|Year : 2019 | Volume
| Issue : 1 | Page : 12-18
Determination of the potentials of aqueous and ethanolic extracts of Buchholzia coriacea in preventing sodium metabisulphite-induced oxidation of some hemoglobin SS erythrocyte membrane proteins
Olasunmbo Oluwaseun Afolayan1, Muhammad Nurudeen Nurudeen1, Ayorinde Babatunde James2, Abayomi Olugbenga Okanlawon1
1 Department of Anatomy, Faculty of Basic Medical Sciences, College of Medicine, University of Lagos, Nigeria
2 Department of Biochemistry, Faculty of Basic Medical Sciences, College of Medicine, University of Lagos, Lagos, Nigeria
|Date of Submission||15-Mar-2019|
|Date of Decision||11-Jun-2019|
|Date of Acceptance||19-Jun-2019|
|Date of Web Publication||28-Nov-2019|
Dr. Muhammad Nurudeen Nurudeen
Department of Anatomy, Faculty of Basic Medical Sciences, College of Medicine, University of Lagos, P.M.B. 12003, Lagos
Source of Support: None, Conflict of Interest: None
BACKGROUND: The sustenance of the erythrocyte membrane integrity is crucial to ensuring a continuous lamina flow of erythrocytes through narrow blood vessels. So it is imperative to find a substance to attenuate the oxidation of erythrocytes that cause the membrane structure remodelling.
OBJECTIVES: To investigate the hydrating strength and modulatory effect of Buchholzia coriacea seed extracts on erythrocyte membrane proteins degradation.
MATERIALS AND METHODS: Aqueous and ethanolic extracts of B. coriacea were obtained following standard procedures. Blood samples (5.00 mL) from five known hemoglobin SS individuals in steady state were subjected to electrophoresis to establish the genotype of the individuals. The osmotic fragility assay was performed with 2.50, 5.00, 10.00 and 20.00 mg/mL of the extracts in the presence of different concentrations of phosphate-buffered saline. The graph of percentage hemolysis was plotted against saline concentration, and the mean corpuscular fragility (MCF) determined. Sodium dodecyl sulfate polyacrylamide gel electrophoresis was also done using the same concentrations of extracts.
RESULTS: There was no statistically significant difference (P > 0.01) between the average MCF in all the extract concentration and the control. Protein 4.1 and Ankyrin did not appear on the electrophoretic lanes of all the test samples when compared with the control. However, spectrin and ankyrin bands were visible with regular size and intensity.
CONCLUSION: B. coriacea seed extracts possess antihemolytic character. However, it does not have the ability to maintain the erythrocyte membrane model despite its acclaimed antioxidant character.
Keywords: Corpuscular, denaturing, electrophoresis, fragility
|How to cite this article:|
Afolayan OO, Nurudeen MN, James AB, Okanlawon AO. Determination of the potentials of aqueous and ethanolic extracts of Buchholzia coriacea in preventing sodium metabisulphite-induced oxidation of some hemoglobin SS erythrocyte membrane proteins. J Exp Clin Anat 2019;18:12-8
|How to cite this URL:|
Afolayan OO, Nurudeen MN, James AB, Okanlawon AO. Determination of the potentials of aqueous and ethanolic extracts of Buchholzia coriacea in preventing sodium metabisulphite-induced oxidation of some hemoglobin SS erythrocyte membrane proteins. J Exp Clin Anat [serial online] 2019 [cited 2021 Jan 24];18:12-8. Available from: https://www.jecajournal.org/text.asp?2019/18/1/12/271870
| Introduction|| |
Buchholzia coriacea is a tropical plant used in traditional medicine (Ejikeugwu et al, 2015). It is a shrub, evergreen, with a dense crown, large glossy, and leathery leaves (Mbata et al., 2009; Enechi et al., 2013). It is also described as an evergreen understorey tree of forests (lowland rainforest). The tree is about 10–20 m high (Enechi, 2013; Umeokoli, 2016). It has a smooth and blackish stem bark with simple branching racemes. The bark slash of the seed is deep red and the sap exudes with a violently spicy pungent smell that causes sneezing (Lapshaket al., 2016. The flowers are cream in color, fruits are yellowish when ripe and seeds are blackish and spicy when tasted with deep red color when sliced with a knife. Considering the variety of antisickling agents acting at different levels of the sickling mechanism, there is still paucity of potent antisickling medicine (Abere and Okpalaonyagu, 2015). This situation inspired the setting up of this study on the reactivity of B. coriacea seeds extracts with erythrocytes obtained from subjects with sickle cell anemia.
The survival of practically all other cells in the body depends on the proper functioning of erythrocytes (Smith, 1987). A structurally balanced erythrocyte with membrane-bound hemoglobin (Hb) is required for the rapid oxygenation of Hb in the lungs and deoxygenation in the tissues supplied. Erythrocytes' ability to survive depends on the ability of the membrane to remain intact and flexible (Lux, 2015). Certain conditions such as sickle cell and hemolytic anemia that affect the functional and structural integrity of the erythrocytes' membrane may lead to an ineffective and short-lived cell (Weed and Reed, 1966; Dzierzak and Philipsen, 2013). According to the fluid mosaic model of the membrane structure proposed by Singer and Nicolson (1972), the plasma membrane is composed of a lipid bilayer of phospholipids arranged into a sheet that is two molecules thick and 45°A wide (Ballas and Mohandas, 2004). The phospholipid molecules are oriented in such a way that the hydrophobic nonpolar groups of the two layers are directed toward one another, forming lipid–lipid interactions (Singer and Nicolson, 1972). The hydrophilic polar groups are directed outward on both the extracellular and intracellular surfaces. Cholesterol is intercalated between the phospholipid molecules. The phospholipid bilayer forms a liquid-crystalline matrix or core of the red cell membrane (Ballas and Mohandas, 2004). The erythrocyte membrane contains approximately equal amounts of lipids and proteins (Ballas and Mohandas, 2004). The erythrocyte membrane also consists of two domains, a lipid bilayer and the cytoskeleton. The lipid domain is similar structurally to that found in most mammalian cells (Mankelow et al., 2012). However, the cytoskeleton differs from what is considered cytoskeleton in other cells because it does not contain the structural protein tubulin and is not involved in cell motility or phagocytosis (Smith, 1987). In essence, the architecture of this membrane skeleton as well as the nature of its intermolecular contacts determine the mechanical properties of the skeleton and confer the characteristic biconcave shape of red cells (Nans et al., 2011). The erythrocytes membrane of sickle Hb SS are osmotically and mechanically more fragile than those of Hb AA; hence, sickled red blood cells (RBCs) are easily destroyed and removed from circulation in the spleen thus causing anemia and subsequent splenomegaly (Parker and Orringer, 1990) (Vojdani et al., 2008). Hb S polymerization concentration also affects the integrity of the RBC membrane. Human erythrocyte skeleton is built in the form of a complex array of spectrin and actin which are linked to the membrane by protein 4.1 and ankyrin. The linking proteins also bind to glycophorin A and B and band 3 via the β subunit of Spectrin (Franco and Low, 2010). The overall arrangement of membrane and skeletal proteins is quite unique. Many transmembrane proteins are transporters but the skeletal framework of erythrocytes membrane is formed by the spectrin–actin complex which is highly durable and elastic (Lux, 2015). The interactions between spectrin and protein 4.1 are known to involve the ends of spectrin molecules on the opposite side of the oligomer-binding site. The crucial role of protein 4.1 in membrane stabilization and cell shape regulation is evident in erythrocyte hereditary spherocytosis and elliptocytosis (Alaarg et al., 2013). Its activities may be hindered by alteration in the normal amount or a total depletion. Ankyrin formerly known as “Protein 2.1” (Bennett and Stenbuck, 1979) is a globular phosphoprotein of molecular weight 215,000 Da by sodium dodecyl sulfate polyacrylamide gel electrophoresis (SDS PAGE) with a particular degree of hydrophobic residues intermediate between spectrin and band 3. It is also referred to as a polypeptide that connects the spectrin–actin network to the cytoplasmic part of band 3. Hence, it acts as a direct linkage between the membrane skeleton and the lipid bilayer (Franco and Low, 2010).
Wide spread claim of the antisickling qualities of various plants have not lead to the substantive use of a single plant material to prevent or reverse erythrocytes sickling. Similarly, the popular belief among Nigerians that B. coriacea plant part (s) is capable of providing cure for all ailments has ignited this probe into its antisickling potentials. This study is a pioneer finding on the reaction of sodium metabisulfite-induced sickling of Hb SS erythrocytes with B. coriacea seeds extract.
| Materials and Methods|| |
All the chemicals used in this study were of analytical grade and products of AnalaR-BDH Chemicals Ltd., Poole, England, May and Baker Chemicals Ltd., as well as Sigma Aldrich, USA.
The research protocol used in this study was reviewed by the Health Research Ethics Committee (HREC) of the College of Medicine of the University of Lagos. Thereafter, an approval letter with file number: CMUL/HREC/O7/17/216 was issued before the commencement.
The seeds of B. coriacea were obtained from medicinal roots and herb traders in Mushin market, Mushin Local Government Area of Lagos state, Nigeria. Some of the fresh seeds were submitted to Dr. O. O. Oyebanji, a taxonomist in the Lagos University Herbarium (LUH), Department of Botany, Faculty of Science, University of Lagos, Akoka, Lagos, Nigeria for identification and authentication. The plant was issued herbarium number LUH 7630. Voucher specimen was deposited at the LUH and the Department of Pharmacognosy, Faculty of Pharmacy of the University of Lagos, Lagos, Nigeria. The seeds were washed with clean tap water and afterward with distilled water to remove humus and sand materials attached to them. A sharp knife was used to slice the seeds into small cubes, air-dried at room temperature for 14 days during which they were constantly turned to avoid decay. The dried seed grains were grinded into fine powder with an electric grinding machine and kept in an air-tight container (Rao et al., 2008).
Aqueous and ethanolic extraction
Nine hundred grams each of the powdered seeds was separately soaked in 3 L of distilled water and ethanol. The mixtures were allowed to stand for 72 h during which they were regularly stirred. At the end of this period, the mixture was separated with Whatman No. 1 filter paper. The filtrate was concentrated using rotary evaporator and oven. The extract obtained was weighed and stored in a refrigerator before eventual use for analysis (Richardson and Harborne, 1990).
Percentage yield of extracts
The percentage yield of the aqueous extract of B. coriacea seeds were determined by weighing the seeds before extraction and the concentrated extract obtained after extraction and then calculated using the formula:
(Enechi et al., 2013)
Preparation of plant extracts for analysis
Stock solutions (20 mg/mL) of the plant were freshly prepared by simple dilution of the concentrated extract in distilled water in the presence of 1% dimethyl sulfoxide.
The use of Hb SS erythrocytes in this study was based on six groups:
- Control – erythrocytes + normal saline
- Group A – erythrocytes + 10.00 mg/mL of potassium thiocyanate (KSCN) (Malomo and Oyewole, 2008)
- Group B – erythrocytes + 2.50 mg/mL of extract
- Group C – erythrocytes + 5.00 mg/mL of extract
- Group D – erythrocytes + 10.00 mg/mL of extract
- Group E – erythrocytes + 20.00 mg/mL of extract (Ejikeugwu et al., 2015.
Informed consent and blood sample collection
Sickle cell disease patients in steady state were recruited from the Sickle Cell Foundation of Nigeria, Surulere, Lagos. The individuals were informed adequately of the objectives and the design of the study as well as the level of commitment required. All individuals were allowed to make the decision to participate after carefully going through the informed consent form without coercion. The consent form approved by the University of Lagos HREC was prepared in duplicate for reference purposes by both researcher and participants. Thus, all experiments were performed in line with appropriate ethical considerations and in accordance with the standards laid down in the 1964 Declaration of Helsinki.
The criteria for selection of the experimental individuals include the following:
- No blood transfusion in the last 4 months preceding blood collection day
- Not currently on blood factor-enhancing drugs
- History of known stable Packed cell volume (PCV), and
- Not currently on any natural health supplements.
Blood samples obtained from ten individuals were made to pass through Hb electrophoresis on cellulose acetate gel to confirm their status.
The 5.00 mL blood samples obtained from the ten sickle-cell disorder patients were centrifuged at 5000 rpm for 10 min and washed in saline, pH 7.4 thrice to obtain the erythrocytes (Imaga, 2012).
The erythrocytes were resuspended in normal saline before using them for the membrane stability and the membrane remodeling assays.
Erythrocyte membrane stability activity (osmotic fragility)
- Four milliliters of different concentrations (0.25%, 0.45%, 0.65% and 0.85%) of phosphate-buffered saline (PBS) with pH of 7.4 was added to 0.50 mL each of the graded concentration of aqueous and ethanolic extracts as well as KSCN in duplicates
- Hb SS erythrocytes (0.50 mL) were added to the mixture above
- The resulting mixtures were incubated at room temperature (25°C) for 24 h and centrifuged at 3000 rpm for 15 min
- The absorbance of the supernatant was read at 540 nm against blank made of 0.85% PBS concentration
- The mean corpuscular fragility (MCF) was obtained (from the concentration of saline causing 50% hemolysis of the RBC) through a plot of percentage (%) hemolysis versus PBS concentration (Abere et al., 2015).
Preparation of sample for sodium dodecyl sulfate polyacrylamide gel electrophoresis
- Hb SS erythrocytes (0.10 mL) were mixed with 0.10 mL graded concentrations of 2.50, 5.00, 10.00, and 20.00 mg/mL (each in duplicate) of the aqueous and ethanolic extracts as well as KSCN
- At zero time, 0.10 mL of 2% Na2S2O5 was added to each of the mixtures
- The protein sample buffer (2 × SDS) was added to the mixtures prepared
- The samples were mixed thoroughly and boiled in a water bath at 95°C for 10 min
- The samples were spun using a table top centrifuge for 1 min
- The samples were thereafter loaded onto the gel.
Detection of protein
Coomassie blue staining was used to mark the proteins of interest.
Identification of membrane proteins
The gel was snapped with a digital camera and edited with J software (1.51n, Wayne Rasband, National Institute of Health, USA). Proteins were identified with respect to their relative mobility in the gel and stain patterns following standard criteria and descriptions (Ballas, 1978; Singh and Rajini, 2008). Membrane and cytoskeletal proteins were scored according to the size and stain intensity of the bands as: absent (−), present (+), low intensity and size (±), and high intensity and size (++). However, because of the subjectivity inherent in these parameters, protein bands were also scored only as present or absent.
All data were analyzed by the one-way ANOVA with Bonferroni's posttest using GraphPad Prism version 5.00 for Windows, GraphPad Software, San Diego California USA, www.graphpad.com. Values of P < 0.01 were considered significantly different.
| Results|| |
Erythrocytes membrane stability activity (osmotic fragility)
The graphs showing the MCF is represented by [Figure 1], [Figure 2], [Figure 3], [Figure 4].
|Figure 1: Osmotic fragility curves (a) treatment Group B with MCF of 0.375%; and (b) treatment Group C with MCF of 0.375%. There is no significant difference between the MCF in 2.5 and 5 mg/mL of the aqueous extract when compared with control and 10 mg/mL of KSCN. PBS - Phosphate-buffered saline, MCF - Mean corpuscular fragility, KSCN - potassium thiocyanate|
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|Figure 2: Osmotic fragility curves (a) treatment Group D with MCF of 0.355%; and (b) treatment Group E with MCF of 0.355%. There is no statistically significant difference between the MCF in 10 and 20 mg/mL of the aqueous extract when compared with control and 10 mg/mL of KSCN. PBS - Phosphate-buffered saline, MCF - Mean corpuscular fragility, KSCN - potassium thiocyanate|
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|Figure 3: Osmotic fragility curve (a) treatment Group B with MCF of 0.278%; and (b) treatment Group C with MCF of 0.285%. There is no statistically significant difference between the MCF in 2.5 and 5 mg/mL of the ethanolic extract when compared with control and 10 mg/mL of KSCN. PBS - Phosphate-buffered saline, MCF - Mean corpuscular fragility, KSCN - potassium thiocyanate|
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|Figure 4: Osmotic fragility curves (a) treatment Group D with MCF of 0.295%; and (b) treatment Group E with MCF of 0.265%. There is no statistically significant difference between the MCF in 10 and 20 mg/mL of the ethanolic extract when compared with control and 10 mg/mL of KSCN. PBS - Phosphate-buffered saline, MCF - Mean corpuscular fragility, KSCN - potassium thiocyanate|
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Sodium dodecyl sulfate polyacrylamide gel electrophoresis
The image of the electrophoretic gel which showed the banding patterns of specific membrane proteins is represented by [Figure 5].
|Figure 5: SDS-PAGE of remodeled erythrocyte membrane. Aqueous - (i) 2.50 mg/mL, (II) 5.00, (III) 10.00, (IV) 20.00 mg/mL; Ethanolic - (v) 2.50, (VI) 5.00, (VII) 10.00, (VIII) 20.00 mg/mL; (IX) KSCN, (x) Na2S2O5, (XI) protein molecular weight standard. SDS PAGE - Sodium dodecyl sulfate-polyacrylamide gel electrophoresis, KSCN - potassium thiocyanate|
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| Discussion|| |
The antihemolytic effects of the various concentrations of aqueous and ethanolic extracts of B. coriacea and 10 mg/mL of KSCN on Hb SS erythrocytes are presented in [Figure 1], [Figure 2], [Figure 3], [Figure 4]. The curves revealed the maintenance of the erythrocytes fragility throughout the period of incubation with graded concentrations of aqueous and ethanolic extracts of B. coriacea seeds. Similarly, the difference between the MCF of 10.00 mg/mL KSCN (0.282%) and the MCF of the control (0.408%) that is not significant suggests that SCN also possess antihemolytic quality in addition to its known antisickling function. The average MCF of 0.408% ± 0.01% obtained for the Hb SS erythrocytes samples treated with only PBS (that is without extract/KSCN) lie within the 0.400%–0.420% normal range for Hb SS erythrocytes under steady state. This result eliminates the presence of dehydration in the Hb S erythrocytes used since the dehydration is subject to the body's physiological condition, especially deviation from the vaso-occlusive crisis state. Moreover, it suggests that phytochemicals other than anthocyanins (phenolic compound) present in B. coriacea seeds extract have good antihemolytic qualities. Mpiana et al., (2013) also reported the antihemolytic effect of Dicliptera colorata C. B. Clarke, Euphorbia hirta L., and Sorghum bicolor (L.) extracts on Hb S erythrocytes, although exclusively attributed to the presence of anthocyanins.
The SDS PAGE result in [Figure 5] indicated that the bands of the main structural membrane proteins (spectrin and actin) were preserved in all the test groups as well as in the control. The size and intensity of the spectrin band was uniform in most of the groups except in groups treated with 2.5 mg/mL, 5 mg/mL, and 10 mg/mL of the aqueous extract. Actin-banding intensity and size was uniform throughout the groups. Hence, it was assumed that the submembranous cytoskeletal meshwork usually formed by the aforementioned duo remained intact (Banderas Tarabay et al., 2015). However, the bands of the other two proteins, i.e., ankyrin and protein 4.1 which link spectrin and actin with the lipid bilayer were diminished and so did not appear in the electrophoretic lanes of all the test groups except the group treated with normal saline. The nonappearance of these proteins bands may be as a result of the inability of the aqueous and ethanolic extracts to modulate the injury and remodeling of the erythrocyte membrane induced by sodium metabisulfite through the creation of hypoxic environment and reduction in the rate of hydrolysis for the erythrocytes. Thus, it could be inferred that both extract could not inhibit the oxidation of membrane proteins that normally help to keep the lipid bilayer in proper shape (Dupire et al., 2012). Despite the fact that extracts of plants containing polyphenols such as C. Mexicana extracts and others like it have been reported to perform anti-oxidant characters on membrane proteins (Tarabay et al., 2015), the aqueous and ethanolic extracts of B. coriacea could not achieve the same feat despite the presence of the polyphenolic compounds. Some information known about the function of ankyrin and protein 4.1 established their role in maintaining erythrocytes shape by binding with spectrin and actin (Low et al., 2002). The altered structure of the degraded ankyrin and protein 4.1 suggests that the actin present could not secure a binding site that would have produced a spectrin–actin–protein 4.1 ternary complex (Branton, 1981). Ultimately, this causes a defect in the normal erythrocytes membrane stability and an eventual collapse in structure and alteration in form and function of the membrane predominantly in sickle cell anaemia and occasionally in hereditary spherocytosis. This observation may also have been responsible for the inability of the extracts to effectively prevent and reverse the sickling of erythrocytes by impeding the evolution of hypoxic condition and a reduction in the rate of hydrolysis.
| Conclusion|| |
Available evidence from this study indicates that B. coriacea seeds extracts lacks the ability to attenuate sodium metabisulphite induced oxidation, disruption and alteration of the morphology and mechanical stability of erythrocytes membrane proteins.
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Conflicts of interest
There are no conflicts of interest.
| References|| |
Abere T.A., Okoye C.J., Agoreyo F.O., Eze G.I., Jesuorobo R.I., Egharevba C.O., Aimator P.O. (2015). Antisickling and toxicological evaluation of the leaves of Scoparia dulcis
Linn (Scrophulariaceae). BMC Complement Altern Med 15 (1):414-20. [doi: 10.1186/s12906-015-0928-5].
Abere T.A., Okpalaonyagu S.O. (2015). Pharmacognostic evaluation and antisickling activity of the leaves of Peperomia pellucida
(L.) HBK (Piperaceae
). Afr J Pharm Pharmacol9 (21):561-6.
Alaarg A., Schiffelers R.M., van Solinge W.W., van Wijk R. (2013). Red blood cell vesiculation in hereditary hemolytic anemia. Front Physiol 4:1-15. [doi: 10.3389/fphys.2013.00365].
Ballas S.K. (1978). Abnormal erythrocyte membrane protein pattern in severe megaloblastic anemia. J Clin Invest 61 (4):1097-101.
Ballas S.K., Mohandas N. (2004). Sickle red cell microrheology and sickle blood rheology. Microcirculation 11 (2):209-25.
Banderas Tarabay J.A., Cervantes Rodriguez M., Grada Sanchez M., Espindola Lozano M., Cuevas Romero E., Navarro Ocana A., Mendez Iturbide D. (2015). Antioxidant-mediated protective effect of hawthorn (Crataegus mexicana
) peel extract in erythrocytes against oxidative damage. Afr J Food Sci 9 (4):208-22.
Bennett V., Stenbuck P.J. (1979). The membrane attachment protein for spectrin is associated with band 3 in human erythrocyte membranes. Nature 280 (5722):468-73.
Branton D. (1981). Interaction of cytoskeletal proteins on the human erythrocyte membrane. Cell 24 (1):24-32.
Chika E., Umeokoli B.I., Malachy U., Charles E. (2014). Phytochemical and antibacterial screening of crude extracts from leaves of wonderful kola. Afr J Life Sci2 (6-3):5-8.
Dupire J., Socol M., Viallat A. (2012). Full dynamics of a red blood cell in shear flow. Proc Natl Acad Sci 109 (51):20808-13.
Dzierzak E., Philipsen S. (2013). Erythropoiesis: Development and differentiation. Cold Spring Harb Perspect Med 3 (4):a011601.
Ejikeugwu C., Umeokoli B., Iroha I., Ugwu M., Esimone C. (2015). Phytochemical and Antibacterial Screening of Crude Extracts from Leaves of Wonderful Kola. American Journal of Life Sciences. Microbiol Res 3(2):5-8. doi: 10.11648/j.ajls.s.20150302.12.
Enechi O.C., Manyawo L.N., Ugwu O.P. (2013). Effect of ethanol seed extract of Buccholzia coriacea
(wonderful kola) on the lipid profile of albino rats. Afr J Biotechnol 12 (32):5075-9.
Franco T., Low P.S. (2010). Erythrocyte adducin: A structural regulator of the red blood cell membrane. Transfus Clin Biol 17 (3):87-94.
Imaga A. (2012).In vivo
analyses of the effects of co-administration of Carica papaya
leaf extract with ciprofloxacin. Afr J Pharm Pharmacol 6 (48):3268-73.
Lapshak L., Domkat L. and Nansah L. (2016). The Effect of Aqueous Extract of Buchholzia coriacea Seeds on Some Biochemical Parameters in Normal and Alloxan-induced Diabetic Rats. Int J Biochem Res Rev 11(1): 1-10. doi: 10.9734/ijbcrr/2016/24495.
Low T.Y., Seow T.K., Chung M.C. (2002). Separation of human erythrocyte membrane associated proteins with one-dimensional and two-dimensional gel electrophoresis followed by identification with matrix-assisted laser desorption/ionization-time of flight mass spectrometry. Proteomics 2 (9):1229-39.
Lux S.E. (2015). Anatomy of the red cell membrane skeleton: Unanswered questions. Blood 127 (2):187-99.
Malomo S.O., Oyewole O.I. (2008). Cations content and membrane properties of human sickle blood incubated with hydroxyurea, tellurite and thiocyanate. Egypt J Biochem Mol Bio 26 (1):117-25. [doi: 10.4314/ejbmb.v26i1.35961].
Mankelow T.J., Satchwell T.J., Burton N.M. (2012). Refined views of multi-protein complexes in the erythrocyte membrane. Blood Cells Mol Dis 49 (1):1-10.
Mbata T.I., Duru C.M., Onwumelu H.A. (2009). Anti-bacterial activity of crude seed extracts of Buchholzia coriacea
E. on some pathogenic bacteria. J Dev Biol Tissue Eng 1 (1):1-5.
Nans A., Mohandas N., Stokes D.L. (2011). Native ultrastructure of the red cell cytoskeleton by cryo-electron tomography. Biophys J 101 (10):2341-50.
Okujagu T.F., editor. (2013a). Medicinal Plants of Nigeria, South East Nigeria. Vol. 1. Federal Ministry of Science and Technolgy, Nigeria.
Parker J.C., Orringer E.P. (1990). Sickle cell disease. Charles F. Whrrren and John F. Bertles, Eds. N. Y. Acad. Sci., New York, 1989. xiv, 477 pp., illus. $119. Annals of the New York Academy of Sciences, vol. 565. From a conference, Bethesda, MD, April 1988. Science 248 (4954):502.
Richardson P.M., Harborne J.B. (1990). Phytochemical methods: A guide to modern techniques of plant analysis. Second Edition. Brittonia42 (2):115.
Singer S.J., Nicolson G.L. (1972). The fluid mosaic model of the structure of cell membranes. Science 175 (4023):720-31.
Singh N., Rajini P.S. (2008). Antioxidant-mediated protective effect of potato peel extract in erythrocytes against oxidative damage. Chem Biol Interact 173 (2):97-104.
Smith J.E. (1987). Erythrocyte membrane: Structure, function, and pathophysiology. Vet Pathol 24 (6):471-6.
Umeokoli B.O. (2016). Antimicrobial, anti-inflammatory, and chemical evaluation of Buchholzia coriacea
seed (Wonderful Kola). Am J Life Sci 4 (5):106.
Vojdani A., O'Bryan T., Kellermann G.H. (2008). The immunology of immediate and delayed hypersensitivity reaction to gluten. Eur J Inflamm 6 (1):1-10.
Weed R.I., Reed C.F. (1966). Membrane alterations leading to red cell destruction. Am J Med 41 (5):681-98.
[Figure 1], [Figure 2], [Figure 3], [Figure 4], [Figure 5]