PROTEOME ANALYSIS ABOUT THE REDUCTION OF ATP11C IN THE RENAL ANEMIA ERYTHROCYTE MEMBRANE

 

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PROTEOME ANALYSIS ABOUT THE REDUCTION OF ATP11C IN THE RENAL ANEMIA ERYTHROCYTE MEMBRANE

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Momoko
Seki
Momoko Seki seki.momoko@twmu.ac.jp Tokyo Women's Medical University Department of Nephrology Tokyo Japan *
Nobuto Arashiki arashiki.nobuto@twmu.ac.jp Tokyo Women's Medical University Department of Biochemistry Tokyo Japan -
Fumio Nakamura fumio.nakamura@twmu.ac.jp Tokyo Women's Medical University Department of Biochemistry Tokyo Japan -
Junichi Hoshino hoshino.junichi@twmu.ac.jp Tokyo Women's Medical University Department of Nephrology Tokyo Japan -
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One of the causes of renal anemia is the shortened lifespan of red blood cells (RBCs). We previously demonstrated that a decline in flippase activity in the early stage of RBCs leads to increased externalization of phosphatidylserine (PS), contributing to renal anemia. In healthy individuals, flippase ATP11C in senescent RBCs decreases to 62% of that in young RBCs, and it was hypothesized that ATP11C may also be reduced in senescent RBCs of patients with renal anemia. When intracellular Ca²⁺ levels in RBCs were artificially elevated, ATP11C was found to translocate into the microvesicles, which were generated from RBCs' membrane. 

To elucidate the mechanism of ATP11C reduction, we conducted proteomic analyses of the membrane cytoskelton protein of young and senescent RBCs from both patients and healthy controls.

Although individual variation was considerable, ATP11C levels in senescent RBCs of renal anemia patients averaged 47% of those in young RBCs, showing a more pronounced decrease compared to healthy controls. Proteomic analysis revealed that in senescent RBCs from renal anemia patients, components of the 4.1R complex—such as Protein 4.1R, Dematin, and Glycophorin C—were decreased relative to healthy controls. In contrast, components of the ankyrin complex, including Ankyrin, Glycophorin A, and Band 3, were preserved.

In addition to the mechanism that increased intracellular Ca²⁺ levels weaken the binding between Protein 4.1R and Glycophorin C, our findings suggest that certain factors associated with renal failure may also weaken the binding between membrane cytoskelton protein and produce microvesicles, leading to a greater reduction of ATP11C.

Kewords