PHGY 212    Blood Lab
Erythrocyte Fragility Test


In this experiment, we make use of the osmotic fragility (or susceptibility to hemolysis) of erythrocytes and that, the number of cells undergoing hemolysis depends on the degree of hypotonicity of the extracellular medium. The concentration of liberated hemoglobin in each test medium is an index of the extent of osmotic hemolysis. Your task is to examine the relationship between percentage of hemolysis and osmolarity of the medium in which the erythrocytes were suspended.

The osmotic fragility test is designed to give some information on the capacity of the red cell membrane to withstand increasing internal pressures brought about by the diffusion of water into the cell.


Mandatory revision of pipetting techniques

Procedure

Erythrocyte Fragility Test

(procedure video)

Results

  1. Generate a calibration curve. Knowing that 0% hemolysis happened in Tube #1 (0.9% NaCl = isotonic solution) and that 100% hemolysis happened in Tube #6 (0.0% NaCl = hypertonic solution), plot a linear relationship between % of hemolysis vs. OD.


  2. Determine the % of hemolysis for each of your remaining tubes from your calibration curve. This is done by interpolating the % of hemolysis of your tubes with their respective ODs. Simply draw a vertical line from the x-axis at a the OD value from each tube until it crosses the linear relationship line, and then draw a horizontal line to the y-axis. The y-value at this point is equal to the % of hemolysis of your sample.

  3. Example: from the calibration curve above, a tube with an OD reading of 0.35, will have a % of hemolysis of 80%
  4. Calculate the Osmolarity of each solution to later plot the % of hemolysis vs. osmolarity. Osmolarity is calulated in 2 steps:

    Ex. for 0.3% NaCl
    Molarity of NaCl = (0.3/100ml) / (molecular weight of NaCl)
    Osmolarity = 2 * Molarity of NaCl
    2 because Na+ and Cl- are the two impermeable molecules in solution


  Questions to think about:

  • What would be the significance of a shift to the right- or to the left- of the osmotic fragility curve?
  • How would the shape of the erythrocyte (sickle cells vs. normal erythrocytes), its surface area to volume ratio (biconcave shape vs. spherocyte) shift the osmotic fragility curve?