Red Blood Cells Activate Innate Immune System

Researchers link the ability of the cells to bind and present DNA from pathogens and cell death to anemia, which is common in COVID-19, and immune activation.

Written byAbby Olena, PhD
| 4 min read
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ABOVE: Scanning electron micrographs of healthy human red blood cells (left) and RBCs that have been treated with DNA (right)
L.K.M. LAM ET AL., SCIENCE TRANSLATIONAL MEDICINE, 2021

Contrary to what you likely learned in school, ferrying oxygen isn’t the only function of red blood cells. In a study published today (October 20) in Science Translational Medicine, researchers show that these cells, the most abundant in circulation, also alert the immune system to the presence of bacteria, parasites, and circulating cell-free mitochondrial DNA, which can signify severe disease, such as sepsis or pneumonia. This pathogen-sensing role comes at a cost, however: red blood cells (RBCs) that cart around snippets of DNA are killed, likely contributing to inflammation-associated anemia.

When Nilam Mangalmurti, a critical care physician and researcher at the University of Pennsylvania, was a pulmonary critical care fellow in 2005, she became interested in how transfused RBCs could cause lung injury. ...

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  • abby olena

    As a freelancer for The Scientist, Abby reports on new developments in life science for the website. She has a PhD from Vanderbilt University and got her start in science journalism as the Chicago Tribune’s AAAS Mass Media Fellow in 2013. Following a stint as an intern for The Scientist, Abby was a postdoc in science communication at Duke University, where she developed and taught courses to help scientists share their research. In addition to her work as a science journalist, she leads science writing and communication workshops and co-produces a conversational podcast. She is based in Alabama.  

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