The action of complement on sensitized erythrocytes (EA) results in release of hemoglobin (Hb) with concomitant formation of cell ghosts (EAC · gh). Prior cross-linking of EA with 0.025% glutaraldehyde (EA · X) prevents release of Hb upon incubation with C but not of trapped ions such as 86Rb indicating a limiting pore size of the lesion. The mechanism or entity that allows Hb release from EA, however, remains only transiently functional since EAC · gh reseal again. Using a simple sucrose-step-gradient centrifugation assay we found that more than 80% of EAC·gh are impermeable to molecules of the size of sucrose. In contrast, resealed ghosts, prepared from EA by hypotonic lysis and subsequent incubation with isotonic buffer (EA · gh), that have been cross-linked (EA · gh · X) remain permeable after incubation with complement (EA · gh · X · C). The successful introduction of C dependent pores into EA · gh · X depends on the amount of cross-linking.

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