T. Hamada et al., ALTERED MEMBRANE SKELETON OF RED-BLOOD-CELLS PARTICIPATES IN CADMIUM-INDUCED ANEMIA, Biochemistry and molecular biology international, 45(4), 1998, pp. 841-847
Poikilocytosis of red blood cells (RBCs) was observed to be associated
with anemia in rats given subcutaneous injections of cadmium (Cd). Ph
ase-contrast light and scanning electron microscopic examinations reve
aled that acanthocytes appeared in the early stages of administration,
and that the number of RBC fragments increased later. Ultrastructural
analysis of RBC ghosts by negative staining demonstrated that the nor
mal lattice structure of the membrane skeleton was abolished. The osmo
tic fragility curve of the Cd-exposed RBCs disclosed that most of the
cells were less fragile than control RBCs. These data indicate that th
e RBC membrane skeleton is initially altered by Cd-exposure, followed
by deformation of the cell, thus promoting intrasplenic hemolysis, and
resulting in anemia.