of erythrocytes in healthy full-term newborn infants

The hematological parameters and functional status of erythrocytes were studied using osmotic and ammonium load in healthy newborns and adults. The mean erythrocyte volume in newborns was greater than in adults. Significant differences in the osmotic fragility index in newborns were observed upon the transition from swelling to hemolysis. The erythrocyte hemolysis kinetics in the ammonium load was studied by small-angle light scattering using a LaSca analyzer. The percentage of erythrocyte hemolysis was smaller and the rate of hemolysis in newborns was by a factor of 2.5 lower than in adults.     

PH-dependence of detergent-induced hemolysis and vesiculation of erythrocytes

The influence of pH of the medium on the parameters of detergent-induced fast hemolysis and vesiculation of human erythrocytes was studied. In the range of pH 6.3-7.2 neither the extent nor the rate of the vesiculation induced by 25 microM sodium dodecyl sulfate (SDS) changed. However, a decrease of pH from 8.0 to 5.8 strongly modified both the extent and the rate of the hemolysis induced by SDS. Within the range of pH 8.0-6.4, the effect can be ascribed to the increase of the positive charge of the membrane. This could lead to the accumulation of the membrane-bound anion detergent and, hence, to the change of the hemolysis parameters. Non-charged detergent Triton X-100 did not display any pH-dependence. At pH between 6.4 and 5.8 the extent and rate of hemolysis changed in a complicated manner. The kinetic curves of hemolysis could be approximated by a single exponential within the pH range between 8.0 and 7.2. Upon further reduction of pH, a second exponential component, with a larger time constant, appeared in the kinetic curves. At 5.8 < pH < 7.2, the contribution of the "fast" hemolysis dropped virtually to zero, with pK about 6.0. This points to a structural transition of the membrane, possibly involving histidine. We suggest that the parameters of the detergent-induced hemolysis are sensitive to the changes of the charge and structural state of erythrocyte membrane.     

Glycerol permeability of human fetal and adult erythrocytes and of a model membrane

When erythrocytes from different mammalian species are compared, the hemolysis rate in 0.3 m glycerol is seen to be directly related to the percentage of lecithin in the erythrocyte phospholipid. Since this percentage is higher in erythrocytes from human adults than in those from infants, the hemolysis times in 0.3 m glycerol were compared. As expected, hemolysis was more rapid in the adult cell, which is therefore more permeable to glycerol under these conditions. The permeability to glycerol of a film of erythrocyte lipids in vitro was next examined in a model system containing the two phases water and butanol. Lipid introduced into the bulk butanol appears as a film at the interface. When equal amounts of total lipid extracted from adult and fetal erythrocytes were introduced into the butanol phase of two such chambers, the initial flux of glycerol-(14)C across the lipid boundary was greater in the cell containing lipid from adult erythrocytes than in the cell containing fetal erythrocyte lipid. This difference corresponds qualitatively to the difference in hemolysis time measured in the intact erythrocytes.     

ACD-AG blood with decreased adenine and guanosine content

ACD-AG blood with 2 different initial concentrations of adenine and guanosine--both 0.25 and 0.5 mmol/l, respectively--has been studied by using 13 parameters. Differences could not be found in 11 parameters, among them ATP and 2,3-P2G content and the number of microaggregates. The formation of lactate and the hemolyses rate were slightly increased during 6 weeks. But the mean hemolysis rate was below 1%. A sufficient maintenance of red cell metabolism at lower adenine and guanosine concentrations as found in ACD-AG blood can also be supposed for the preservation of buffy coat-free red cell concentrates.     

Physiological characteristics of human red blood cell ghosts

The properties of ghosts prepared by hypotonic hemolysis at various ratios of cells (C) to hemolyzing solution (H) have been studied. At all ratios, hemoglobin (Hb) was found to be distributed equally between the ghost and supernatant compartments. Techniques employing Fe(59)-labelled Hb showed that during hemolysis all of the Hb is exchangeable and that following hemolysis the ghost is impermeable to Hb. Ghosts containing defined fractions of their original Hb were prepared by appropriately altering the ratio C/H. When washed and suspended in 0.17 M NaCl-PO(4)-buffered media, the ghosts returned to their initial volume, recovered normal shape, and behaved as osmometers. The rate of rehemolysis of these reconstituted ghosts was observed to be proportional to the concentration of Hb in the ghosts. The rate of rehemolysis was accelerated by the addition of n-butyl alcohol (BA). For a given concentration of BA, temperature, and Hb content the rate of rehemolysis was minimal around the isoelectric point of Hb. Rehemolysis by BA was inhibited by the addition of sucrose to the medium. K influx and outflux were measured and found to be increased by the addition of BA and not influenced by the presence of sucrose. These results on the rehemolytic characteristics of ghosts are consistent with and support the colloid-osmotic theory of hemolysis.     

Erythrocyte membrane cholesterol: An explanation of the aging effect on the rate of hemolysis

The rate of osmotic hemolysis and the erythrocyte membrane lipid composition has been studied for blood samples obtained from male donors between 18 and 95 years of age. The rate of hemolysis is found to decrease as a function of age while the membrane cholesterol content increases with age. No significant change in the phospholipid content is detected. A causative relationship between the increase in cholesterol and the decrease in rate is inidicated by $\text{in vitro}$ experiments which demonstrate an inverse relationship between the cholesterol content and the rate of hemolysis.     

Role of the kidneys in the mechanism of erythrodieresis in hemolytic (phenylhydrazine) and acute posthemorrhagic anemia]

The degree of hemolysis was studied comparatively in intact and nephrectomized rats after the phenylhydrazine injection. In the nephrectomized animals hemolytic (phenylhydrazine) anemia was expressed by a lesser reduction of the total erythrocyte count, of the percentage of Cr51-labeled erythrocytes, and of the intensity of the reaction for hemosiderin in the organs and tissues. A lesser degree of erythrodieresis was found in the nephrectomized rats and after an acute unsubstituted blood loss. Blood perfusion through the kidney of anemic rats led to increase of the potassium concentration in the plasma perfusate, reduction of the electrophoretic mobility of erythrocytes, their resistance, hemolysis duration, and to decrease of albumin fractions with the mol wt of from 74 500 to 27 000 in the erythrocyte stroma.     

Hemolytic disease of the newborn: a review of current trends and prospects

This study aims to investigate the clinical application value of serum total bilirubin, hemoglobin (Hb) and reticulocyte percentage (Ret%) combined with immunohematological tests in the diagnosis of ABO hemolytic disease of the newborn (ABO-HDN). A retrospective analysis of 503 neonatal blood samples of mothers with RhD(+) blood type O and neonates with RhD(+) blood type A/B, admitted to the Third Xiangya Hospital of Central South University from March 2020 to September 2021, was conducted. HDN was investigated with the elution test, indirect antiglubin test (IAT), and direct antiglubin test (DAT). The positive rate of the immunohematological tests for neonatal hemolysis, combined with the detection of serum total bilirubin, Hb and Ret%, was significantly higher than that of immunohematological tests for neonatal hemolysis alone (P<0.05). The elution test can be used as a gold standard to diagnose HDN. Neonates with blood type A had a higher probability of ABO hemolysis than those with blood type B. This study suggests that serum bilirubin, Hb, and Ret% detection combined with immunohematological tests can improve the detection rate of ABO-HDN.     

A quantitative comparison of mechanical blood damage parameters in rotary ventricular assist devices: shear stress, exposure time and hemolysis index

Ventricular assist devices (VADs) have already helped many patients with heart failure but have the potential to assist more patients if current problems with blood damage (hemolysis, platelet activation, thrombosis and emboli, and destruction of the von Willebrand factor (vWf)) can be eliminated. A step towards this goal is better understanding of the relationships between shear stress, exposure time, and blood damage and, from there, the development of numerical models for the different types of blood damage to enable the design of improved VADs. In this study, computational fluid dynamics (CFD) was used to calculate the hemodynamics in three clinical VADs and two investigational VADs and the shear stress, residence time, and hemolysis were investigated. A new scalar transport model for hemolysis was developed. The results were compared with in vitro measurements of the pressure head in each VAD and the hemolysis index in two VADs. A comparative analysis of the blood damage related fluid dynamic parameters and hemolysis index was performed among the VADs. Compared to the centrifugal VADs, the axial VADs had: higher mean scalar shear stress (sss); a wider range of sss, with larger maxima and larger percentage volumes at both low and high sss; and longer residence times at very high sss. The hemolysis predictions were in agreement with the experiments and showed that the axial VADs had a higher hemolysis index. The increased hemolysis in axial VADs compared to centrifugal VADs is a direct result of their higher shear stresses and longer residence times. Since platelet activation and destruction of the vWf also require high shear stresses, the flow conditions inside axial VADs are likely to result in more of these types of blood damage compared with centrifugal VADs.     

The rate of osmotic hemolysis A relationship with membrane bilayer fluidity

A first-order semilogarithmic plot of the decrease in turbidity that takes place during hemolysis is used to define an apparent rate of hemolysis. The effect on this rate of hemolysis of various membrane modifications is studied. Triton X-100, ethanol and chlorpromazine, which dissolve into the membrane, all increase the rate of hemolysis, even though the same concentration of ethanol and chlorpromazine has been shown to decrease the osmotic fragility. Glutaraldehyde, azodicarboxylic acid-bisdimethylamide (diamide) and intracellular Ca²⁺ are used to produce cross-links on membrane proteins. All of these reagents decrease cell deformability but have different effects on the rate of hemolysis, with Ca²⁺ increasing, glutaraldehyde decreasing and diamide producing almost no effect on the rate. These modifications are also found to alter the ESR specra of the stearic acid spin-label, 2-(14-carboxytetradecyl)-2-ethyl-4,4-dimethyl-3-oxazolidinyloxyl, which probes mobility in the hydrophobic core of the lipid bilayer. A correlation between the effect of membrane modification on bilayer fluidity and the rate of hemolysis suggests that the rate-limiting process which determines the rate of hemolysis involves rupturing of the bilayer.     

Mechanism of polymer-induced hemolysis: nanosized pore formation and osmotic lysis

Hemolysis induced by antimicrobial polymers was examined to gain an understanding of the mechanism of polymer toxicity to human cells. A series of cationic amphiphilic methacrylate random copolymers containing primary ammonium groups as the cationic functionality and either butyl or methyl groups as hydrophobic side chains have been prepared by radical copolymerization. Polymers with 0-47 mol % methyl groups in the side chains, relative to the total number of monomeric units, showed antimicrobial activity but no hemolysis. The polymers with 65 mol % methyl groups or 27 mol % butyl groups displayed both antimicrobial and hemolytic activity. These polymers induced leakage of the fluorescent dye calcein trapped in human red blood cells (RBCs), exhibiting the same dose-response curves as for hemoglobin leakage. The percentage of disappeared RBCs after hemolysis increased in direct proportion to the hemolysis percentage, indicating complete release of hemoglobin from fractions of RBCs (all-or-none leakage) rather than partial release from all cells (graded leakage). An osmoprotection assay using poly(ethylene glycol)s (PEGs) as osmolytes indicated that the PEGs with MW > 600 provided protection against hemolysis while low molecular weight PEGs and sucrose had no significant effect on the hemolytic activity of polymers. Accordingly, we propose the mechanism of polymer-induced hemolysis is that the polymers produce nanosized pores in the cell membranes of RBCs, causing an influx of small solutes into the cells and leading to colloid-osmotic lysis.     

Some properties of the alpha-hemolysin produced by a hemolytic strain of E. coli]

It was found that alpha-hemolysin of E. coli P 678 HIy+ was maximally active against human erythrocytes at pH 6.5. The hemolytic activity is characterized in time by a distinct lag-phase and a phase of the greatest velocity of the reaction immediately following it. The duration of the lag-phase and also the rate of hemolysis depends on alpha-hemolysin concentration, whose increase is accompanied by a decrease of the lag-phase and acceleration of hemolysis. There is a definite limit below which the duration of the lag-phase remains unchanged with further increase of hemolysin concentration. There was noted a linear relationship between the amount of erythrocytes taken for the test and the rate of hemoglobin release and also a temperature activation of the hemolytic reaction.     

不同全血过滤方法用于去白细胞血液制备的临床对照研究

目的:观察不同全血过滤方法用于去白细胞血液制备的效果。方法:采用两种全血过滤方法进行对比研究,对照组采用常规法,将采集后全血混匀后直接与白细胞滤器连接直接过滤;实验组采用湿润滤盘法,血液采集完成混匀后静置,先用上层血清10～20 m L湿润滤盘,再混匀与白细胞滤器连接后进行过滤。比较两组制备方法所用的过滤时间、血液回收率、过滤前后血液指标情况及24小时内溶血的发生情况。结果:两组全血过滤方法过滤前后白细胞、红细胞、血红蛋白、血小板及血浆游离血红蛋白水平比较差异均无明显统计学意义(P0.05)。而实验组过滤时间短于对照组,血液回收率高于对照组,且24小时内溶血比例明显低于对照组(P0.05)。结论:常规法与湿润滤盘法均能达到去白细胞血液标准,但湿润滤盘法较常规法能有效的降低过滤时间、增加血液回收率,减少去白细胞悬浮红细胞因溶血造成的血液不合格率,值得临床推广应用。     

Dependence of erythrocyte vesiculation and hemolysis parameters on the concentration of sodium dodecyl sulfate. Vesicular-competitive hemolysis.

The kinetic and concentration dependences of erythrocyte vesiculation and hemolysis induced by sodium dodecyl sulfate were studied. The similarity of the slopes of the dose dependence of the SDS-induced vesiculation and slow hemolysis rates in the double logarithmic coordinates suggested a close relation between the processes of vesiculation and pore formation for slow hemolysis by the detergent. Further evidence of the competitive nature of the detergent-induced vesiculation and fast hemolysis by sodium dodecyl sulfate was obtained. The phenomenon of partial hemolysis proceeding at a rate comparable to that of cell vesiculation is explained in terms of the competition between hemolysis and vesiculation, without resorting to erythrocyte heterogeneity. New vesicular-competitive hemolysis is described. Based on it, the action of different hemolysis-inducing agents is analysed.     

Transmembrane redistribution of phospholipids of the human red cell membrane during hypotonic hemolysis.

The transmembrane distribution of spin-labeled phospholipids was measured in human erythrocytes before and after hypotonic hemolysis by electron paramagnetic resonance. With a first series of partially water soluble probes a complete randomization of phosphatidylcholine, phosphatidylethanolamine, phosphatidylserine and sphingomyelin analogues was achieved when cells were resealed in the absence of Mg-ATP or when the aminophospholipid translocase was inhibited by vanadate or calcium. If the ghosts were resealed with Mg-ATP inside, the transmembrane asymmetry of the aminophospholipids was reestablished. With long chain insoluble spin-labeled lipids complete randomization was obtained with the phosphatidylcholine analogue but even in the presence of vanadate only a small percentage (approx. 15%) of the spin-labeled phosphatidylserine flopped to the outer monolayer and comparable percentage of the spin-labeled sphingomyelin flipped to the inner monolayer, indicating a hierarchy in the phospholipid redistribution for these water insoluble lipids during hemolysis. The mechanism by which a selective randomization takes place is not known. It may involve phosphatidylserine-protein interactions in the inner leaflet and sphingomyelin-cholesterol or sphingomyelin-sphingomyelin interaction in the outer leaflet.     

Temperature‐dependent hemolytic activity of membrane pore‐forming peptide toxin,tolaasin

Tolaasin, a pore‐forming peptide toxin produced by Pseudomonas tolaasii, causes brown blotch disease on cultivated mushrooms. Hemolysis using red blood cells was measured to evaluate the cytotoxicity of tolaasin. To investigate the mechanism of tolaasin‐induced cell disruption, we studied the effect of temperature on the hemolytic process. At 4 °C, poor binding of the tolaasin molecules to the erythrocyte membrane was observed and most of the tolaasin molecules stayed in the solution. However, once tolaasin bound to erythrocytes at 37 °C and the temperature was decreased, complete hemolysis was observed even at 4 °C. These results indicate that tolaasin binding to cell membrane is temperature‐sensitive while tolaasin‐induced membrane disruption is less sensitive to temperature change. The effect of erythrocyte concentration was measured to understand the membrane binding and pore‐forming properties of tolaasin. The percentage of hemolysis measured by both hemoglobin release and cell lysis decreased as erythrocyte concentration increased in the presence of a fixed amount of tolaasin. The result shows that hemolysis is dependent on the amount of tolaasin and multiple binding of tolaasin is required for the hemolysis of a single cell. In analysis of dose‐dependence, the hemolysis was proportional to the tenth power of the amount of tolaasin, implying that tolaasin‐induced hemolysis can be explained by a multi‐hit model. Copyright © 2009 European Peptide Society and John Wiley & Sons, Ltd.     

A simple and effective method for hemolysis with a hypoxanthine-xanthine oxidase system and alteration of erythrocyte phospholipid composition during the hemolysis

A very rapid hemolysis was found to be caused by active oxygen species produced by a hypoxanthine-xanthine oxidase system with very low concentrations of hypoxanthine. The addition of superoxide dismutase or catalase inhibited the hemolysis, indicating that O2- and H2O2 participate in this system. The extent of erythrocyte hemolysis was found to depend on the sex of the human donor. The change in phospholipid composition before and after hemolysis in human erythrocytes from donors of each sex was compared by thin layer chromatography. A significant decrease in phosphatidylethanolamine content and a concomitant increase in altered phospholipid fraction were observed in erythrocytes from male donors, suggesting that these erythrocytes were easily attacked by active oxygen species to produce modified phosphatidylethanolamine.     

Comparison of acid and alkaline hemolysis mechanisms in human erythrocytes

A comparative analysis of the mechanisms of base- and acid-induced hemolysis was performed. The results obtained indicate the transport of base equivalents through the anion exchanger during the initial phase of base-induced hemolysis, followed by oxidative stress on cellular membranes and hemolysis. It was shown that the Ellman's reagent (0.4 mM) did not prevent NaOH-induced hemolysis but fully inhibited HCL-induced hemolysis. The inhibition of acid-induced hemolysis was accompanied by the crosslinking membrane proteins, presumably through their acylation. The addition of SH-reducing reagents (cystein, dithiotreitol and, to a lesser extent, albumin eliminated the crosslinkage of membrane proteins and impaired the permeability barrier. It was found that crosslinkage could not prevent the oxidative damage of membrane proteins but was able to preserve the permeability barrier. Based on these results, it was concluded that the barrier impairments associated with acid-induced hemolysis were due to the aggregation of membrane proteins that underwent oxidative damage.     

Role in hemolysis of the interaction of tellurium compounds with glutathione

We have shown that tellurite and tellurate require the interaction with reduced glutathione (GSH) to hemolyze human erythrocytes. The study of the nature of this interaction is the main object of this paper. The degree of hemolysis was determined by the method of Angelone. The addition of extracellular 1 mM GSH or cysteine increased the rate of hemolysis. Concanavalin A (0.3 mg/mL) and/or 4 mg/mL adenosine did not affect the hemolysis by 0.1 mM tellurite. One tenth to 1 mM 4-acetamido-4′-isothiocyanostilbene-2,2′-disulfonate (SITS) inhibited this hemolysis by 60–100%. Millimolar GSH released this inhibition. Incubation of 0.1 mM tellurite with 1 mM GSH for 90 min at 37°C, produced a hemolytic agent when prepared and tested under nitrogen, but one that was not active when prepared in air. The hemolysis byp-hydroxymercuribenzoate orp-hydroxymercuriphenylsulfonate did not involve GSH. Scanning electron micrographs showed a sphero-echinocyte transformation, in the pre-hemolytic stage, with all the agents tested. The rate of penetration of tellurite plays a role in determining the rate of hemolysis, as shown by the effect of SITS. The release by GSH of the inhibition by SITS poses questions concerning the site of action and cell membrane penetration of the hemolytic agent. Telluride or some intermediate in the interaction of GSH with tellurite is the actual hemolytic agent.     

Experimental investigation of the rheological activation of blood platelets

In order to define various aspects of platelet rheological activation, samples of whole blood and platelet-rich plasma (PRP) from the same donors were subjected for 5 min to shear rates increasing from 10 to 10000 sec-1 (shear stresses from 10(-2) to 30 Pa approximatively) in a Couette type viscometer. The following parameters were measured: erythrocyte hemolysis; lactic dehydrogenase activity; plasma B-Thromboglobulin (B-TG); adenine nucleotides, and platelet photometric aggregation. The experimental results reveal that: In whole blood, hemolysis only reached at maximum 2% of the total hemolysis. Plasma LDH activity increased regularly beyond 500 sec-1, in close correlation with B-TG plasma concentration. In contrast, ADP and ATP levels remained stable up to 1000 sec-1 then increased slowly. In PRP, the LDH, ADP and ATP levels remain practically stable up to shear rates around 5000 sec-1. In contrast, B-TG appeared to be released in plasma at shear rate values of 3000 sec-1 and its progression is only correlated with the other parameters, when the platelet lysis occurred. Finally, a rapid and complete inhibition of platelet aggregation to ADP was observed from 5000 sec-1.