Sickle cell disease (SCD) is an autosomal recessive genetic red cell disorder characterized by the production of a defective form of
hemoglobin,
hemoglobin-S, that is worldwide-distributed. The acute clinical manifestations of SCD are related to
hemoglobin cyclic-polymerization and to the generation of rigid, dense red blood cells (RBCs). We studied RBCs membrane
proteome from human sickle RBCs, fractioned according to density compared to normal RBCs. 2-DE followed by MS analysis was carried out. We identified 65
proteins differently expressed, divided into five major clusters according to their functions: (i) membrane-cytoskeleton
proteins; (ii) metabolic
enzymes; (iii)
ubiquitin-
proteasome-system; (iv)
flotillins; (v) chaperones. HSP27, HSP70 and
peroxiredoxin-II (Prx-II) showed the most relevant changes. They were differently recruited to sickle RBCs membrane in response to in vitro
hypoxia. Potential markers were then validated in a transgenic-mouse model for SCD, the SAD mice, exposed to
hypoxia mimicking acute SCD vaso-occlusive-crisis (VOCs); we found that HSP70 and HSP27 bound to RBCs membrane respectively after 12 h and 48 h of
hypoxia, while Prx-II membrane binding was modulated during
hypoxia. Our data indicate that HSP27 and HSP70 play a novel role as RBCs
membrane protein protectors and as possibly new markers of severity of RBCs membrane damage during acute VOCs.