ABSTRACT. The red blood cell population of the human newborn is more heterogeneous than that of adults. TO characterize this heterogeneity, red cells were separated on Stractan gradients into populations according to their density and, therefore, generally according to their age. Lipid content, phospholipid asymmetry, osmotic fragility, and deformability were measured. With increasing density, osmotic resistance and deformability decreased to a greater extent in the neonatal than the adult red cell. There was a marked loss of surface area throughout the life span of the neonatal red cell which was not accompanied by a parallel loss of membrane lipid. This apparent discrepancy could be explained at least in part by internalization of membrane lipid as a result of endocytosis, a process shown to be present in even the densest neonatal red cells. creased life span. Another property of neonatal cells which may potentially have adverse rheological consequences is their loss of more than one-quarter of their surface area as they age in circulation (3-5). We have suggested that this property may be linked to the enhanced propensity of such cells to internalize plasma membrane through the process of endocytosis (5-7). In the current report, we further explore this possibility. To do so, we used the technique of Stractan density gradient centrifugation to prepare populations of buoyant (presumably young) and dense (3, 8, 9) (presumably old) neonatal red cells. The amount of cell lipid was measured in each density fraction and the degree to which the loss in surface area was accompanied by loss of membrane lipid determined. Changes in phospholipid composition (10, 11) or asymmetry (12) were also sought. As an independent index of cell surface area (13), we measured red cell deformability in the ektacytometer (14). Our findings demonstrate that although the densest ("oldest") neonatal red cells have lost considerable surface area, they have not lost the expected equivalent quantities of membrane lipid, implying that at least some of the lipid must have been internalized rather than released into the plasma.
MATERIALS AND METHODS
CHV, critical hemolytic volume -
Materials. Stractan was purchased from St. Regis Lumber Co., DI, deformability indexLibby, MT and prepared as previously described (5, 9). Cellulose PC, phosphatidylcholine (Sigmacell-50), a-cellulose, cholesterol standard solution (CH-I), PE, phosphatidylethanofamine and bee venom phospholipase A2 were purchased from Sigma PS, phosphatidylserine Chemical Co., St. Louis, MO. Sphingomyelinase C was prepared PI, phosphatidylinositol as previously described (12).
SM, sphingomyelinBlood collection and density separation. Venous blood was DI,,,, maximum deformability collected from adult volunteers and cord blood was drawn from the placental vessels immediately upon delivery according to a protocol approved by the Stanford Medical Committee for the Protection of Human Subjects in Research. EDTA was used as The shortened life span of neonatal red cells relative to that of...