Cellular activation, accompanied by elevation of cytoplasmic Ca2+ leve
ls, can induce a progressive loss of plasma membrane phospholipid asym
metry, resulting from increased transbilayer movement (flip-flop) of p
hospholipids. While this process has been demonstrated in a variety of
different cells, it is most active in blood platelets. In order to te
st whether this lipid scrambling process is mediated by a membrane pro
tein, platelet membranes were solubilized in cholate and fractionated
by anion exchange chromatography, and fractions were reconstituted int
o phospholipid vesicles by detergent dialysis in the presence of small
amounts of fluorescent (NBD) phospholipids. Using dithionite reductio
n to monitor the transbilayer location of NBD phospholipids, it was sh
own that addition of Ca2+ and ionomycin to vesicles reconstituted with
a particular fraction results in transbilayer movement of the fluores
cent phospholipid analogs from the vesicle's inner to outer leaflet. L
ipid vesicles reconstituted in the absence of membrane protein, or rec
onstituted with another platelet membrane protein fraction, were devoi
d of this activity. Heating the active fraction or incubating it with
pronase or the SH reagent pyridyldithio-ethylamine markedly diminished
the ability of the vesicles to translocate fluorescent phospholipid a
nalogs across the bilayer in response to Ca2+ and ionophore. These res
ults argue that a membrane protein (or proteins) from blood platelets
is required to catalyze Ca2+-induced transbilayer movement of phosphol
ipids, suggesting its (or their) involvement in the loss of lipid asym
metry that can occur during cellular activation.