Volume 62, Issue 4, Pages (October 2002)

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Volume 62, Issue 4, Pages 1358-1363 (October 2002) Enhanced adherence of human uremic erythrocytes to vascular endothelium: Role of phosphatidylserine exposure  Mario Bonomini, Vittorio Sirolli, Federico Gizzi, Silvio Di Stante, Alfredo Grilli, Mario Felaco  Kidney International  Volume 62, Issue 4, Pages 1358-1363 (October 2002) DOI: 10.1111/j.1523-1755.2002.kid560.x Copyright © 2002 International Society of Nephrology Terms and Conditions

Figure 1 Adherence of erythrocytes from uremic patients on hemodialysis (N = 20) and normal subjects (N = 20) to endothelial cell monolayers. Adherence was by a static assay. Error bars depict the standard error. *Significant difference between normal and uremic erythrocytes adherent to HUVEC. Kidney International 2002 62, 1358-1363DOI: (10.1111/j.1523-1755.2002.kid560.x) Copyright © 2002 International Society of Nephrology Terms and Conditions

Figure 2 Correlation in chronic uremic patients on hemodialysis therapy (N = 20) between phosphatidylserine (PS)-exposing normal human erythrocyte (RBC) and static RBC adherence to endothelial cell monolayers. The FITC-annexin V positive RBC population was measured by FACS analysis (r = 0.88; P < 0.0001). Kidney International 2002 62, 1358-1363DOI: (10.1111/j.1523-1755.2002.kid560.x) Copyright © 2002 International Society of Nephrology Terms and Conditions

Figure 3 Effect of PS competitors on uremic erythrocyte adherence to endothelial cell monolayers. Erythrocyte suspensions from hemodialysis patients (N = 10) were incubated for five minutes with one of the following before the static adherence assay with HUVEC: buffer (Control), annexin V, PS vesicles (30% PS, 70% PC, 5mmol/L lipid), PC vesicles (100% PC, 5mmol/L lipid). Error bars depict the standard error. *Significantly different from the control. Kidney International 2002 62, 1358-1363DOI: (10.1111/j.1523-1755.2002.kid560.x) Copyright © 2002 International Society of Nephrology Terms and Conditions

Figure 4 Uremic (□) and normal (▪) RBC adherence to immobilized proteins. Multiwell slides were coated with 50 μg/mL of indicated proteins and then blocked with 1% BSA for 60 minutes. A washed suspension of RBC (1% Hmt in HBSS) was placed on the immobilized proteins for 45 minutes, followed by three washes with PBS. *Significant difference between normal and uremic RBC adherence to TSP (P < 0.001, N = 10). Kidney International 2002 62, 1358-1363DOI: (10.1111/j.1523-1755.2002.kid560.x) Copyright © 2002 International Society of Nephrology Terms and Conditions

Figure 5 Effect of monoclonal antibody to thrombospondin (TSP) on uremic RBC adherence to endothelial cell monolayers. HUVEC monolayers were incubated with monoclonal antibody to TSP or a control monoclonal antibody (trpE) before being layered in a static assay with uremic RBC suspensions. Results are expressed as percentage of the buffer-treated control adherence, which is set to 100%. Error bars represent SEM calculated from the absolute values from 8 experiments and normalized relative to the adherence of the buffer-treated control. *Significant differences from the control. Kidney International 2002 62, 1358-1363DOI: (10.1111/j.1523-1755.2002.kid560.x) Copyright © 2002 International Society of Nephrology Terms and Conditions