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. 2018 Jun 25;182(4):567–578. doi: 10.1111/bjh.15441

Figure 7.

Figure 7

Schematic diagram of the effect of tert‐butyl hydroperoxide (tBHP) on red cells from patients with sickle cell anaemia. (i) tBHP is thought to increase phosphatidylserine (PS) exposure but relatively high concentrations have been used, which may disrupt the integrity of the membrane; (ii) in the presence of high tBHP more PS was labelled, but the ability of anti‐Hb IgG to label intracellular Hb suggests that this was because loss of membrane integrity allowed labelling of both inner leaflet PS as well as externalised PS; (iii) by contrast, with lower tBHP concentrations that do not allow entry of anti‐Hb IgG, PS exposure was reduced by 50%, as for the other oxidants (in Fig 1b). ●, known PS distribution; Inline graphic, PS distribution unknown.