Objective To determine whether protein kinase C is necessary for the c
alcium activation of the Na+/H+ exchange in human erythrocytes by stud
ying activation by calcium of erythrocyte Na+/H+ exchange in control c
ells, in protein kinase C-depleted cells after downregulation of prote
in kinase C with phorbol-12-myristate-13-acetate and in cells that had
been treated beforehand with phorbol-12-myristate-13-acetate with and
without the calpain inhibitor E-64d. Methods Erythrocyte Na+/H+ excha
nge was measured by determining the initial rates of the influx of Na into Na+-depleted, acid loaded cells. The effects of various concentr
ations (0-1 mmol/l) of CaCl2 and the effects of 1 mmol/l CaCl2 on acti
vation of the intracellular pH and on the external Na+ activation of N
a+/H+ exchange were studied. The effects of 1 mmol/l CaCl2 on Na+/H+ e
xchange in control cells and cells that had been incubated beforehand
with and without 1 mmol/l phorbol-12-myristate-13-acetate and with E-6
4d and 1 mmol/l phorbol-12-myristate-13-acetate for 1, 2, 3 and 24 h w
ere also investigated. Results Addition of Ca2+ to a concentration in
the range 0-1 mmol/l in the presence of calcimycin resulted in stimula
tion of Na+/H+ exchange: 1 mmol/l CaCl2 increased (P < 0.001) the eryt
hrocyte Na+/H+ exchange by 74%. Calcium increased the maximum rate for
activations by intracellular pH and by external Na+ of Na+/H+ exchang
e, whereas it did not affect the Michaelis-Menten constants for activa
tion by intracellular H+ and external Na+. However, calcium did not ac
tivate the Na+/H+ exchange in protein kinase C downregulated erythrocy
tes and administration of the calpain inhibitor E-64d could not preven
t this inactivation. Conclusion Our data indicate that protein kinase
C is necessary for the activation by calcium of the erythrocyte Na+/H exchange. (C) 1998 Rapid Science Ltd.