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By G. Jacobasch

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In a few untransfused patients the decrease in sialic acids was close to 50% when compared to the normal levels. The exact site of the loss of sialic acid was located on the receptor domain of the sialoglycoprotein(s) - glycophorin(s), which is on the outer surface of the membrane and carries at least 90% of the RBC sialic acids (Ref. 14). Using three different cytochemical methods in conjunction with transmission electron microscopy it was found that sialic acids residues on the surface of thalassemic RBC are distributed in an uneven manner and are less abundant than those present on a normal RBC surfaces (Ref.

2) J. J a n c i k and R. S c h a u e r , S i a l i c acid - a d e t e r m i n a n t of the l i f e - t i m e of r a b b i t e r y t h r o c y t e s , H o p p e - S e y ler' s Z. P h y s i o l . Chem. 355, 395 ( 1 9 7 4 ) . (3) L. G a t t e g n o , D . B l a d i e r , M. G a r n i e r and P. C o r n i l l o t , C h a n g e s in c a r b o h y d r a t e c o n t e n t of s u r f a c e m e m b r a n e s of h u m a n e r y t h r o c y t e s d u r i n g a g e i n g . C a r b o h y d r a t e R e s . 5 2 , 197 ( 1 9 7 6 ) .

It w a s c a l c u l a t e d that in r a b b i t s m o s t of the d e s i a l y l a t e d e r y t h r o c y t e s are t r a p p e d in liver ( 6 ) . T h i s is due to the m u c h larger v o l u m e of the liver c o m p a r e d to the s p l e e n . S i m i l a r r e s u l t s w e r e o b tained w i t h rats ( 4 ) . The r a d i o a c t i v i t y a c c u m u l a t i n g in liver and s p l e e n c o r r e l a t e s w i t h the e l i m i n a t i o n of d e s i a l y l a t e d e r y t h r o c y t e s by the a c t i v i t y of p h a g o c y t e s .

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