Summary The aim of our work was quantitative evaluation of the protein and phospholipid fractions of mature erythrocyte membranes separated from women with ovarian cancer. Blood was sampled from 30 women with ovarian cancer, aged 24-79 years, in the third stage of clinical progression of the disease. Phospholipids were separated from membranes by MOller's acidic extraction method and analysed in thinlayer two-dimensional chromatography. On the silica gel plates nine fractions of phospholipids were separated: sphingomyelin (SPH), phosphatidylethanolamine (PE), phosphatidlyserine (PS), phosphatidylcholine (PC), lysophosphatidylcholine (LPC), phosphatidic acid (PA), phosphatidylinositol (Ptd Ins), phosphatidylinositol-4-phosphate (Ptd Ins-4-P), phosphatidylinositol-4,5-diphosphate (Ptd Ins-4,5-P2). The activity of phospholipase C in erythrocyte membranes was determined by Akhrem's spectrophotometric method. Membrane proteins were separated by polyacrylamide gel electrophoresis, SDS-PAGE. It was shown that PS, SPH, LPC and PA fractions were significantly diminished. The concentration of Ptd Ins-4-P and Ptd Ins-4,5-P2 was significantly increased with simultaneous reduction in Ptd Ins level. The inhibition of phospholipase C reached 80%. The quantitative protein evaluation showed a statistically significant decrease in spectrin and a significant increase in 4.1 protein. The quantitative changes, observed in phospholipid and protein fractions, led to the restructuring of the erythrocyte membrane cytoskeleton, which may be connected to increased susceptibility to haemolysis of red blood cells.Keywords: ovarian cancer; red blood cell; phospholipid metabolism; phospholipase C; red blood cell membrane proteins Ovarian cancer is a common pathology among women over 50 years of age. Up to 2% of the female population will develop ovarian cancer during their lifetime. Cancer exerts a multidirectional influence on the human organism, leading to systemic disturbances. Mature red blood cells are a good experimental model and an easily obtainable material to study these changes. Although erythrocyte does not contain subcellular organelles it is a highly autonomic and specialized cell. That is why many biochemical transformations, difficult to evaluate in other experimental cell studies, are easily observed in erythrocytes. However, little attention has been directed to the effects of cancer on the structure of erythrocyte membrane. Lipids and proteins (Byers et al, 1985;Derick et al, 1992) are the fundamental elements of erythrocyte membrane skeleton. Phospholipids as a basic component of erythrocyte membrane determine its shape and structure and also the influence of external factors on intracellular metabolism (Ferrel et al, 1984;Schwartz et al, 1985;Smith, 1987). Erythrocyte membrane phospholipids are asymmetrically distributed in the two halves of the membrane bilayer. The choline-containing phospholipids phosphatidylcholine and sphingomyelin (PC and SPH) are present mainly in the outer monolayer, whereas the aminophospholipids...