scholarly journals Physiologic features of hemolysis axxociated with altered cation and 2,3-diphosphoglycerate content

Blood ◽  
1978 ◽  
Vol 52 (1) ◽  
pp. 135-141 ◽  
Author(s):  
MM Albala ◽  
NL Fortier ◽  
BE Glader

Abstract A hemolytic disorder characterized by altered RBC cation composition (increases Na, decreases K), reduced monovalent cation content (decreased Na + K/liter RBC), and decreased levels of 2,3- diphosphoglycerate (2,3-DPG) is described. The etiology of these RBC abnormalities was not elucidated following extensive laboratory evaluation, although two important physiologic principles were manifested by this case: (1) Hemolysis was relatively well compensated (41% hematocrit) despite a significantly decreased RBC survival (51 Cr t 1/2 = 10.5 days). This effect presumably was due to reduced 2,3-DPG content (1.9 mumol/ml RBC) and the associated increase in whole blood oxygen affinity (P50 = 19.6 mm hg). (2) RBC size and water content were normal in spite of marked cation depletion. This anomaly was thought to reflect the osmotic effects of reduced polyvalent anion (2,3-DPG) content.

Blood ◽  
1978 ◽  
Vol 52 (1) ◽  
pp. 135-141
Author(s):  
MM Albala ◽  
NL Fortier ◽  
BE Glader

A hemolytic disorder characterized by altered RBC cation composition (increases Na, decreases K), reduced monovalent cation content (decreased Na + K/liter RBC), and decreased levels of 2,3- diphosphoglycerate (2,3-DPG) is described. The etiology of these RBC abnormalities was not elucidated following extensive laboratory evaluation, although two important physiologic principles were manifested by this case: (1) Hemolysis was relatively well compensated (41% hematocrit) despite a significantly decreased RBC survival (51 Cr t 1/2 = 10.5 days). This effect presumably was due to reduced 2,3-DPG content (1.9 mumol/ml RBC) and the associated increase in whole blood oxygen affinity (P50 = 19.6 mm hg). (2) RBC size and water content were normal in spite of marked cation depletion. This anomaly was thought to reflect the osmotic effects of reduced polyvalent anion (2,3-DPG) content.


1993 ◽  
Vol 175 (1) ◽  
pp. 15-32 ◽  
Author(s):  
G. C. Grigg ◽  
R. M. G. Wells ◽  
L. A. Beard

The P50 of whole blood [30°C, PCO2=2.08 kPa (15.6 mmHg)] decreases during embryonic development from approximately 6.7 kPa (50 mmHg) at 15 days to about half this value at hatching (86 days), paralleling a decrease in ATP from 100 to 5–10 micromole g-1 Hb. There is also a progressive changeover from embryonic to adult haemoglobin (HbA). A pulse of 2,3- diphosphoglycerate (2,3-DPG) (18 micromole g-1 Hb) occurs late in embryonic life. It has no effect on whole-blood oxygen-affinity and falls rapidly at hatching to values typical of post-hatchling crocodilians in general (<1.0 micromole g-1 Hb). ATP has a marked effect on the oxygen affinity of embryonic haemoglobin (HbE) but not on HbA. 2,3-DPG has only very small effects on the oxygen affinities of HbE and HbA. CO2 has a small effect on the oxygen affinity of HbE but a marked effect on that of HbA. Values of PO2 measured in the chorio-allantoic artery [2.9 kPa (22 mmHg)] and vein [5.9 kPa (52 mmHg)] imply an increase in saturation from approximately 30 % to more than 80 %. Neither whole-blood oxygen-affinity nor ATP level was altered in response to an experimental 7-day exposure to low ambient oxygen levels [10.7 kPa (80 mmHg)]. The results do not lend themselves easily to the pan-selectionist paradigm in which all physiological traits are viewed as being adaptive.


1980 ◽  
Vol 238 (1) ◽  
pp. H73-H79 ◽  
Author(s):  
P. A. Mueggler ◽  
G. Jones ◽  
J. S. Peterson ◽  
J. M. Bissonnette ◽  
R. D. Koler ◽  
...  

A rightward shift in the blood oxygen dissociation curve occurs during the 1st mo of canine life. A detailed peptide analysis indicated that dogs do not have a separate fetal hemoglobin. Other erythrocyte components such as ATP, K+, Na+, and H+ were excluded as significant mediators of the postnatal oxygen affinity change. Erythrocyte 2,3-DPG levels essentially zero in fetal dogs, increased rapidly during the 1st mo of canine life. There was a significant correlation between this postnatal 2,3-DPG increase and the postnatal decrease in blood oxygen affinity. Dialyzed hemolysates of fetal or adult canine blood have the same intrinsic oxygen affinity and the same response to normal adult levels of 2,3-DPG. Furthermore, the magnitude and direction of this 2,3-DPG-induced decrease in oxygen affinity in vitro are comparable to the in vivo postnatal change in oxygen affinity.


Blood ◽  
1972 ◽  
Vol 39 (3) ◽  
pp. 398-406 ◽  
Author(s):  
Frank G. de Furia ◽  
Denis R. Miller

Abstract Oxygen affinity studies in a splenectomized patient with sporadically occurring Hb Köln disease revealed high whole blood oxygen affinity (P50 O2 17.6 mm Hg) with increased 2, 3-diphosphoglycerate (DPG), low ATP, and normal RBC ΔpH. Isolated electrophoretically slow migrating Hb Köln had a high oxygen affinity, decreased Hill’s number, and normal DPG reactivity. Functional evidence for hybrid tetramers with normal mobility is presented. Partial deoxygenation may play a role in the denaturation of the Hb Köln molecule and thus account for a higher oxygen affinity (low P50 O2), measured by the mixing technique, than the actual values for P50 that exist in vivo. Increased oxygen affinity and decreased P50 O2 would result in increased erythropoiesis and account for a well-compensated hemolytic process in this patient with a normal red cell mass and normal values of hemoglobin.


1978 ◽  
Vol 19 (4) ◽  
pp. 688-692 ◽  
Author(s):  
S. Berglund ◽  
T. Almén ◽  
B. W. Johansson

1983 ◽  
Vol 103 (1) ◽  
pp. 95-108
Author(s):  
R. M. Wells ◽  
R. E. Weber

A typical whole blood O2-equilibrium curve from Squalus acanthias had a P50 of 13.2 mmHg and was slightly sigmoidal, having an n value of 1.6 at 15 degrees C, PCO2 = 2.2 mmHg (pH = 7.85). A small Bohr effect was present (phi = −0.28) together with a weak Haldane effect and no Root shift. The predominant trinucleotide, determined by thin layer chromatography, was ATP (0.44 +/− 0.13 S.D. mmol 1(−1) blood) with smaller amounts of GTP present (0.07 +/− 0.02) S.D. mmol 1(−1). Total nucleotide concentrations, determined enzymatically, were low by comparison with teleosts. Incubation of erythrocytes with or without oxygen, or in the presence of a metabolite-enriched ‘cocktail’ showed limited potential for phosphate cofactor regulation of blood oxygen affinity.


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