PMID- 15242872 OWN - NLM STAT- MEDLINE DCOM- 20041214 LR - 20210206 IS - 0006-4971 (Print) IS - 0006-4971 (Linking) VI - 104 IP - 9 DP - 2004 Nov 1 TI - KCl cotransport mediates abnormal sulfhydryl-dependent volume regulation in sickle reticulocytes. PG - 2954-60 AB - KCl cotransport (KCC) activation by cell swelling and pH was compared in sickle (SS) and normal (AA) red blood cells (RBCs). KCC fluxes had the same relationship to mean corpuscular hemoglobin concentration (MCHC) in SS and AA RBCs when normalized to the maximal volume-stimulated (VS(max)) flux (MCHC < 270 g/L [27 g/dL]). Acid-stimulated (pH 6.9) KCC flux in SS RBCs was 60% to 70% of VS(max) KCC versus 20% in AA RBCs. Density gradients were used to track changes in reticulocyte MCHC during KCC-mediated regulatory volume decrease (RVD). Swelling to MCHC of 260 g/L (26 g/dL) produced Cl-dependent RVD that resulted in higher MCHC in SS than AA reticulocytes. In acid pH, RVD was also greater in SS than AA reticulocytes. Sulfhydryl reduction by dithiothreitol (DTT) lowered VS(max) KCC flux in AA and SS RBCs by one third but did not alter swelling-induced RVD. DTT lowered acid-activated KCC in SS RBCs by 50% and diminished acid-induced RVD in SS reticulocytes. Thus, swelling activation of KCC is normal in SS RBCs but KCC-mediated RVD produces higher MCHC in SS than AA reticulocytes. Acid activation of KCC is exaggerated in SS RBCs and causes dehydration in SS reticulocytes. KCC response to acid stimulation was mitigated by DTT, suggesting that it arises from sulfhydryl oxidation. FAU - Joiner, Clinton H AU - Joiner CH AD - Cincinnati Comprehensive Sickle Cell Center, Children's Hospital Medical Center, 3333 Burnet Ave, Cincinnati, OH 45229-3039, USA. clint.joiner@cchmc.org FAU - Rettig, R Kirk AU - Rettig RK FAU - Jiang, Maorong AU - Jiang M FAU - Franco, Robert S AU - Franco RS LA - eng GR - U54 HL70871/HL/NHLBI NIH HHS/United States PT - Comparative Study PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. DEP - 20040708 PL - United States TA - Blood JT - Blood JID - 7603509 RN - 0 (Sulfhydryl Compounds) RN - 0 (Symporters) RN - 660YQ98I10 (Potassium Chloride) RN - T8ID5YZU6Y (Dithiothreitol) SB - IM MH - Anemia, Sickle Cell/*pathology MH - Biological Transport MH - *Cell Size/drug effects MH - Cells, Cultured MH - Dithiothreitol/pharmacology MH - Humans MH - Hydrogen-Ion Concentration MH - Kinetics MH - Oxidation-Reduction MH - Potassium Chloride/*metabolism MH - Reticulocytes/drug effects/*pathology MH - Sulfhydryl Compounds/*physiology MH - Symporters/*metabolism EDAT- 2004/07/10 05:00 MHDA- 2004/12/16 09:00 CRDT- 2004/07/10 05:00 PHST- 2004/07/10 05:00 [pubmed] PHST- 2004/12/16 09:00 [medline] PHST- 2004/07/10 05:00 [entrez] AID - S0006-4971(20)55972-7 [pii] AID - 10.1182/blood-2004-01-0112 [doi] PST - ppublish SO - Blood. 2004 Nov 1;104(9):2954-60. doi: 10.1182/blood-2004-01-0112. Epub 2004 Jul 8.