Transient changes in erythrocyte membrane permeability are induced by sublytic amounts of the complement membrane attack complex (C5b-9).

Transient changes in erythrocyte membrane permeability are induced by sublytic amounts of the complement membrane attack complex (C5b-9).
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DOI:
10.1182/blood.v81.1.200.bloodjournal811200
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发表时间:
1993
期刊:
影响因子:
20.3
通讯作者:
J. Halperin;A. Taratuska;M. Rynkiewicz;A. Nicholson‐Weller
J. Halperin;A. Taratuska;M. Rynkiewicz;A. Nicholson‐Weller
中科院分区:
医学1区
文献类型:
--
作者:
J. Halperin;A. Taratuska;M. Rynkiewicz;A. Nicholson‐Weller

文献摘要

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我们以前已经表明,亚溶解异源补体诱导红细胞膜通透性的大,但短暂的增加。我们现在报道,当红细胞是酵母聚糖激活的自体血清中的旁观者时,它们的Na+渗透性增加10倍,表明自体补体也可以诱导短暂的膜损伤。当我们通过使用由纯化组分组装的人C5 b-9分离补体的C5 b-9膜攻击复合物的作用时,我们发现存在最小的溶解但有效的Na+摄取。亚溶损伤红细胞在K+培养基中的悬浮液导致细胞溶解,这与细胞募集补偿性K+流出一致,这与人红细胞暴露于异源补体时观察到的情况相似。当细胞外Ca 2+受限时,以及当细胞暴露于Charybdotoxin(一种Ca(2+)激活的K+通道抑制剂)时,亚溶解性C5 b-9暴露也变得溶解。这表明C5 b-9病变的功能性终止需要Ca 2+。我们还发现,由Ca(2+)依赖性K+流出激活引起的膜超极化并不影响C5 b-9损伤的终止。因此,通过补体损伤的Ca 2+内流启动至少两种明显独立的适应性反应:(1)终止渗漏的过程;和(2)具有容量调节功能的K+流出。我们的数据支持潜在的亚溶C5 b-9病变作为自体红细胞的生理介质。
We have previously shown that sublytic heterologous complement induces large but transient increases in erythrocyte membrane permeability. We now report that when erythrocytes are bystanders in zymosan-activated autologous serum, they increase their Na+ permeability 10-fold, indicating that autologous complement can also induce transient membrane lesions. When we isolated the effect of the C5b-9 membrane attack complex of complement by using human C5b-9 assembled from purified components, we found there was minimal lysis but efficient Na+ uptake. Suspension of the sublytically damaged erythrocytes in K+ medium caused the cells to lyse, which is consistent with the cells recruiting a compensatory K+ efflux similar to that observed when human erythrocytes were exposed to heterologous complement. Sublytic C5b-9 exposure also became lytic when extracellular Ca2+ was limited and when the cells were exposed to charybdotoxin, an inhibitor of the Ca(2+)-activated K+ channel. This indicates that Ca2+ is required for the functional termination of the C5b-9 lesion. We also show that the membrane hyperpolarization resulting from activation of the Ca(2+)-dependent K+ efflux does not influence the termination of the C5b-9 lesion. Thus, the influx of Ca2+ through the complement lesion initiates at least two apparently independent adaptive responses: (1) a process that terminates the leak; and (2) a K+ efflux that has a volume regulatory function. Our data support the potential of the sublytic C5b-9 lesion to act as a physiologic mediator for autologous erythrocytes.