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In addition to modulating the adhesion of RBCs to ECs, exported ATP may also act to limit endothelial permeability and thus inflammatory lung (and other organ) injury ( Red Blood Cell Modulation of Neighbor Red Blood Cell Adhesivity An important consequence of the recently recognized capacity of RBCs to export antiadhesive mediators is that the exported molecules can modulate not only the stickiness of the cell of origin, but also of neighboring cells