ABSTRACT. The life span of neonatal erythrocytes (60-80 days) is shorter than that of adult erythrocytes (120 days). We studied neonatal red blood cells separated on stractan density gradients to further characterize the aging process and to explore the possibility that senescence antigens play a role in the destruction of neonatal erythrocytes. Quantitation of membrane proteins 4.la and 4.lb served as a marker for cell age and confirmed an enrichment for senescent red cells in the most dense layers of the gradients. Despite the shorter life span of neonatal erythrocytes, cord blood contained a larger percentage of very dense, K+-depleted red cells than did adult blood. ATP levels in dense neonatal and adult cells were decreased to 50-80% of normal values for unseparated red cells. Levels of reduced glutathione did not fall with increasing cell density. Sodium dodecyl sulfate polyacrylamide gel electrophoresis of red cell membrane proteins showed increased membrane-associated globin in senescent neonatal cells, but such gels run without reducing agents did not show oxidative protein cross-linking. Membrane bound immunoglobulins were detected on senescent neonatal and adult red cells by the rosetting antiglobulin test. We conclude that senescence antigens are revealed during the aging process of neonatal erythrocytes, thereby labeling them for antibody-mediated destruction in the reticuloendothelial system. (Pediatr Res 23: 288-292, 1988) Abbreviations GSH, reduced glutathione SDS, sodium dodecyl sulfate PAGE, polyacrylamide gel electrophoresis BSKG, buffered saline with potassium and glucose EA, erythroctye antibody DTT, dithiothreitol RBC, red blood cells Normal human red cells undergo a nonrandom, age-dependent process of removal from the circulation; the most aged or senescent cells are selectively destroyed (1). The sequence of events that targets the senescent erythrocyte for destruction is not completely understood, but recent work has suggested that aging of adult red cells is associated with the exposure of cryptic, senescence antigens on the exterior surface of the red cell membrane (2-6). Such antigens are then recognized by autologous immunoglobulins, thus facilitating the removal of aged cells by the macrophages of the reticuloendothelial system (2-6).The life span of neonatal red cells is significantly shorter than that of adult red cells. While adult erythrocytes survive in the circulation for 120 days, fetal cells survive only 60-80 days (7-9). The mechanisms underlying the shorter survival are unknown, but cross-transfusion experiments have indicated that the decreased life span is intrinsic to the fetal cell, rather than a feature of the fetal circulation (8).Recently, Matovcik et al. (10) studied density-separated red cells and showed that the aging process of human neonatal erythrocytes is associated with a more rapid loss of membrane surface area than is the case with adult red cells. The loss of surface area was demonstrated to have a significant detrimental effect on cell deformability. ...