Abnormalities in the physiology of the erythrocyte membrane in hereditary spherocytosis

Research output: Contribution to journalArticlepeer-review

14 Scopus citations

Abstract

Recent studies indicate that the hemolytic process in hereditary spherocytosis (HS) results from an intrinsic defect in the red cell membrane. The HS red cell is abnormally permeable to sodium ions, accumulating sodium and water intracellularly during incubation in vitro or after entrapment in splenic sinusoids. This is partially responsible for their characteristic excessive osmotic fragility and their propensity to premature destruction in the spleen. To compensate, active pumping of sodium is increased, which in turn stimulates membrane phospholipid turnover. In HS red cells, as in normal cells made hyperpermeable by various means, increased turnover of membrane phospholipids appears to render the cell membrane vulnerable to lipid depletion. The diminution in surface material which results in HS red cells produces microspherocytosis, the morphologic hallmark of the disease.

Original languageEnglish (US)
Pages (from-to)734-743
Number of pages10
JournalThe American Journal of Medicine
Volume41
Issue number5
DOIs
StatePublished - Nov 1966

Fingerprint Dive into the research topics of 'Abnormalities in the physiology of the erythrocyte membrane in hereditary spherocytosis'. Together they form a unique fingerprint.

Cite this