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Chang Gung Childrens Hospital at Kaohsiung, Chang Gung University, Taiwan
Correspondence: Dr. Kuender D. Yang, Office of Vice Superintendents, Chang Gung Childrens Hospital at Kaohsiung, 123 Ta-Pei Road, Niao-Sung, Kaohsiung 833, Taiwan. E-mail: yangkd{at}adm.cgmh.org.tw
Exposure of phosphatidylserine (PS) on the outer leaflet of the cell
membrane is recognized as an early indicator of programmed cell death
(apoptosis) in plant and mammalian cells. Currently, there is no
literature describing that PS expression on the surface of white blood
cells is reversible. We found that a hypotonic 0.2% NaCl or
NH4Cl lysing solution used to separate white blood cells
from red blood cells induced a reversible PS expression on the cell
surface of granulocytes and monocytes but not lymphocytes. This
reversible PS expression was associated with change of plasma membrane
potential but not degranulation-associated membrane mobilization or DNA
fragmentation. In contrast, TNF-
induced an irreversible PS
expression, associated with apoptotic DNA fragmentation shown on gel
electrophoresis. The fact that hypotonic shock induced a reversible PS
expression on granulocytes, and TNF-
induced an irreversible PS
expression associated with apoptotic DNA fragmentation indicate the new
insight that expression of PS on the outer cell surface does not always
represent cell apoptosis. Also, the reversible PS expression was
associated with altered plasma-membrane potential but not DNA strand
breaks, indicating that early PS expression may be related to the
membrane perturbation but not directly related to DNA fragmentation in
certain types of cells.
Key Words: hypotonic shock apoptosis fragmentation white blood cells red blood cells NaCl NH4Cl
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