Alterations in size, shape and osmotic behaviour of red cells after splenectomy: a study of their age dependence.

Abstract:

:In whole blood from splenectomized subjects (n = 20), red cells showed a significant increase of mean surface area (MSA), mean cell volume (MCV), MSA/MCV-ratio and osmotic resistance, with the mean cell haemoglobin concentration (MCHC) being decreased. Studies on red cell populations of different cell age revealed that the increase of MSA affects younger and older cells, whereas the increase of MCV can mainly be ascribed to young cells with low density. The increased osmotic resistance is mainly determined by older cells due to a more favourable MSA/MCV-ratio. Shortly after splenectomy (n = 5) the MSA of younger and older cells increased, whereas the increase of MCV affected only young cells with a lowered density; moreover, the MSA/MCV-ratio increased in older cells in particular, resulting in a relatively greater increase of osmotic resistance. An impaired maturation of the reticulocyte may underlie the initial increase of MSA and MCV of young cells, but the present results contradict the current view that delayed maturation explains the changes in morphology and osmotic resistance of asplenic red cells.

journal_name

Br J Haematol

authors

de Haan LD,Werre JM,Ruben AM,Huls HA,de Gier J,Staal GE

doi

10.1111/j.1365-2141.1988.tb07605.x

subject

Has Abstract

pub_date

1988-05-01 00:00:00

pages

71-80

issue

1

eissn

0007-1048

issn

1365-2141

journal_volume

69

pub_type

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