Potassium leakage primes stored erythrocytes for phosphatidylserine exposure and shedding of pro-coagulant vesicles

Br J Haematol. 2013 Feb;160(3):377-86. doi: 10.1111/bjh.12133. Epub 2012 Nov 28.

Abstract

During storage, erythrocytes undergo changes that alter their clearance and function after transfusion and there is increasing evidence that these changes contribute to the complications observed in transfused patients. Stored erythrocytes were incubated overnight at 37°C to mimic the temperature after transfusion. After incubation, several markers for erythrocyte damage were analysed. After overnight incubation, stored erythrocytes showed increased potassium leakage, haemolysis, PS exposure and vesicle formation, and all these effects increased with increasing storage time. Furthermore, we demonstrated that long-term stored erythrocytes develop decreased flippase activity and increased scrambling activity after overnight incubation, leading to PS exposure and the release of vesicles. Reduced intracellular potassium was identified as the cause of the decreased flippase activity. Lastly, we provide evidence that erythrocytes can return to a PS-negative state by shedding parts of their membrane as PS-containing vesicles and that these vesicles can serve as a platform for the coagulation cascade. These findings reveal that potassium leakage, a well-known phenomenon of prolonged erythrocyte storage, primes erythrocytes for PS exposure. PS exposure will lead to vesicle formation and might have an important impact on the post-transfusion function and side effects of stored erythrocytes.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Blood Coagulation / drug effects
  • Blood Coagulation / physiology
  • Blood Coagulation Factors / metabolism
  • Blood Preservation
  • Erythrocytes / chemistry
  • Erythrocytes / metabolism*
  • Hemolysis
  • Humans
  • Phosphatidylserines / analysis*
  • Potassium / metabolism*
  • Transport Vesicles / metabolism*

Substances

  • Blood Coagulation Factors
  • Phosphatidylserines
  • Potassium