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Clinical Biochemistry of Domestic Animals (Sixth Edition) - UMK ...

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IV. Mature RBC<br />

195<br />

occurs in chickens, in which erythroid cells in bone marrow<br />

transport glucose, but circulating RBCs do not ( Johnstone<br />

et al. , 1998 ). With the exception <strong>of</strong> cats, fetal and neonatal<br />

RBCs studied from humans and animals have higher glucose<br />

transport than RBCs from adults ( Mooney and Young,<br />

1978 ; Widdas, 1955 ).<br />

6 . Adenine, Adenosine, and Inosine<br />

RBC membranes from most animal species have a nucleoside<br />

transporter ( Young, 1983 ). The adenosine transporter<br />

from human and pig RBCs migrates in the band 4.5 region<br />

on SDS-PAGE ( Kwong et al. , 1986 ). Rabbit, pig, and<br />

human RBCs exhibit substantially more adenosine uptake<br />

than those <strong>of</strong> other species studied ( Van Belle, 1969 ). RBCs<br />

from dogs exhibit more adenosine uptake than cats, goats,<br />

or cattle, and RBCs from horses and most sheep appear to<br />

be nearly impermeable to adenosine. A low percentage <strong>of</strong><br />

sheep have RBCs with a high affinity nucleoside transport<br />

system with a broad specificity for both purine and pyrimidine<br />

nucleosides ( Young, 1983 ). RBCs from most horses<br />

have a Na -dependent hypoxanthine transporter. Although<br />

dog RBCs are permeable to adenosine, they are impermeable<br />

to inosine ( Duhm, 1974 ). Dog and cat RBCs exhibit<br />

adenine uptake and incorporation into nucleotides, but values<br />

are much lower than those <strong>of</strong> human, rabbit, or rodent<br />

RBCs ( Lalanne and Willemot, 1980 ).<br />

E . Metabolism <strong>of</strong> Adenine Nucleotides<br />

Adenine nucleotides in RBCs contain adenine, ribose, and<br />

one or more phosphate groups. Mature RBCs cannot synthesize<br />

adenine nucleotides de novo but can produce these<br />

compounds utilizing so-called salvage pathways ( Brewer,<br />

1974 ; Eaton and Brewer, 1974 ). AMP can be synthesized<br />

from adenine or from adenosine, both <strong>of</strong> which may be<br />

supplied to RBCs as they pass through the liver. One molecule<br />

<strong>of</strong> ATP interacts with one molecule <strong>of</strong> AMP to generate<br />

two molecules <strong>of</strong> ADP in the adenylate kinase reaction.<br />

ATP is generated from ADP in glycolysis.<br />

AMP is synthesized from adenine and phosphoribosyl<br />

pyrophosphate (PRPP), utilizing the adenine phosphoribosyltransferase<br />

enzyme. Adenine is converted to ATP at a<br />

slower rate in dog and cat RBCs than in those <strong>of</strong> humans,<br />

rodents, or rabbits ( Lelanne and Willemot, 1980 ). AMP<br />

degradation to inosine monophosphate and ammonia is<br />

catalyzed by AMP-deaminase. The activity <strong>of</strong> this enzyme<br />

is generally lower in mammalian RBCs compared to<br />

nucleated RBCs from birds, reptiles, amphibians, and fish<br />

( Kruckeberg and Chilson, 1973 ).<br />

Adenosine can be phosphorylated to AMP using ATP<br />

in the adenosine kinase reaction. A competing reaction,<br />

adenosine deaminase, converts adenosine to inosine, which<br />

cannot be incorporated into AMP. The uptake or deamination<br />

<strong>of</strong> adenosine varies considerably by species ( Van<br />

Belle, 1969 ). Not only are dog, cat, and cattle RBCs poorly<br />

permeable to inosine, but inosine produced by adenosine<br />

deamination cannot be readily used for energy in these<br />

species because <strong>of</strong> low purine nucleoside phosphorylase<br />

activity, which converts inosine to ribose 1-phosphate and<br />

hypoxanthine ( Duhm, 1974 ).<br />

NAD and NADP can apparently be synthesized from<br />

nicotinate by way <strong>of</strong> a series <strong>of</strong> reactions in RBCs ( Eaton<br />

and Brewer, 1974 ). In addition to ATP, PRPP and NH 3 , or<br />

glutamine, are required. Comparative studies <strong>of</strong> the synthesis<br />

<strong>of</strong> these compounds in domestic animals have not been<br />

reported.<br />

F . Carbohydrate Metabolism<br />

RBCs require energy in the form <strong>of</strong> ATP for maintenance<br />

<strong>of</strong> shape and deformability, phosphorylation <strong>of</strong> membrane<br />

phospholipids and proteins, active membrane transport <strong>of</strong><br />

various molecules, partial synthesis <strong>of</strong> purine and pyrimidine<br />

nucleotides, and synthesis <strong>of</strong> GSH ( Nakao, 1974 ;<br />

Reimann et al. , 1981 ). Reducing potential in the form <strong>of</strong><br />

NADH and NADPH is needed to counteract oxidative<br />

processes. Although substrates such as ribose, fructose,<br />

mannose, galactose, dihydroxyacetone, glyceraldehyde,<br />

adenosine, and inosine may be metabolized to some extent,<br />

depending on the species, glucose is the primary substrate<br />

for energy needs <strong>of</strong> RBCs from all species except the pig<br />

( Agar and Board, 1983 ; Kim, 1983 ).<br />

RBCs from adult pigs utilize glucose at lower rates than<br />

other species ( Magnani et al. , 1983 ) because they lack a<br />

functional glucose transporter ( Craik et al. , 1988 ; Zeidler<br />

and Kim, 1982 ). Inosine appears to be the major substrate<br />

for pig RBCs; its production by the liver is sufficient to meet<br />

their energy requirements ( Young et al. , 1985 ; Zeidler et al. ,<br />

1985 ). Inosine can be used because nucleoside phosphorylase<br />

converts it to ribose 1-phosphate and hypoxanthine<br />

(Sandberg et al. , 1955 ). Ribose 1-phosphate is converted to<br />

ribose 5-phosphate, an intermediate <strong>of</strong> the pentose phosphate<br />

pathway (PPP), by phosphoribomutase ( Brewer, 1974 ).<br />

Glucose utilization rates <strong>of</strong> RBCs vary by species ( Table<br />

7-1 ). Factors such as pH, phosphate concentration, temperature,<br />

and leukocyte and platelet contamination <strong>of</strong> RBC incubations<br />

can have substantial effects on glucose utilization<br />

rates measured in vitro . Consequently, species comparisons<br />

<strong>of</strong> values determined in different laboratories may be misleading.<br />

Harvey and Kaneko (1976a) approximated physiological<br />

conditions in vitro and measured mean glycolytic<br />

rates <strong>of</strong> 0.64, 0.94, 1.33, and 1.48 μmoles/hour/ml RBC for<br />

the horse, cat, dog, and human, respectively. Once glucose<br />

enters the cell, it is phosphorylated to glucose 6-phosphate<br />

(G6P) utilizing the hexokinase (HK) enzyme. The G6P is<br />

then metabolized through either the Embden-Meyerh<strong>of</strong><br />

pathway (EMP) or the pentose phosphate pathway (PPP) as<br />

shown ( Fig. 7-5 ).

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