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      Accelerated apoptotic death and in vivo turnover of erythrocytes in mice lacking functional mitogen- and stress-activated kinase MSK1/2

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          Abstract

          The mitogen- and stress-activated kinase MSK1/2 plays a decisive role in apoptosis. In analogy to apoptosis of nucleated cells, suicidal erythrocyte death called eryptosis is characterized by cell shrinkage and cell membrane scrambling leading to phosphatidylserine (PS) externalization. Here, we explored whether MSK1/2 participates in the regulation of eryptosis. To this end, erythrocytes were isolated from mice lacking functional MSK1/2 ( msk −/−) and corresponding wild-type mice ( msk +/+). Blood count, hematocrit, hemoglobin concentration and mean erythrocyte volume were similar in both msk −/− and msk +/+ mice, but reticulocyte count was significantly increased in msk −/− mice. Cell membrane PS exposure was similar in untreated msk −/− and msk +/+ erythrocytes, but was enhanced by pathophysiological cell stressors ex vivo such as hyperosmotic shock or energy depletion to significantly higher levels in msk −/− erythrocytes than in msk +/+ erythrocytes. Cell shrinkage following hyperosmotic shock and energy depletion, as well as hemolysis following decrease of extracellular osmolarity was more pronounced in msk −/− erythrocytes. The in vivo clearance of autologously-infused CFSE-labeled erythrocytes from circulating blood was faster in msk −/− mice. The spleens from msk −/− mice contained a significantly greater number of PS-exposing erythrocytes than spleens from msk +/+ mice. The present observations point to accelerated eryptosis and subsequent clearance of erythrocytes leading to enhanced erythrocyte turnover in MSK1/2-deficient mice.

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          Most cited references54

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          Surface exposure of phosphatidylserine in pathological cells.

          The asymmetric phospholipid distribution in plasma membranes is normally maintained by energy-dependent lipid transporters that translocate different phospholipids from one monolayer to the other against their respective concentration gradients. When cells are activated, or enter apoptosis, lipid asymmetry can be perturbed by other lipid transporters (scramblases) that shuttle phospholipids non-specifically between the two monolayers. This exposes phosphatidylserine (PS) at the cells' outer surface. Since PS promotes blood coagulation, defective scramblase activity upon platelet stimulation causes a bleeding disorder (Scott syndrome). PS exposure also plays a pivotal role in the recognition and removal of apoptotic cells via a PS-recognizing receptor on phagocytic cells. Furthermore, expression of PS at the cell surface can occur in a wide variety of disorders. This review aims at highlighting how PS expression in different cells may complicate a variety of pathological conditions, including those that promote thromboembolic complications or produce aberrations in apoptotic cell removal.
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            Phosphatidylserine exposure and red cell viability in red cell aging and in hemolytic anemia.

            Phosphatidylserine (PS) normally localizes to the inner leaflet of cell membranes but becomes exposed in abnormal or apoptotic cells, signaling macrophages to ingest them. Along similar lines, it seemed possible that the removal of red cells from circulation because of normal aging or in hemolytic anemias might be triggered by PS exposure. To investigate the role of PS exposure in normal red cell aging, we used N-hydroxysuccinimide-biotin to tag rabbit red cells in vivo, then used phycoerythrin-streptavidin to label the biotinylated cells, and annexin V-fluorescein isothiocyanate (FITC) to detect the exposed PS. Flow cytometric analysis of these cells drawn at 10-day intervals up to 70 days after biotinylation indicated that older, biotinylated cells expose more PS. Furthermore, our data match a simple model of red cell senescence that assumes both an age-dependent destruction of senescent red cells preceded by several hours of PS exposure and a random destruction of red cells without PS exposure. By using this model, we demonstrated that the exposure of PS parallels the rate at which biotinylated red cells are removed from circulation. On the other hand, using an annexin V-FITC label and flow cytometry demonstrates that exposed PS does not cause the reduced red cell life span of patients with hemolytic anemia, with the possible exception of those with unstable hemoglobins or sickle cell anemia. Thus, in some cases PS exposure on the cell surface may signal the removal of red cells from circulation, but in other cases some other signal must trigger the sequestration of cells.
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              Role of Ca2+-activated K+ channels in human erythrocyte apoptosis.

              Exposure of erythrocytes to the Ca2+ ionophore ionomycin has recently been shown to induce cell shrinkage, cell membrane blebbing, and breakdown of phosphatidylserine asymmetry, all features typical of apoptosis of nucleated cells. Although breakdown of phosphatidylserine asymmetry is thought to result from activation of a Ca2+-sensitive scramblase, the mechanism and role of cell shrinkage have not been explored. The present study was performed to test whether ionomycin-induced activation of Ca2+-sensitive Gardos K+ channels and subsequent cell shrinkage participate in ionomycin-induced breakdown of phosphatidylserine asymmetry of human erythrocytes. According to on-cell patch-clamp experiments, ionomycin (1 microM) induces activation of inwardly rectifying K+-selective channels in the erythrocyte membrane. Fluorescence-activated cell sorter analysis reveals that ionomycin leads to a significant decrease of forward scatter, reflecting cell volume, an effect blunted by an increase of extracellular K+ concentration to 25 mM and exposure to the Gardos K+ channel blockers charybdotoxin (230 nM) and clotrimazole (5 microM). As reflected by annexin binding, breakdown of phosphatidylserine asymmetry is triggered by ionomycin, an effect again blunted, but not abolished, by an increase of extracellular K+ concentration and exposure to charybdotoxin (230 nM) and clotrimazole (5 microM). Similar to ionomycin, glucose depletion leads (within 55 h) to annexin binding of erythrocytes, an effect again partially reversed by an increase of extracellular K+ concentration and exposure to charybdotoxin. K-562 human erythroleukemia cells similarly respond to ionomycin with cell shrinkage and annexin binding, effects blunted by antisense, but not sense, oligonucleotides against the small-conductance Ca2+-activated K+ channel isoform hSK4 (KCNN4). The experiments disclose a novel functional role of Ca2+-sensitive K+ channels in erythrocytes, i.e., their participation in regulation of erythrocyte apoptosis.
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                Author and article information

                Journal
                Sci Rep
                Sci Rep
                Scientific Reports
                Nature Publishing Group
                2045-2322
                27 November 2015
                2015
                : 5
                : 17316
                Affiliations
                [1 ]Department of Physiology, University of Tübingen, Gmelinstr . 5, 72076 Tübingen, Germany
                [2 ]Department of Gastroenterology, Hepatology and Infectious Diseases, University of Düsseldorf , Moorenstrasse 5, 40225 Düsseldorf, Germany
                [3 ]Charité Medical University Berlin , Charitéplatz 1, 10117 Berlin, Germany
                [4 ]Life Sciences Institute, Zhejiang University, Hangzhou , Zhejiang 310058, China
                [5 ]Department of Biochemistry, University of Agriculture , 38040 Faisalabad, Pakistan
                [6 ]MRC Phosphorylation Unit, University of Dundee , Dow Street, Dundee DD1 5EH, United Kingdom
                [7 ]Division of Cell Signaling and Immunology, College of Life Sciences, University of Dundee , Dow Street, Dundee DD1 5EH, United Kingdom
                [8 ]Department of Internal Medicine, University of Tübingen , Otfried-Müller-Straβe 10, 72076 Tübingen, Germany
                [9 ]Department of Pathology and Molecular Medicine, McMaster University , 1280 Main Street West, Hamilton, Ontario L8S4K1, Canada
                [10 ]Centre for Innovation, Canadian Blood Services , 1280 Main Street West, Hamilton, Ontario L8S4K1, Canada
                [11 ]Institute of Agricultural and Nutritional Sciences, Martin Luther University Halle-Wittenberg , Von-Danckelmann-Platz 2, 06120 Halle (Saale), Germany
                Author notes
                Article
                srep17316
                10.1038/srep17316
                4661433
                26611568
                2d76e722-1c20-47d7-b7d4-565717535a82
                Copyright © 2015, Macmillan Publishers Limited

                This work is licensed under a Creative Commons Attribution 4.0 International License. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in the credit line; if the material is not included under the Creative Commons license, users will need to obtain permission from the license holder to reproduce the material. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

                History
                : 11 March 2015
                : 28 October 2015
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