Summary. Filtrability of erythrocytes obtained from uncontrolled Type I (insulin-dependent) diabetic patients is abnormal, but is corrected by insulin added in vivo or in vitro. As erythrocyte filtrability depends on several determinants, we chose to study a membrane property of erythrocytes from diabetic subjects. Membrane fluidity was studied by fluorescence polarization using a lipophilic probe, the diphenyl-hexatriene and the Coulter Epics V together with a laser Spectra-physics 2000. Fluorescence polarization values obtained for 31 normal subjects (0.253 +0.043 SD) and 31 uncontrolled Type 1 diabetic patients (0.231 + 0.043 SD) were significantly different (p < 0.01). Insulin (2.5.10 -9 mol/1) added in vitro increased Given a relationship between the lipid bilayer and membrane cytoskeleton proteins, this insulin-correctable abnormality of erythrocyte membrane fluidity may be an important determinant of the rheological behaviour of erythrocytes from diabetic patients.Keywords: Membrane, fluorescence polarization, erythrocytes, diabetes, insulin.The erythrocytes &uncontrolled Type 1 (insulin-dependent) diabetic patients have abnormal rheological properties [1][2][3][4]. Modifications in the erythrocyte membrane could be the cause of these theological abnormalities. Biochemical abnormalities have been described [5][6][7] in the membrane, and change in its viscosity have been demonstrated by the fluorescence polarization technique [7][8][9] or electron spin resonance [10]. However, these results have been challenged [11].We have previously observed that the poor filtrability of erythrocytes from uncontrolled Type 1 diabetic patients was rapidly corrected by insulin added in vivo or in vitro [3,4].The aim of this study was therefore to verify whether insulin directly modified the membrane fluidity assessed by fluorescence polarization if such an abnormality was found in cells from diabetic patients. For this purpose, ghosts prepared from erythrocytes originating from uncontrolled Type 1 diabetic patients and matched controls were incubated with and without insulin. Fluorescence polarization was studied with a lipophilic probe, the 1,6 diphenyl-l,3,5 hexatriene (DPH).
Subjects and methodsThe subjects were 31 Type I (insulin-dependent) diabetic patients, 20 males and 11 females, aged 26 to 64 years (mean + SD = 44 _+ 16), uncontrolled at the time of the study. None of the patients were smokers, and women did not use oral contraceptive agents. Diabetes duration ranged from 1 to 26 years (mean + SD = 9.6 + 7 years). Two patients had macroproteinuria (i.e. > 500 mg/day) but serum creatinine did not exceed 100 btmol/l in any of the patients. Nine had background retinopathy at fundus examination after papillary dilatation. Patients with proliferative retinopathy or symptoms of cardiovascular disease were excluded from the study. Treatment consisted of two or three insulin injections per day except for two cases treated with one daily insulin injection. Glycosylated haemoglobin values, assessed by microchromatography at...