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Blood, Vol. 95 No. 12 (June 15), 2000:
pp. 3978-3985
Mild spherocytic hereditary elliptocytosis and altered levels of
- and -adducins in -adducin-deficient mice
Andrés F. Muro,
Martín L. Marro,
Sre ko Gajovi ,
Fabiola Porro,
Lucio Luzzatto, and
Francisco E. Baralle
From the International Centre for Genetic Engineering and
Biotechnology, Trieste, Italy; Department of Histology and Embryology,
School of Medicine, University of Zagreb, Zagreb, Croatia; and the
Department of Human Genetics, Memorial Sloan-Kettering Cancer Center,
New York, New York.
The membrane skeleton, a dynamic network of proteins associated with
the plasma membrane, determines the shape and mechanical properties of
erythrocytes. Deficiencies or defects in membrane skeletal proteins are
associated with inherited disorders of erythrocyte morphology and
function. Adducin is one of the proteins localized at the
spectrin-actin junction of the membrane skeleton. In this work we show
that deficiency of -adducin produces an 80% decrease of
-adducin and a fourfold up-regulation of -adducin in
erythrocytes. -Adducin or any other isoform generated by translation
of abnormally spliced messenger RNAs could not be detected by our
antibodies either in ghosts or in cytoplasm of / erythrocytes.
Actin levels were diminished in mutant mice, suggesting alterations in
the actin-spectrin junctional complexes due to the absence of adducin. Elliptocytes, ovalocytes, and occasionally spherocytes were found in
the blood film of / mice. Hematological values showed an increase
in reticulocyte counts and mean corpuscular hemoglobin concentration,
decreased mean corpuscular volume and hematocrit, and normal
erythrocyte counts that, associated to splenomegaly, indicate that the
mice suffer from mild anemia with compensated hemolysis.
These modifications are due to a loss of membrane surface and
dehydration that result in an increase in the osmotic fragility of red
blood cells. The marked alteration in osmotic fragility together with
the predominant presence of elliptocytes is reminiscent of the human
disorder called spherocytic hereditary elliptocytosis. Our results
suggest that the amount of adducin remaining in the mutant animals
(presumably  adducin) could be functional and might account for
the mild phenotype.

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