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Updated: Jun 6, 2026

Induction of Eryptosis in Red Blood Cells Using a Calcium Ionophore
Published on: January 21, 2020
FTY720-induced suicidal erythrocyte death
Matthias Eberhard1, Klaus Ferlinz, Katia Alizzi
1Department of Physiology, University of Tübingen, Tübingen, Germany.
Abstract:
FTY720 is a potent anti-inflammatory drug known to trigger suicidal death or apoptosis of a variety of nucleated cells. Erythrocytes may similarly undergo suicidal erythrocyte death or eryptosis. Hallmarks of eryptosis include cell membrane scrambling and cell shrinkage, which are triggered by increase in cytosolic Ca(2+) concentration and ceramide. The present study explored whether FTY720 stimulates eryptosis. Cell membrane scrambling was determined from annexin V-binding, cell shrinkage from forward scatter in FACS analysis, cytosolic Ca(2+) concentration from Fluo3 fluorescence, ceramide formation from fluorescence-labeled antibody binding and hemolysis from the hemoglobin concentration in the supernatant. Within 48 hours exposure to FTY720 (10 μM) significantly increased annexin V-binding, decreased forward scatter and increased cytosolic Ca(2+) concentration but did not significantly modify ceramide formation. The effects of FTY720 were significantly blunted in the nominal absence of extracelluar Ca(2+). In conclusion, at toxic concentrations, FTY720 stimulates suicidal cell death, an effect at least partially due to stimulation of Ca(2+) entry.
Insights
FTY720, an anti-inflammatory drug, induces suicidal erythrocyte death (eryptosis) by increasing intracellular calcium. This effect, observed at toxic concentrations, involves cell membrane changes and shrinkage, independent of ceramide.
Area of Science:
- Pharmacology
- Cell Biology
- Toxicology
Background:
- FTY720 is a known apoptosis inducer in nucleated cells.
- Eryptosis, or suicidal erythrocyte death, shares hallmarks with apoptosis.
- Eryptosis is characterized by cell membrane scrambling and shrinkage, often due to increased intracellular calcium and ceramide.
Purpose of the Study:
- To investigate if FTY720 induces eryptosis.
- To determine the mechanisms by which FTY720 might affect erythrocytes.
Main Methods:
- Annexin V-binding assay for cell membrane scrambling.
- FACS analysis for cell shrinkage (forward scatter).
- Fluo3 fluorescence for cytosolic Ca(2+) concentration.
- Ceramide formation assessed via antibody binding.
- Hemolysis measurement for hemoglobin release.
Main Results:
- FTY720 (10 μM) significantly increased annexin V-binding and cytosolic Ca(2+) concentration within 48 hours.
- FTY720 significantly decreased forward scatter, indicating cell shrinkage.
- Ceramide formation was not significantly altered by FTY720 exposure.
- The observed effects were significantly reduced when extracellular Ca(2+) was absent.
Conclusions:
- FTY720 can induce suicidal erythrocyte death (eryptosis) at toxic concentrations.
- The mechanism involves increased cytosolic Ca(2+) due to enhanced Ca(2+) entry.
- FTY720-induced eryptosis is largely independent of ceramide accumulation.
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