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Hereditary elliptocytosis due to both qualitative and quantitative defects
in membrane skeletal protein 4.1
JG Conboy, R Shitamoto, M Parra, R Winardi, A Kabra, J Smith and N Mohandas
Lawrence Berkeley Laboratory, University of California, Berkeley 94720.
Protein 4.1 is an important structural component of the membrane skeleton
that helps determine erythrocyte morphology and membrane mechanical
properties. In a previous study we identified a case of human hereditary
elliptocytosis (HE) in which decreased membrane mechanical stability was
due to deletion of 80 amino acids encompassing the entire 10-Kd
spectrin-actin binding domain. A portion of this domain (21 amino acids) is
encoded by an alternatively spliced exon that is expressed in late but not
early erythroid cells. We now report a case of canine HE in which the
abnormal phenotype is caused by failure to express this alternative peptide
in the mature red blood cell (RBC) membrane skeleton, in conjunction with
quantitative deficiency of protein 4.1. Western blotting of RBC membranes
from a dog with HE showed a truncated protein 4.1 that did not react with
antibodies directed against the alternative peptide. In addition,
sequencing of cloned reticulocyte protein 4.1 cDNA showed a precise
deletion of 63 nucleotides comprising this exon. Normal dog reticulocytes
did express this exon. Expression of this 21 amino acid peptide during
erythroid maturation is therefore essential for proper assembly of a
mechanically competent membrane skeleton, because RBCs lacking this peptide
have unstable membranes.
Volume 78,
Issue 9,
pp. 2438-2443,
11/01/1991
Copyright © 1991 by The American Society of Hematology

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