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Measuring the impedance of heated suspensions of erythrocytes and erythrocyte ghost membranes, two thermally-induced alterations are registered in the plasma membrane at TA (denaturation of spectrin with inducing temperature at 49,5 °C) and TG (hyperthermic activation of basal ion permeability with inducing temperature at 60.7 °C). In this study erythrocytes from 9 healthy patients and 15 patients with hemolytic anemia were studied and divided into four groups depending on their TA and TG top temperatures. The TA and TG of erythrocytes with hemoglobinopathy were the same as those of control erythrocytes while those of erythrocytes with membranopathy were significantly reduced. In erythrocytes with severe membranopathy, the TG was decreased by about 5 °C. In latter cells the normal value of TG was restored and the resistance to thermal haemolysis was increased by 90% after the specific stabilization of band 3 protein by 4,4'-diisothiocyanato-stilbene-2,2'-disulfonic acid (DIDS). Obtained results indicate the involvement of band 3 in the membrane alteration at TG and in the heat target responsible for thermal haemolysis.

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We studied the effect of spectrin denaturation at 49.5°C (TA) on the dielectric relaxations and related changes in the complex impedance, Z*, complex capacitance, C*, and dielectric loss curve of suspensions containing human erythrocytes, erythrocyte ghost membranes (EMs) and Triton-X-100 residues of EMs. The loss curve prior to, minus the loss curve after TA, resulted in a bell-shaped peak at 1.5MHz. The changes in the real and imaginary components of Z* and C* at TA, i.e., ΔZre, ΔZim, ΔCre and ΔCim, calculated in the same way, strongly varied with frequency. Between 1.0 and 12MHz the -ΔZim vs ΔZre, and ΔCim vs ΔCre plots depicted semicircles with critical frequencies, fcr, at 2.5MHz expressing recently reported relaxation of spectrin dipoles. Between 0.02 and 1.0MHz the -ΔZim vs ΔZre plot exhibited another relaxation whose fcr mirrored that of beta relaxation. This relaxation was absent on Triton-X-shells, while on erythrocytes and EMs it was inhibited by selective dissociation of either attachment sites between spectrin and bilayer. Considering above findings and inaccessibility of cytosole to outside field at such frequencies, the latter relaxation was assumed originating from a piezoelectric effect on the highly deformable spectrin filaments.

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Polarization of spectrin-actin undermembrane skeleton of red blood cell (RBC) plasma membranes was studied by impedance spectroscopy. Relatedly, dielectric spectra of suspensions that contained RBCs of humans, mammals (bovine, horse, dog, cat) and birds (turkey, pigeon, duck), and human RBC ghost membranes were continuously obtained during heating from 20 to 70°C. Data for the complex admittance and capacitance were used to derive the suspension resistance, R, and capacitance, C, as well as the energy loss as a function of temperature. As in previous studies, two irreversible temperature-induced transitions in the human RBC plasma membrane were detected at 49.5°C and at 60.7°C (at low heating rate). The transition at 49.5°C was evident from the abrupt changes in R, and C and the fall in the energy loss, due to dipole relaxation. For the erythrocytes of indicated species the changes in R and C displayed remarkable and similar frequency profiles within the 0.05-13MHz domain. These changes were subdued after cross-linking of membranes by diamide (0.3-1.3mM) and glutaraldehyde (0.1-0.4%) and at the presence of glycerol (10%). Based on the above results and previous reports, the dielectric changes at 49.5°C were related to dipole relaxation and segmental mobility of spectrin cytoskeleton. The results open the possibility for selective dielectric thermolysis of cell cytoskeleton.

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4,4'-Diiso-thiocyanato stilbene-2,2'-disulphonic acid (DIDS) is a membrane-impermeable, highly specific covalent inhibitor and powerful thermal stabiliser of the anion exchanger (AE1), the major integral protein of erythrocyte membrane (EM). Suspensions of control and DIDS-treated (15 µM, pH 8.2) human erythrocytes were heated from 20° to 70°C using various but constant heating rates (1-8°C/min). The cellular electrolyte leakage exhibited a sigmoidal response to temperature as detected by conductometry. The critical midpoint temperature of leakage, T(mo), extrapolated to low heating rate (0.5°C/min) was used as a measure for EM thermostability. T(mo) was greater for DIDS-treated erythrocytes, 63.2° ± 0.3°C, than for intact erythrocytes, 60.7° ± 0.2°C. The time, t(1/2), for 50% haemolysis of erythrocytes, exposed to 53°C was used as a measure for the resistance of erythrocytes against thermal haemolysis. The t(1/2) was also greater for DIDS-treated erythrocytes, 63 ± 3 min, than for intact erythrocytes, 38 ± 2 min. The fluorescent label N-(3-pyrenyl)maleimide and EPR spin label 3-maleimido-proxyl, covalently bound to sulphydryl groups of major EM proteins, were used to monitor the changes in molecular motions during transient heating. Both labels reported an intensification of the motional dynamics at the denaturation temperatures of spectrin (50°C) and AE1 (67°C), and, surprisingly, immobilisation of a major EM protein, presumably the AE1, at T(mo). The above results are interpreted in favour of the possible involvement of a predenaturational rearrangement of AE1 copies in the EM thermostability and the resistance against thermal haemolysis.

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Thermal analysis of suspension impedance was applied at various frequencies, f, to study the changes in erythrocyte membranes (EM) over the temperature interval 47-53 degrees C where spectrin denatures. At fcof1, when the capacitive conductance of EM becomes dominant, a second peak appeared at 50.5 degrees C (anti-A peak). The amplitudes of A and anti-A peaks reversibly depended on the phosphorylation of EM proteins. In contrast to the A peak, the anti-A peak was totally eliminated by modifications of EM with reagents that reduce EM deformability, O(s)O(4) (0.4-1mM) and putrescine (cytosolic concentration 1.5-2.0mM).

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Hereditary hemolytic anemias originate mainly from defects in hemoglobin and plasma membrane proteins. Here, we propose a new method, thermal analysis of impedance, sensitive to membrane defects. It detects three processes in erythrocyte membrane; fall in membrane capacity at 49.5 degrees C and activation of passive PO(4)(2+) permeability at 37 degrees C and inorganic ions at 61.5 degrees C. The denaturation of spectrin is involved in the first process whilst the anion channel is involved in latter processes. Using this method three persons with xerocytosis were found whereby the fall in membrane capacity and spherization of erythrocytes were both postponed (53 degrees C) compared to control (49.5 degrees C). In contrast to control cells, strong activation of passive permeability for Cl(-) at 37 degrees C and sucrose at 61 degrees C were detected that were both eliminated by pre-inhibition of the anion channel with 4,4'-diisothiocyanato-stilbene-2,2'-disulfonic acid (DIDS). In addition, erythrocytes from 15 patients with various forms of anemia were studied in intact state and after refreshment. The results were compared with the data of clinical laboratory and osmotic fragility test. The final conclusion is that this method detects membrane defects with altered spectrin and anion channel syndrome (hereditary xerocytosis, spherocytosis, poikilocytosis and pyropoikilocytosis, elliptocytosis and stomatocytosis) and, after refreshment, helps differentiate them from the anemia with hemoglobinopathy.

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Non-steroidal anti-inflammatory drugs (NSAID) elicit gastric damage through inhibition of the synthesis of prostaglandins that protect gastric cells and direct effect on mucous layer. As the latter effect is not well understood, we used acid hemolysis test in a model study on the cytotoxicity of nine NSAIDs. Human erythrocytes were used as model cells after their band 3 membrane protein was inhibited with DIDS (4,4'-diisothiocyano-2,2'-stilbenedisulfonate) that strongly suppressed the entry of acid into cytosole and postponed acid-induced hemolysis. These drugs did not produce measurable hemolysis in media buffered at pH 7.2. However, in acidic media (pH 3.4) they markedly reduced to a variable extent the prelytic interval (time spent by acid to accumulate overcritically in cytosole) and time for 50% hemolysis (acid resistance). The cytotoxicity of NSAID to erythrocytes at acidic medium was expressed by the inverse of the concentration (C50%) that reduced twofold acid resistance. It was related to the hydrophobicity of drug as the log of C50% depended linearly on the log of its critical concentration for the formation of micelles. Hence, the cytotoxicity of NSAIDs to model cells in acidic media apparently involved the transfer of protonated forms and accumulation of the drug and acid into cytosole. We conclude, the protonophore mechanism could be involved in the direct damage of erythrocytes in acidic media. Based on this cytotoxicity the NSAIDs were ranked as aspirin < paracetamol < nimesulide < diclofenac < piroxicam < meloxicam < ibuprofen < naproxen < indomethacin. This is roughly the same row that expresses the relative in vivo gastropathogenicity of NSAIDs, hence, it is likely this mechanism might damage gastric epithelial cells by generation of influx of NSAID and back diffusion of acid and producing stress conditions and apoptosis.

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Cytotoxicities of a group of frequently used organic solvents were assessed by their effect on thermal stability of erythrocyte membrane proteins. The denaturation temperatures Tm of membrane proteins, peripheral and intrinsic, were detected by the increase in the derivative of suspension impedance during heating. These Tm linearly changed by delta Tm in the presence of organic solvents indicating labilization (negative delta Tm) or stabilization (positive delta Tm) of the structure of respective membrane protein. The potency P of the solvent with molar concentration Cex to affect the conformation stability of membrane protein was defined as delta Tm/Cex. This potency decreased as both polarity of solvent and its capability to form hydrogen bonds increased. In some solvents (dimethyl sulfoxide and dimethyl formamide) the potencies to destabilized peripheric and intrinsic proteins were equal. Formamide destabilized selectively peripheral proteins. Some solvents (glycerol, especially erythritol) stabilised thermally proteins. As the hydrophobicity of the solvents increased (ethylene glycol, methanol, ethanol, acetone, pyridine, ethyl acetate, diethyl maleate) the potency for destabilization of intrinsic proteins strongly increased. Thus, the use of more polar solvents capable of forming more hydrogen bonds appears preferable when low cytotoxicity should be attained.

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A comparative analysis of the mechanisms of base- and acid-induced hemolysis was performed. The results obtained indicate the transport of base equivalents through the anion exchanger during the initial phase of base-induced hemolysis, followed by oxidative stress on cellular membranes and hemolysis. It was shown that the Ellman's reagent (0.4 mM) did not prevent NaOH-induced hemolysis but fully inhibited HCL-induced hemolysis. The inhibition of acid-induced hemolysis was accompanied by the crosslinking membrane proteins, presumably through their acylation. The addition of SH-reducing reagents (cystein, dithiotreitol and, to a lesser extent, albumin eliminated the crosslinkage of membrane proteins and impaired the permeability barrier. It was found that crosslinkage could not prevent the oxidative damage of membrane proteins but was able to preserve the permeability barrier. Based on these results, it was concluded that the barrier impairments associated with acid-induced hemolysis were due to the aggregation of membrane proteins that underwent oxidative damage.

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Human erythrocytes and their resealed ghosts were alkylated under identical conditions using three groups of alkylating antitumor agents: mustards, triazenes and chloroethyl nitrosoureas. Osmotic fragility, acid resistance and thermal stability of membranes were changed only in alkylated ghosts in proportion to the concentration of the alkylating agent. All the alkylating agents decreased acid resistance in ghosts. The clinically used drugs sarcolysine, dacarbazine and lomustine all decreased osmotic fragility and thermal stability of ghost membranes depending on their lipophilicity. DM-COOH did not decrease osmotic fragility and thermal stability of ghost membranes, while NEM increased thermal stability of membranes. The preliminary but not subsequent treatment of ghosts with DM-COOH fully abolished the alkylation-induced thermal labilization of ghost membrane proteins while NEM had a partial effect only. The present study gives direct evidence that alkylating agents, having a high therapeutic activity against malignant growth, bind covalently to proteins of cellular membranes.

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In prefixed by 1 mmol/l OsO4 human erythrocytes, the discocyte shape was preserved upon heating to temperatures which include the denaturation temperature of the main peripheral protein spectrin. Nevertheless, the suspension of fixed cells displayed threshold decrease in its capacitance and resistance at the temperature range where spectrin denaturates. The same changes were established using intact cells and their resealed ghosts. For packed cells (ghosts), the capacitance and resistance decreased about 17% (31%) and 30% (19%). These data indicate a decrease in the beta dispersion of erythrocyte membrane associated, according to a previous study (Ivanov 1997), with the heat denaturation of spectrin at 49.5 degrees C. The amplitude of the 49.5 degrees C decrease in beta dispersion was reversibly reduced in intact erythrocytes and white ghosts following reversible decrease in the phosphorylation of their membrane proteins. It was fully eliminated in ghosts following their resealing with alkaline phosphatase (0.1 mg/ml) which dephosphorylated membrane proteins. These findings are discussed in relation to similar changes found in normal and tumour tissues and cells during hyperthermia.

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This study sheds light on the structural changes in erythrocyte membrane during thermally induced poration, an event involved in thermohaemolysis. Two major membrane disturbing events can be induced during transient heating, the denaturation of spectrin and thermoporation. The first one precedes the latter but is not involved in it. Ethanol linearly reduces the onset temperature of both events but with different efficiencies. Thermoporation efficiency exceeds by 3.5 fold that of spectrin denaturation. Thus, at a specific concentration of ethanol (18% v/v), the poration occurs at 39.5 degrees C, which precedes the denaturation of spectrin by 6 degrees C. To induce and study the poration avoiding spectrin denaturation, cells were put in contact with preheated (39 degrees C) isotonic (60mM) NaCl) media containing 18% v/v ethanol and sucrose as an osmotic protectant. After 3 min heating, the porated cells were washed, their membranes isolated and studied. The control cells were processed similarly except that they were incubated at 23 degrees C, thus avoiding thermoporation. Using scanning microcalorimetry, the enthalpy and the temperature of denaturation of spectrin were found to be the same in control as well as in porated membranes which indicates similar spectrin structure in both membranes. While the enthalpy of denaturation of the anion channel was preserved, its denaturation temperature was lowered by 2.5 degrees C after poration. These results confirmed that the heat denaturation of the main membrane proteins was not needed and not involved in thermoporation and, hence, in thermohaemolysis. Analysis of the fluorescence of membrane bound ANS gave an apparent increase in the number of binding sites for ANS in membranes after poration. In relation to the control, the eximerization of pyrene in porated membranes changed, depending on the location of the probe: in the domain of free lipids it decreased by 18% but it increased by 60% in the lipid milieu proximal to membrane proteins. Likewise, the eximerization of N-(3-Pyrene) maleimide bound to membrane proteins increased by 67% after poration, which proves increased intramolecular mobility of proteins following poration. The maximal efficiency for transferring energy from tryptophans to neighbouring pyrene was determined to be 0.93 in control, which is almost the same as in intact membranes, and 0.70 in porated membranes, indicating a strong decrease in the lipid/protein contact zone. This data suggests a mild conformational change, possibly an irreversible perturbance of the transbilayer distribution of membrane proteins in porated membranes in comparison to the control and intact ones.

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HCl-induced lysis of mammalian erythrocytes, pretreated with DIDS, which is a specific inhibitor of the anion transport in their membranes, was markedly delayed. After acidification of a suspension of DIDS-inhibited cells, hemolysis was initiated by addition of a protonophore (Na-salicylate) at any moment chosen by will. These findings revealed that low-pH hemolysis depended on the rate of the transfer of acid equivalents into cytosole. Erythrocyte acid resistance was studied in a group of mammals and found to be inversely related to the rate of monovalent anion exchange in membranes which supported the above observations. In human erythrocytes, the critical level of cytosole acidification was found to be about pH 5.7 by measuring the acid equivalent absorbed by cells prior to hemolysis. HCl-induced hemolysis was also studied in human erythrocyte ghosts resealed with one-sixth of the initial hemoglobin content of cells. During the prelytic interval the ghosts suspended in isotonic NaCl/sucrose media shrunk, indicating an increase in ion permeability. The increase in prelytic permeability and hemolysis were strongly delayed in ghosts prepared from DIDS-treated cells, suggesting a uniform mechanism of lysing in cells and their ghosts. The prelytic increase in ion permeability was measured by the corresponding rate of ghost shrinkage and was found to be pH-dependent, with a high value below pH 3.4 and a very low one above pH 4.0. Compared to cells, the prelytic barrier impairment in ghosts had more mild character although it required greater concentration of cytosolic H+. While finally complete, hemolysis of cells was strongly delayed in the presence of catalase (500-1500 U/ml) and superoxide dismutase (200-600 U/ml) in hemolytic media. In conclusion, the acid-induced hemolysis could be associated with an oxidative injury of membranes, mainly triggered by the entry of acid equivalents into the cytosole.

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The ion permeability of human erythrocyte membrane displays two maxima at 48-52 degrees C and 62-67 degrees C [6, 8]. Both these independent maxima were investigated in modified membranes in order to elucidate the participation of the main types of membrane proteins. The modification protocols included the bilateral proteolytic digestion of membranes with 2-20 micrograms/ml trypsin, denaturation of the peripheral protein spectrin by exposing the membranes to 50 degrees C for 4 min or 1.5 M urea for 20 h, and preparation of the inside-out vesicles depleted of main peripheral proteins. Only the second maximum was registered in these membranes. Also, both maxima were absent in the unilamellar liposomes prepared from lipids extracted from intact membranes. The results indicate that different types of proteins were involved in the two disturbances: peripheral proteins (mainly spectrin)--in the first one and part of integral proteins-in the second. The different sensitivities of the disturbances to local anesthetics, protein thermostabilizers, n-alcohols, and detergents correlated with this conclusion. A correlation between the peak temperature of the second disturbance and the sphingomyelin content in the membrane of mammalian erythrocytes was also shown.

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It was reported recently that the thermohaemolysis of mammalian erythrocytes is related to a thermo-induced membrane event of permeability barrier impairment in which the inactivation of membrane proteins is implicated. Here, the influence of different n-alkanols, methanol to octanol, on the onset temperature Tm of this barrier impairment event was compared with the changes in the dynamic properties of the membrane lipid region for human erythrocytes. The potencies of these n-alkanols to decrease Tm, to fluidize and disorder the lipid region were strongly related to their lipid solubilities. With respect to their membrane concentration, all the applied n-alkanols were roughly equipotent in decreasing Tm and in fluidizing and disordering the membrane lipids. Since Tm corresponds to the stability of erythrocytes against hyperthermia, this result indicates that the heat sensitization of these cells, induced by the n-alkanols employed, strongly correlated the fluidization (disordering) of the lipid region of their membranes.

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The conductivity of a suspension containing uniformly oriented asymmetric cells depends on the shape of the cells. Whether the shape of cells with random spatial orientation also affects the conductivity of a suspension is not clear. A highly sensitive apparatus was used to register the dynamic changes in conductivity of erythrocyte suspension, upon induced morphological transformation discocytes<-->spherocytes). The results obtained with a sensitivity of up to 0.06% show that the drastic change of cell shape itself did not affect the suspension conductivity.

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Influence of some sulfhydryl reagents on kinetics of acid hemolysis has been investigated. The results obtained indicate that the mechanism of acid hemolysis includes aggregation of some denatured membrane integral proteins, following the intermolecular disulfide bond formation. A suggestion is made that in this hemolysis-inducing aggregation free SH-groups containing proteins only take place.

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The kinetics of acid hemolysis of human erythrocytes suspended in isotonic sucrose media was investigated. Three successive changes on the curve of the suspension extinction derivative were discriminated and characterized as changes due to morphological transformation, swelling and lysis of the cells. The change due to the reversible morphological transformation could develop in two opposite directions depending on some conditions. The cell swelling was apparently induced by the protonization of hemoglobin with protons entering through the cell membrane. The phases of cell swelling and lysis partly covered each other by isotonicity, but at higher tonicities they were completely separated. These results demonstrate the increased informability of the method applied under such conditions.

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Experimental proofs for the possibility of studying the dynamical structure of rotatory moving erythrocyte suspension with the methods of derivative conductometry and photometry are presented. The amplitude of the recorded impulses was proportional to the cell concentration and the angle velocity, and strongly depended on the shape of the suspended cells.

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