Influence of parathyroid hormone, calcitonin, 1,25(OH)2 cholecalciferol, calcium, and the calcium ionophore A23187 on erythrocyte morphology and blood viscosity

Abstract

Parathyroid hormone and calcitonin, both endocrine modulators of calcium homeo- stasis, may influence blood rheology. Parathyroid hormone is known to reduce erythrocyte survival, leading to anemia. Calcitonin has been found to have some vascular effects. We have analyzed the influence of parathyroid hormone (10–7 to 10–10 mol/L), calcitonin (10–6 to 10–12 mol/L), 1,25(OH)2 cholecalciferol (10–7 to 10–10 mol/L), additional calcium in plasma (+1 and 2 mmol/L), and the calcium ionophore A23187 (50 μmol/L) on erythrocyte morphology and blood viscosity at high shear rate (94 s–1) and low shear rate (0.1 s–1) in vitro. The loading of erythrocytes with calcium by the ionophore A23187 produced a marked echinocytic shape transformation, an increased blood viscosity at high shear rate caused by decreased deformability of these cells, and a decreased viscosity at low shear rate caused by decreased aggregation of echinocytes. In contrast, increasing plasma calcium concentrations, parathyroid hormone, calcitonin, and 1,25(OH)2 vitamin D3 had no effect on erythrocyte morphology and blood viscosity. We conclude that an increase in intraerythrocytic calcium leads to severe echinocytosis and altered blood viscosity. The endocrine modulators of calcium homeostasis—namely, parathyroid hormone, calcitonin, and 1,25(OH)2 vitamin D3—apparently do not influence intraerythrocytic calcium to a significant degree and have, therefore, no influence on cell morphology and blood viscosity. (J Lab Clin Med 2000;135:347-52)