Abnormal properties of red blood cells suggest a role in the pathophysiology of Gaucher disease

作者：Franco Melanie; Collec Emmanuel; Connes Philippe; van den Akker Emile; de Villemeur Thierry Billette; Belmatoug Nadia; von Lindern Marieke; Ameziane Nejma; Hermine Olivier; Colin Yves; Le Van Kim Caroline^*; Mignot Cyril

来源：Blood, 2013, 121(3): 546-555.

DOI：10.1182/blood-2012-07-442467

Gaucher disease (GD) is a lysosomal storage disorder caused by glucocerebrosidase deficiency. It is notably characterized by splenomegaly, complex skeletal involvement, ischemic events of the spleen and bones, and the accumulation of Gaucher cells in several organs. We hypothesized that red blood cells (RBCs) might be involved in some features of GD and studied the adhesive and hemorheologic properties of RBCs from GD patients. Hemorheologic analyses revealed enhanced blood viscosity, increased aggregation, and disaggregation threshold of GD RBCs compared with control (CTR) RBCs. GD RBCs also exhibited frequent morphologic abnormalities and lower deformability. Under physiologic flow conditions, GD RBCs adhered more strongly to human microvascular endothelial cells and to laminin than CTR. We showed that Lu/BCAM, the unique erythroid laminin receptor, is overexpressed and highly phosphorylated in GD RBCs, and may play a major role in the adhesion process. The demonstration that GD RBCs have abnormal rheologic and adhesion properties suggests that they may trigger ischemic events in GD, and possibly phagocytosis by macrophages, leading to the appearance of pathogenic Gaucher cells. (Blood. 2013;121(3):546-555)

• 出版日期2013-1-17