title: Dipyridamole inhibition of HCO3(-)-Cl- exchange in human erythrocytes.
abstract: Effects of dipyridamole (DP) on Band 3-mediated HCO3(-)-Cl- exchange were investigated in human red cells at 37 degrees C. The kinetics of net HCO3(-)-Cl- exchange were monitored using a stopped-flow rapid reaction apparatus, under conditions in which HCO3(-)-Cl- exchange was rate-limiting for pH equilibration across the red cell membrane. DP was found to be a rapidly acting, potent inhibitor of HCO3(-)-Cl- exchange, with an apparent I50 of 4 microM. DP produced a mixed competitive-noncompetitive inhibition of HCO3-Cl- exchange. Greater than 50% of the inhibitory effect occurred within 20 msec of DP-red cell interaction, consistent with DP binding to an outward-facing site on the cell membrane. Interaction of red cells with DP was associated with a pH-dependent decrement in the equilibrium Donnan H+ ratio. Because HCO3(-)-Cl- exchange is crucial in vivo for ensuing rapid pH equilibration across the red cell membrane, these effects of DP may have important implications, particularly in the development of high-dose DP regimes for use as an adjunctive agent in cancer chemotherapy.
authors.affiliation: Department of Internal Medicine, University of Texas Medical Branch, Galveston.
authors.forename: T A
authors.initials: TA
authors.lastname: Heming
authors.forename: C G
authors.initials: CG
authors.lastname: Vanoye
authors.forename: A
authors.initials: A
authors.lastname: Bidani
mesh_terms: D001639:Bicarbonates / Q000097:blood*; D001692:Biological Transport; D002712:Chlorides / Q000097:blood*; D004176:Dipyridamole / Q000378:metabolism / Q000494:pharmacology*; D004305:Dose-Response Relationship, Drug; D004912:Erythrocytes / Q000187:drug effects / Q000378:metabolism*; D006801:Humans; D006863:Hydrogen-Ion Concentration; D066298:In Vitro Techniques; D008564:Membrane Potentials
chemical_list: D001639:Bicarbonates; D002712:Chlorides; D004176:Dipyridamole