Dm. Mock et al., [C-14] CYANATE LABELING OF SHEEP RED-CELLS - COVALENT BINDING TO HEMOGLOBIN CONTINUES IN-VIVO FOR A DAY, Pediatric research, 41(3), 1997, pp. 424-429
The sheep is a useful model to study fetal and newborn physiology incl
uding perinatal erythropoiesis and red cell kinetics. A practical, eco
nomical method for measuring red cell survival (RCS) in sheep would be
very valuable. However, Cr-51 is unsatisfactory, and suitable alterna
tives have not been published. In the course of investigating [C-14]cy
anate as a label for sheep red cells, we observed continued covalent l
abeling over 24 h in vivo that was great enough to introduce a substan
tial artifact into two commonly used parameters of RCS: posttransfusio
n recovery (PTR(24)) and time to 50% decrease (T-50) when referenced t
o time zero. In a simulation of in vivo conditions, the amount of C-14
bound to Hb increased 26 +/- 6% (mean +/- 1 SD, n = 11) over 24 h. To
investigate the mechanism of the increasing C-14 bound, acid-acetone
extraction, molecular sieve chromatography, and density gradient separ
ation were used separately or in combination to quantitate intracellul
ar free C-14 and C-14 covalently bound to intracellular proteins. Free
C-14 decreased as protein-bound [C-14]cyanate increased. These studie
s provide evidence that covalent binding of [C-14]cyanate to intracell
ular Hb continues in vivo for the first 24 h and that the source of th
e increase is intracellular free [C-14]cyanate. We conclude that I) PT
R(24) cannot be accurately determined by [C-14]cyanate unless labeled
red cells are incubated before infusion to allow the cyanate reaction
to approach completion and 2) RCS by [C-14]cyanate should be reference
d to blood concentrations at 24 h.