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flow cytrometric analysis of red blood cells in polycythemia vera

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Gheorghe A., Rug<strong>in</strong>a Alx., Moicean A., Ardelean A., Bratos<strong>in</strong> D.<br />

Fig. 3 Comparative scann<strong>in</strong>g electron microscopy<br />

(SEM) <strong>of</strong> normal (M) and Polycythemia <strong>vera</strong> <strong>red</strong> <strong>blood</strong><br />

<strong>cells</strong> (PV). Details <strong>of</strong> some dysmorphic Polycythemia<br />

<strong>vera</strong> erythrocytes (a to f)<br />

Measurement <strong>of</strong> glycoconjugate sialylation<br />

Classically, the sialic acid residues which are<br />

situated <strong>in</strong> term<strong>in</strong>al position <strong>of</strong> the glycan moieties <strong>of</strong><br />

membrane glycoconjugates are conside<strong>red</strong> as<br />

antirecognition signals for phagocytic <strong>cells</strong>. Their<br />

removal by sialidases, by demask<strong>in</strong>g the penultimate β-<br />

galactosyl residues <strong>of</strong> glycans <strong>in</strong>duces the capture <strong>of</strong><br />

<strong>cells</strong> mediated by a specific lect<strong>in</strong> present <strong>in</strong> the<br />

macrophage membrane. As demonstrated by Figure 5,<br />

<strong>analysis</strong> by cyt<strong>of</strong>luorimetry <strong>of</strong> the b<strong>in</strong>d<strong>in</strong>g <strong>of</strong> FITClabeled<br />

lect<strong>in</strong>s specific for sialic acid and β-galactosyl<br />

residues shows that the means <strong>of</strong> fluorescence<br />

<strong>in</strong>tensity (MFI) for Maackia amurensis agglut<strong>in</strong><strong>in</strong><br />

MAA specify for α-1,3-l<strong>in</strong>ked sialic acids is<br />

much smaller (23.05) compa<strong>red</strong> to MFI for normal<br />

RBCs (47.88). After treatment (PVt), the MFI <strong>in</strong>crease<br />

to 36.77 value.<br />

This desialilation is also evidenced by Wheat germ<br />

agglut<strong>in</strong><strong>in</strong> (WGA) that b<strong>in</strong>ds to N-acetylglucosam<strong>in</strong>e,<br />

but also can <strong>in</strong>teract with some glycoprote<strong>in</strong>s via sialic<br />

acid residues. Sambucus nigra agglut<strong>in</strong><strong>in</strong> (SNA),<br />

specific for α-1,6-l<strong>in</strong>ked sialic acids also show a<br />

discrete desialilation.<br />

Fig. 4. Comparative <strong>flow</strong> cytometric histogram <strong>analysis</strong> <strong>of</strong> erythrocytes viability determ<strong>in</strong>ed by cell esterase activity<br />

measurement us<strong>in</strong>g Calce<strong>in</strong>-AM. Human normal <strong>red</strong> <strong>blood</strong> <strong>cells</strong> (M), <strong>red</strong> <strong>blood</strong> <strong>cells</strong> <strong>in</strong> Polycythaemia <strong>vera</strong> before (PV)<br />

and after treatment (PVt). Numbers represent fluorescence mean values (MFI). Abscissae: log scale green fluorescence<br />

<strong>in</strong>tensity <strong>of</strong> Calce<strong>in</strong> (FL1). Ord<strong>in</strong>ates: relative cell number. Number <strong>of</strong> counted <strong>cells</strong>: 10,000. Results presented are from<br />

one representative experiment <strong>of</strong> three performed.<br />

In the same way, as demonstrated by Figure 5,<br />

b<strong>in</strong>d<strong>in</strong>g <strong>of</strong> Ric<strong>in</strong>us comMunis agglut<strong>in</strong><strong>in</strong> (RCA 120 ),<br />

specific for β-galactosyl residues, has not been<br />

fixed more on Polycythemia <strong>vera</strong> <strong>red</strong> <strong>blood</strong> <strong>cells</strong><br />

(MFI=61.7) compa<strong>red</strong> to normal erythrocytes (76.73)<br />

or after treatment, when b<strong>in</strong>d<strong>in</strong>g is also lower (46.31),<br />

phenomenon that rema<strong>in</strong>s an enigma.<br />

Study <strong>of</strong> death by annex<strong>in</strong>-V-FITC labell<strong>in</strong>g<br />

Study <strong>of</strong> death by Annex<strong>in</strong>-V-FITC label<strong>in</strong>g<br />

phosphatidylser<strong>in</strong>e exposure on the outer leaflet <strong>of</strong><br />

plasma membrane is regarded as one <strong>of</strong> the signals<br />

allow<strong>in</strong>g macrophages to <strong>in</strong>gest erythrocytes. In<br />

Polycythaemia <strong>vera</strong> we did not observe any difference<br />

<strong>of</strong> phosphatidylser<strong>in</strong>e externalization between normal<br />

and Polycythemia <strong>vera</strong> RBCs. The value (1.48%) is <strong>in</strong><br />

32<br />

the limit <strong>of</strong> normal RBCs statistical value: 1.5 ± 1%<br />

(data not shown)<br />

Red <strong>blood</strong> <strong>cells</strong> <strong>in</strong> Polycythemia <strong>vera</strong> express<br />

active caspases-8 and 3<br />

We then assessed whether erythrocytes <strong>in</strong><br />

Polycythemia <strong>vera</strong> express active caspases. In order to<br />

precise the nature <strong>of</strong> activated caspases, we used the<br />

CaspGLOW TM specific cell permeable fluorogenic<br />

substrates FITC-IETD-fmk and FITC-DEVD-fmk,<br />

which are labeled <strong>in</strong>hibitors <strong>of</strong> caspases-8 and -3,<br />

respectively.<br />

As shown <strong>in</strong> Figure 6, a significant fluorescence<br />

was detected by <strong>flow</strong> cytometry. Thus, by compar<strong>in</strong>g<br />

% <strong>of</strong> <strong>cells</strong> with active caspases, can be observed a<br />

lower level <strong>of</strong> caspase-8 active <strong>in</strong> the RBCS <strong>of</strong><br />

Studia Universitatis “Vasile Goldiş”, Seria Şti<strong>in</strong>ţele Vieţii<br />

Vol. 21, issue 1, 2011, pp. 29-35<br />

© 2011 Vasile Goldis University Press (www.studiauniversitatis.ro)

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