FASEB J. Avanti Polar Lipids
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Published as doi: 10.1096/fj.08-121772.
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(The FASEB Journal. 2009;23:1072-1080.)
© 2009 FASEB

Regulation of erythrocyte survival by AMP-activated protein kinase

Michael Föller*, Mentor Sopjani*, Saisudha Koka*, Shuchen Gu*, Hasan Mahmud*, Kan Wang*, Elisa Floride*, Erwin Schleicher{dagger}, Eberhard Schulz{ddagger}, Thomas Münzel{ddagger} and Florian Lang*

* Department of Physiology and

{dagger} Department of Endocrinology, Diabetes, Vascular Medicine, Nephrology, and Clinical Chemistry, University of Tübingen, Tübingen, Germany; and

{ddagger} Department of Cardiology, University of Mainz, Mainz, Germany

1Correspondence: Physiologisches Institut, der Universität Tübingen, Gmelinstr. 5, D-72076 Tübingen, Germany. E-mail: florian.lang{at}uni-tuebingen.de

AMP-activated protein kinase (AMPK), an energy-sensing enzyme, counteracts energy depletion by stimulation of energy production and limitation of energy utilization. On energy depletion, erythrocytes undergo suicidal death or eryptosis, triggered by an increase in cytosolic Ca2+ activity ([Ca2+]i) and characterized by cell shrinkage and phosphatidylserine (PS) exposure at the erythrocyte surface. The present study explored whether AMPK participates in the regulation of eryptosis. Western blotting and confocal microscopy disclosed AMPK expression in erythrocytes. [Ca2+]i (Fluo3 fluorescence), cell volume (forward scatter), and PS exposure (annexin V binding) were determined by fluorescence-activated cell sorting (FACS) analysis. Glucose removal increased [Ca2+]i, decreased cell volume, and increased PS exposure. The AMPK-inhibitor compound C (20 µM) did not significantly modify eryptosis under glucose-replete conditions but significantly augmented the eryptotic effect of glucose withdrawal. An increase in [Ca2+]i by Ca2+ ionophore ionomycin triggered eryptosis, an effect blunted by the AMPK activator 5-aminoimidazole-4-carboxamide-1-β-D-ribofuranoside (AICAR; 1 mM). As compared with erythrocytes from wild-type littermates (ampk+/+), erythrocytes from AMPK{alpha}1-deficient mice (ampk–/–) were significantly more susceptible to the eryptotic effect of energy depletion. The ampk–/– mice were anemic despite excessive reticulocytosis, and they suffered from severe splenomegaly, again pointing to enhanced erythrocyte turnover. The observations disclose a critical role of AMPK in the survival of circulating erythrocytes.—Föller, M., Sopjani, M., Koka, S., Gu, S., Mahmud, H., Wang, K., Floride, E., Schleicher, E., Schulz, E., Münzel, T., Lang, F. Regulation of erythrocyte survival by AMP-activated protein kinase.


Key Words: cell volume • annexin • eryptosis • calcium • phosphatidylserine







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