Effects of membrane steroid modification on human erythrocyte glucose transport

The partial removal of cholesterol from the human erythrocyte membrane, by contact with lecithin sols, had mixed effects on the transport of d-glucose. When about 8% of the cholesterol was removed, the rate of d-glucose transfer was increased, but as cholesterol was progressively further removed, the transport was inhibited. Replacement of the depleted cholesterol by 3-ketosteroids did not restore the transport activity; but with substitution of steroids containing only a 3β-hydroxy substituent, the rate of glucose transport returned to normal. In some instances, as little as a 2% replacement of the removed cholesterol by 3β-hydroxy steroids was sufficient for full restoration of d-glucose transport. Cholesterol substitution by steroids with a more planar nucleus and a more bulky side chain than cholesterol also aided in the restoration of glucose transfer. The partial removal of cholesterol had no effect on the apparent K m for d-glucose, but excessive membrane cholesterol led to a 4-fold decrease in d-glucose affinity. The extent of transport inhibition by a fixed phloretin treatment was independent of membrane steroid content.