Abstract

Background: The intraerythrocytic concentrations of ions (Na+, K+, Cl- and HCO3-) play key roles in maintaining erythrocyte volume homeostasis. Anisosmotic and isosomotic changes of these ion concentrations challenge erythrocyte volume to either shrink or swell, thereby sending signals to activate regulatory volume mechanisms that are mediated by ion transporters. Ion fluxes directed inwardly or outwardly with obliged water movements do restore the erythrocyte volume to its steady state. These physiological phenomena prevent the erythrocyte from becoming overhydrated or dehydrated with the consequence of intravascular haemolysis or senescent changes associated with eryptosis. Objectives: To review the literature on the physiological processes associated with transmembrane ion and water transports during erythrocyte volume homeostasis. Method: Offline and online libraries were searched with indexing tools using keywords derived from the subject area of review. Conclusions: The review has highlighted the physiological concepts involved in erythrocyte volume homeostasis in relation to the engaged transmembrane ion and water transport systems, which can influence experimental designs to study ion and water channel blockers and channelopathies of erythrocytes.

Highlights

  • Erythrocytes are produced through erythropoiesis whereby the erythrocyte volume is determined after the nucleus and organelles are eliminated.[1,2] The erythrocyte volume estimated as the mean corpuscular volume[3] is homeostatically guarded by the equilibrium of osmolarity in the intracellular and extracellular compartments.[4]

  • The volume changes are resisted by physiological processes that produce changes in cytosolic ionic concentration in order to maintain a steady state in erythrocyte volume.[14]

  • This present review was aimed at identifying the important physiological processes involved in erythrocyte volume homeostasis in relation to transmembrane ion and water transports

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Summary

INTRODUCTION

Erythrocytes are produced through erythropoiesis whereby the erythrocyte volume is determined after the nucleus and organelles are eliminated.[1,2] The erythrocyte volume estimated as the mean corpuscular volume[3] is homeostatically guarded by the equilibrium of osmolarity in the intracellular and extracellular compartments.[4] Changes in transmembrane osmolarity which create osmotic gradient across the membrane automatically causes

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Donnan Principle
Conclusions
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