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Blood, 1 June 2008, Vol. 111, No. 11, pp. 5380-5389. Prepublished online as a Blood First Edition Paper on January 3, 2008; DOI 10.1182/blood-2007-07-099473.
RED CELLS Band 3 Courcouronnes (Ser667Phe): a trafficking mutant differentially rescued by wild-type band 3 and glycophorin A1 Department of Biochemistry, University of Bristol, Bristol, United Kingdom; 2 Hôpital Louise-Michel, Evry, France; 3 Hôpital Necker-Enfants-Malades, Paris, France; 4 Centre de Référence des Maladies Constitutionnelles de l'Erythropoïèse et du Globule Rouge, Hôpital de Bicêtre, Assistance Publique des Hopitaux de Paris (APHP), Le Kremlin Bicetre, France; 5 Inserm U 779, Hôpital de Bicêtre, Le Kremlin-Bicêtre, France; and 6 Bristol Institute for Transfusion Sciences, National Blood Service, Bristol, United Kingdom We describe a mutation in human erythrocyte band 3 (anion exchanger 1; SLC4A1) causing both hereditary spherocytosis and distal renal tubular acidosis. The proband developed a transfusion-dependent, hemolytic anemia following birth. Immunoblotting showed band 3 was reduced to approximately 35% of wildtype; other proteins of the band 3/Rh macrocomplex were also reduced. DNA sequence analysis revealed a novel homozygous mutation, c.2000C>T, leading to the amino acid substitution Ser667Phe. The parents were heterozygous for the same mutation. Sulfate influx in the patient's erythrocytes was approximately 40% wild type. The mutant band 3 produced very little chloride influx when expressed in Xenopus oocytes. Influx was partially rescued by coexpression of glycophorin A and also rescued by coexpression of wild-type band 3. At 2 years of age, an ammonium chloride challenge showed the child has incomplete distal renal tubular acidosis (dRTA). Stable expression of mutant kidney band 3 in both nonpolarized and polarized Madin-Darby canine kidney cells showed that most of the mutant protein was retained in the endoplasmic reticulum. Overall our results suggest that the Ser667Phe does not affect the anion transport function of band 3, but causes a trafficking defect in both erythrocytes and kidney cells.
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