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Updated: Jun 3, 2026

Immunostaining-Based Detection of Dynamic Alterations in Red Blood Cell Proteins
Published on: March 17, 2023
Human red blood cell aging: correlative changes in surface charge and cell properties
Yao-Xiong Huang1, Zheng-Jie Wu, Jitendra Mehrishi
1Institute of Biomedical Engineering, Ji Nan University, Guang Zhou, China. tyxhuang@jnu.edu.cn
Aging red blood cells (RBCs) lose N-acetylneuraminic acid (NANA), resulting in decreased surface charge density and altered cell functions. This study visually confirms the correlation between reduced charge and RBC aging, impacting transfusion safety.
Area of Science:
- Biophysics
- Hematology
- Cell Biology
Background:
- Red blood cells (RBCs) lose N-acetylneuraminic acid (NANA) with aging and storage, potentially causing transfusion adverse effects.
- A long-standing debate exists regarding whether aged RBCs exhibit reduced surface charge density due to NANA loss.
Purpose of the Study:
- To investigate the relationship between RBC aging, NANA content, surface charge density, and cell properties.
- To resolve the controversy surrounding charge density changes in aging RBCs.
Main Methods:
- Multiparametric analysis of Percoll-separated RBC fractions (young vs. old).
- ζ-potential measurements.
- Visual evidence using quantum dots and Sambucus Nigra-FITC labeling.
Main Results:
- Significant differences observed between young and old RBC properties.
- ζ-potential decreases with RBC aging.
- Direct visual evidence shows lower charge density and NANA on older RBCs, correlating with decreased ζ-potential.
Conclusions:
- Aging RBCs exhibit reduced surface charge density and NANA content.
- A strong correlation exists between RBC surface charge, structure, and function (morphology, deformability, Hb).
- Findings clarify RBC aging mechanisms and have implications for transfusion medicine.
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