The effects of several monosaccharides on the resistance of human erythrocytes to hypotonic stress have been examined. By using probit analysis to determine the 50% response, it is shown that d-glucose reduces cell fragility as a linear function of concentration and that the glucose-dependent increase in cell stability decreases rapidly when the temperature is raised aboe 20°C. d-Fructose also reduces cell fragility, but this effect is not sensitive to temperatures in the range 0–37 °C. K + loss from cells is insufficient to account for the sugar-dependent cell stabilization. Cell sizing by a multi-channel cell volume analyser shows that the critical haemolytic volume is unaffected by glucose. By measurement of the relaxation time of cell fragility the bulk visco-elastic moduli can be calculated (see Appendix). It is shown that at 0 °C, glucose increases both the cell elastic and viscous moduli ( E A increased by 1.2 · 10 5–3.3 · 10 5 nM −2, whilst ν A increased by 1.8 · 10 7–9.0 · 10 7 nM −2 · s −1). Proton magnetic resonance studies suggest that glucose, water and intracellular protein form a ternary complex, below 20 °C the ratio of bound water : glucose is 10 : 1. These changes in cell water structure and the cell bulk visco-elastic moduli are consistent with the view that intracellular glucose promotes protein gel formation.
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