The use of cell-targeted ferrofluid in the characterization of modific
ations of cell membranes is reviewed. Maghemite ferrofluid was synthes
ized by the Massart method, complexed with dimercaptosuccinic acid (FF
). Cell targeting by FF was developed by coupling FF to various biolog
ical effecters such as antibodies, lectins, etc, which enabled magneti
c cell sorting. Modifications in erythrocyte membranes were studied us
ing FF bound to recombinant human annexin V (AN;FF) which is very sens
itive, compared to other Anx-based reagents, in the early detection of
phosphatidylserine (PS) exposition on the outer leaflet of the plasma
membrane. Thus PS exposition on mouse RBC was detected already after
a 24-h storage at 4 degrees C and, transiently, 24 h after their infec
tion by Plasmodium parasites, at which time the parasites are Still co
nfined to the liver, thus leading to the recruitment of young RBC and
the accumulation of a species, intermediate between reticulocytes and
erythrocytes, and the actual RBC target of plasmodial invasion. AnxFF
revealed PS exposition on RBC from sickle cell anemia patients, follow
ing various inflammations and already after 20 days of human blood sto
rage under blood bank conditions. Such a sensitive detection should be
similar to that of macrophages which recognize exposed PS on cells an
d bring about the latter's elimination from the circulation. AnxFF bin
ding determination was combined with that of cell electrophoretic mobi
lity, glycerol resistance and filterability to characterize RBC membra
ne modifications in Alzheimer's disease patients which suggested a con
tinuous damage and regeneration in RBC of these patients. A logistic a
nalysis suggested that several three-parameter combinations could perm
it diagnosis of Alzheimer's disease with up to 95% accuracy. THP1 cell
s and macrophages, derived themselves by incubation with retinoic acid
, were bound to FF and placed in a radio frequency alternating magneti
c field. Magnetocytolysis was associated with FF attachment to the cel
ls without damage to non-bound cells and without heating of the surrou
nding solution ((C) Societe francaise de biochimie et biologie molecul
aire / Elsevier, Paris).