Volume control in sickle cells is facilitated by the novel anion conductance inhibitor NS1652

A low cation conductance and a high anion conductance are characteristic of normal erythrocytes, In sickle cell anemia, the polymerization of hemoglob in S (HbS) under conditions of low oxygen tension is preceded by an increas e in cation conductance. This increase in conductance is mediated in part t hrough Ca+ +-activated K+ channels, A net efflux of potassium chloride (KCI ) leads to a decrease in intracellular volume, which in turn increases the rate of HbS polymerization, Treatments minimizing the passive transport of ions and solvent to prevent such volume depletion might include inhibitors targeting either the Ca+ +-activated K+ channel or the anion conductance, N S1652 is an anion conductance inhibitor that has recently been developed. I n vitro application of this compound lowers the net KCI loss from deoxygena ted sickle cells from about 12 mmol/L cells/h to about 4 mmol/L cells/h, a value similar to that observed in oxygenated cells. Experiments performed i n mice demonstrate that NS1652 is well tolerated and decreases red cell ani on conductance in vivo. (C) 2000 by The American Society of Hematology.