OSMOTIC CHARACTERISTICS AND INDUCED SHAPE CHANGE OF RED BLOOD CELLS TREATED WITH GLUTAMINE AND N-ACETYLCYSTEINE BEFORE CRYOPRESERVATION
V.V. Ramazanov1, S.V. Rudenko2
- Institute for Problems of Cryobiology and Cryomedicine of the National Academy of Sciences of Ukraine, Kharkіv, Ukraine
DOI: https://doi.org/10.15407/fz71.06.078

Abstract
Transfusion of red blood cells (RBC) to patients with
hemorrhagic shock leads to the development of post-
transfusion inflammation due to the destruction of damaged
RBC by macrophages in the spleen and liver, the release of iron
ions, and an increase in active oxygen species levels. Constant
transfusion of RBC leads to deterioration of the function of the
main organs, the pancreas, liver, and heart, as a result of iron
overload of the body. These negative circumstances require
the development of a procedure for stabilizing cryopreserved
RBC in order to prevent their significant hemolysis during
transfusion. The osmotic characteristics and shape changes
of RBC in a sulfate medium were studied in response to the
anion channel inhibitor DIDS. The change in the intensity
of optical density fluctuations in a stirred RBC suspension
is an indicator of changes in the content of discoid cells
(normocytes). It was shown that in a medium containing
Na
2
SO
4
(110 mmol/l), RBC were transformed into spherical
shapes within ~20 s. Inclusion of DIDS in the medium before
adding RBC causes reversible cell retransformation in the
direction of spheres → discs → spheres. This retransformation
is blocked for cryopreserved cells. At the same time, treatment
of erythrocytes before freezing with a medium that includes
substrates for the synthesis of glutathione (glutamine and
N-acetylcysteine) ensures a reduction in cell hemolysis after
thawing and washing of the cells. An increase in the osmotic
stability of washed RBC during hypothermic storage is noted.
In addition, the restoration of reversible retransformation
of cryopreserved cells to the action of DIDS is revealed.
The obtained results indicate that stimulation of glutathione
synthesis by substrates promotes an increase in the resistance
of RBC to damaging freezing factors. This resistance can likely
provide a decrease in the degree of destruction of RBC in the
body during transfusion. In addition, an increase in the level of
glutathione promotes an increase in the antioxidant potential
of RBC, which is necessary for neutralizing active oxygen
species and inhibiting the development of post-transfusion
inflammation.
Keywords:
erythrocytes; cryopreservation; glutamine; N-acetylcysteine; cell shape.
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