The mechanism of chlorpromazine-induced red blood cell swelling

Gen Pharmacol. 1994 Jan;25(1):205-10. doi: 10.1016/0306-3623(94)90034-5.

Abstract

1. Chlorpromazine (CPZ)-induced red blood cell (RBC) swelling was investigated by determination of electrolyte, mean cell volume (MCV) and water content changes in CPZ-treated cells. 2. CPZ-induced RBC swelling is dose-, hematocrit- and pH-dependent, and is associated with a net increase in RBC monovalent cation and Cl- contents. 3. The partition coefficient (Kp) for the CPZ-RBC membrane interaction is pH dependent (Kp = 2500 at pH 7.8; Kp = 840 at pH 6.8). 4. Despite the pH dependence of Kp values an equal number of CPZ molecules is required to induce a 12% increase in MCV at pH 7.8 and 6.8.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Cell Size / drug effects
  • Chlorides / blood
  • Chlorpromazine / pharmacology*
  • Erythrocyte Volume / drug effects*
  • Erythrocytes / drug effects*
  • Erythrocytes / physiology
  • Humans
  • Hydrogen-Ion Concentration
  • Intracellular Fluid / metabolism
  • Kinetics
  • Potassium / blood
  • Sodium / blood

Substances

  • Chlorides
  • Sodium
  • Potassium
  • Chlorpromazine