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Blood, 15 July 2001, Vol. 98, No. 2, pp. 442-449
RED CELLS
Targeted deletion of the CD59 gene causes spontaneous
intravascular hemolysis and hemoglobinuria
Dewi S. Holt,
Marina Botto,
Anne E. Bygrave,
S. Melanie Hanna,
Mark J. Walport, and
B. Paul Morgan
From the Complement Biology Group, Department of
Medical Biochemistry, University of Wales College of Medicine, Cardiff,
United Kingdom; and the Rheumatology Section, Division of Medicine,
Imperial College School of Medicine, Hammersmith Campus, London, United
Kingdom.
The glycolipid-anchored glycoprotein CD59 inhibits assembly of the
lytic membrane attack complex of complement by incorporation into the
forming complex. Absence of CD59 and other glycolipid-anchored molecules on circulating cells in the human hemolytic disorder paroxysmal nocturnal hemoglobinuria is associated with intravascular hemolysis and thrombosis. To examine the role of CD59 in protecting host tissues in health and disease, CD59-deficient
(CD59 / ) mice were produced by gene targeting in
embryonic stem cells. Absence of CD59 was confirmed by staining cells
and tissues with specific antibody. Despite the complete absence of
CD59, mice were healthy and fertile. Erythrocytes in vitro displayed
increased susceptibility to complement and were positive in an
acidified serum lysis test. Despite this, CD59 / mice
were not anemic but had elevated reticulocyte counts, indicating accelerated erythrocyte turnover. Fresh plasma and urine from CD59 / mice contained increased amounts of hemoglobin
when compared with littermate controls, providing further evidence
for spontaneous intravascular hemolysis. Intravascular hemolysis was
increased following administration of cobra venom factor to trigger
complement activation. CD59 / mice will provide a tool
for characterizing the importance of CD59 in protection of self tissues
from membrane attack complex damage in health and during diseases
in which complement is activated.

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