Background/Aims: Protein kinase Cα (PKCα) is activated by an increase in cytosolic Ca<sup>2+</sup> in red blood cells (RBCs). Previous work has suggested that PKCα directly stimulates the Ca<sub>V</sub>2.1 channel, whereas other studies revealed that Ca<sub>V</sub>2.1 is insensitive to activation by PKC. The aim of this study was to resolve this discrepancy. Methods: We performed experiments based on a single cell read-out of the intracellular Ca<sup>2+</sup> concentration in terms of Fluo-4 fluorescence intensity and phosphatidylserine exposure to the external membrane leaflet. Measurement modalities included flow cytometry and live cell imaging. Results: Treatment of RBCs with phorbol 12-myristate 13-acetate (PMA) led to two distinct populations of cells with an increase in intracellular Ca<sup>2+</sup>: a weak-responding and a strong-responding population. The EC<sub>50</sub> of PMA for the number of cells with Ca<sup>2+</sup> elevation was 2.7±1.2 µM; for phosphatidylserine exposure to the external membrane surface, it was 2.8±0.5 µM; and for RBC haemolysis, it was 2.9±0.5 µM. Using pharmacological manipulation with the Ca<sub>V</sub>2.1 inhibitor ω-agatoxin TK and the broad protein kinase C inhibitor Gö6983, we are able to show that there are two independent PMA-activated Ca<sup>2+</sup> entry processes: the first is independent of Ca<sub>V</sub>2.1 and directly PKCα-activated, while the second is associated with a likely indirect activation of Ca<sub>V</sub>2.1. Further studies using lysophosphatidic acid (LPA) as a stimulation agent have provided additional evidence that PKCα and Ca<sub>V</sub>2.1 are not directly interconnected in a signalling chain. Conclusion: Although we provide evidence for a lack of interaction between PKCα and Ca<sub>V</sub>2.1 in RBCs, further studies are required to decipher the signalling relationship between LPA, PKCα and Ca<sub>V</sub>2.1.
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