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Prepublished online as a Blood First Edition Paper on August 8, 2002; DOI 10.1182/blood-2002-01-0113.
RED CELLS
From The Jackson Laboratory, Bar Harbor, ME; the
National Human Genome Research Institute/Hematopoiesis Section,
National Institutes of Health, Bethesda, MD; and the New York Blood
Center, NY.
Tetramers of Mice with mutations in genes encoding membrane
skeletal proteins are important models for hereditary spherocytosis
(HS).1 Gene mapping and disrupted protein
levels2,3 identified the affected product and became the
basis for the subsequent cloning and sequencing of The murine As originally predicted, identification of the mutated site for each
allele provides insight into the functional effects of regional
alterations or complete ablation of specific cytoskeleton proteins.
Murine mutations are maintained on the same genetic background,
precluding any effects of modifier genes on their function. Elucidation
of primary and secondary effects of the mutations can be performed in
vitro and in vivo. The molecular defect in the sph allele is
a single-base deletion in exon 11 of Spna1 that causes a
frame-shift, a premature termination of Preparatory to further analyses at the cellular level, we have
identified the molecular defects in the remaining 2 mutant Animals
RT-PCR and sequencing of Genomic PCR and sequencing Isolation and PCR of genomic spleen DNA from +/+, sph2BC/+, and sph2BC/sph2BC mice were performed as previously described.4,16 Genomic PCR products were sequenced and analyzed as described above. Tail DNA PCR was performed in 2 reactions on genomic DNA from +/+, sph2BC/+, and sphJ/+ mice, as described by the manufacturer.24 For the sph2BC mutation, a common downstream primer was used (primer 54, 5'-GTCCTGTGGGTTTATGCCA-3'). Upstream primers detected either only the sph2BC allele (primer 52, 5'-TAGTGGAATCCTGGATAGT-3') or the wild-type and the sph2BC alleles (primer 53, 5'-GTAGTGGAATCCTGGATAG-3') of Spna1. For sphJ, the upstream primer was common (primer 47, 5'-CTCTCACCCCGGAACAA-3'). Downstream primers detected either only the sphJ allele (primer 49, 5'-GTGAAGCCAACATAGTCT-3') or both the wild-type and the sphJ alleles (primer 50, 5'-TGGTGAAGCCAACATAGTC-3') of Spna1. PCR products were electrophoresed on 2% SeaPlaque-GTG (FMC, Rockland, ME) agarose gels.Northern blot analyses Total RNA was extracted from reticulocytes, and spleens were retrieved from normal phenylhydrazine-treated and mutant mice as described above. Northern blot analyses on 5 µg total RNA were performed using the NorthernMax kit and BrightStar Plus membranes (Ambion, Austin, TX). Equivalency of RNA loading was verified by UV shadowing.25 Antisense RNA probe corresponding to nucleotides 7065 to 7322 of the murine erythroid -spectrin cDNA
sequence (GenBank accession no. AF093576) was produced and
32P-labeled using the Lig'n'Scribe and StripEZ labeling
kits and SP6 RNA polymerase (Ambion). Filters were hybridized at 65°C
in NorthernMax hybridization buffer (Ambion). Final filter wash was at
65°C in 0.1 × SSC (sodium chloride/sodium citrate), 0.1% sodium dodecyl sulfate (SDS).
SDS-PAGE and immunoblot analyses Red blood cell (RBC) ghosts were prepared from packed red blood cells as previously described.2 Equal amounts of ghost proteins were electrophoresed on 4% stacking/10% separating Laemmli sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) gels26 or on nongradient gels.27 Duplicate gels were run; one was stained with Coomassie brilliant blue and the other transferred to Immobilon-P membranes (Millipore, Bedford, MA).28 Band intensities in Coomassie blue-stained gels were quantified using a Molecular Dynamics Densitometer and ImageQuant software (Molecular Dynamics, Sunnyvale, CA). Immunostaining was performed using the Alkaline Phosphatase Conjugate Substrate Kit (Bio-Rad, Hercules, CA). Immunoblots were probed with a rabbit polyclonal antibody to purified mouse erythroid spectrin that reacts equivalently to - and -spectrin.2
Osmotic gradient ektacytometry Fresh blood samples were continuously mixed with a 4% polyvinylpyrrolidone solution of gradually increasing osmolality (60-600 mOsm). The deformability index was recorded as a function of osmolality at a constant applied shear stress of 170 dyne/cm2 using an ektacytometer (Bayer Diagnostics, Tarrytown, NY).29
-spectrin contains equal
molar percentages of each. Under the culture conditions used,
incorporation of radiolabel into -spectrin is continuous in normal
and sphJ/sphJ reticulocytes for 70 minutes. Aliquots of cells were removed at various time points during
labeling and cold chase. Whole-cell lysates were assayed by
immunoprecipitation.30 Ghost proteins were separated on
3.5% Fairbanks SDS-PAGE gels.27 The -spectrin band was
cut from the dried gels and solubilized in NCS tissue solubilizer (Amersham, Piscataway, NJ) and Omnifluor (NEN, Boston, MA),31 and the amount of [35S]- and
[3H]-labeled -spectrin was determined by scintillation
counting in a Beckman spectrometer.
Identification of the sph2BC mutation RT-PCR was used to identify the -spectrin mutation in total RNA
from sph2BC/sph2BC spleen.
Comparison of cDNA sequence from +/+ and
sph2BC/sph2BC mice indicated that
exon 41 was absent in the -spectrin mRNA of the latter (Figure
1A). This 162-nucleotide (nt) deletion
removes 54 amino acids (aa) from the -spectrin protein, resulting in a frame-shift and subsequent premature protein termination. No other anomalies were found in the mutant -spectrin cDNA
sequence.
Amplification of genomic spleen DNA using exon 41-specific
primers showed that exon 41 is present in
sph2BC/sph2BC mice (data not shown).
This suggested a mutation within exon 41 or within flanking introns
causes aberrant splicing and the skipping of exon 41 in the mature
mRNA. Sequencing of exon 41 and intron 40 from genomic DNA revealed no
discrepancies between normal and mutant sequences (data not shown).
Sequencing of intron 41 revealed a G-to-T transition in the first base
of intron 41 in the sph2BC allele of
Spna1 (Figure 1B). To confirm that this sequence anomaly is
the sph2BC mutation, genomic PCR of tail DNA
from +/+ and sph2BC/+ mice was performed. PCR
with primers designed to identify normal and mutant Identification of the sphJ mutation Identification of the sphJ mutation was performed in a similar manner. Analyses of cDNA sequences from +/+ and sphJ/sphJ mice identified a C-to-A transition in exon 52 of the sphJ/sphJ cDNA (Figure 2A). This nonsense mutation converts a tyrosine to a stop codon, eliminating the COOH-terminal 13 aa from the protein.
The identity of the sphJ mutation was confirmed
through genomic PCR of tail DNA from known +/+ and
sphJ/+ mice. PCR with primers designed to
identify normal and mutant Effect of the mutations on RNA and protein levels Previously, we showed that erythroid -spectrin transcript
levels in sph2BC/sph2BC spleen, the
major site of red blood cell production in the mouse, and reticulocytes
are decreased compared with +/+.2 Here we show that the
deficiency of sph2BC/sph2BC
-spectrin mRNA is more pronounced in reticulocytes than spleen (Figure 3A), suggesting that the mutant
form is unstable and degraded as erythroid precursors mature. By
contrast, the erythroid -spectrin mRNA levels are higher than normal
in sphJ/sphJ spleens, though they,
too, decrease during maturation. At steady state, -spectrin in
sph2BC/sph2BC is not detectable on
SDS-PAGE gels of reticulocyte ghosts by Coomassie blue staining, but it
is reduced to 20% of normal in sphJ/sphJ (Figure 3B). Other
cytoskeletal proteins are deficient as well: -spectrin-band 3 ratios of 0% and 7.7% of normal, -spectrin-band 3 ratios of 8%
and 14% of normal, and ankyrin-band 3 ratios of 20% and 25% of
normal in sph2BC/sph2BC and
sphJ/sphJ, respectively (Table
1). Immunoblot analyses of RBC ghosts
with an antibody that reacts similarly to - and -spectrin confirm that -spectrin is present in
sphJ/sphJ and
sph2BC/sph2BC but not in
sph/sph (Figure 3C).
RBC deformability The instability of sph2BC/sph2BC and sphJ/sphJ red blood cells is predicted by their severe microcytic anemia (RBC counts and hematocrits levels are less than 50% of normal) and extremely high levels of compensatory reticulocytosis (90%-95%).2 Heterozygous mice are phenotypically and hematologically normal. Osmotic deformability profiles of blood samples from wild-type (+/+), heterozygous (sph2BC/+ and sphJ/+), and homozygous (sph2BC/sph2BC and sphJ/sphJ) mice are shown in Figure 4. The maximum value of the deformability index attained at physiologically relevant osmolality (DImax) is quantitatively related to the mean surface area of the cells.29 The osmolality at which the deformability index reaches a minimum in the hypotonic region of the gradient (Omin) is a measure of the osmotic fragility of the cells. RBCs from heterozygotes do not have significantly different osmotic deformability profiles than wild-type RBCs. In contrast, RBCs from sph2BC/sph2BC and sphJ/sphJ mice exhibit a profound decrease in surface area (decreased DImax) and a marked increase in osmotic fragility (increased Omin). The decrease in surface area is consistent with the marked fragmentation of the mutant RBCs seen on peripheral blood smears.32
Membrane attachment of sphJ/sphJ spectrin Previously, we showed that reticulocytes from sphJ/sphJ mice synthesize de novo 1.5 times more -spectrin and 6 times more -spectrin than
reticulocytes from normal mice. In addition, the newly synthesized -spectrin is incorporated into the
sphJ/sphJ membrane at a 6-fold
higher rate than normal.30 Despite these observations,
only 20% of the normal amount of -spectrin is present in mature
sphJ/sphJ erythrocyte ghosts at
steady state. One possible explanation for this is that
sphJ spectrin binds to the membrane skeleton,
but the binding is unstable, thereby allowing more rapid turnover of
the bound mutant spectrin.
To investigate the possibility that sphJ
The ratio of [3H]-to-[35S]-labeled
Three major conclusions can be drawn from this study. First, the sph2BC and sphJ mutations in Spna1 are molecularly and functionally distinct from each other and from a third severe HS-producing Spna1 mutation, sph, and from the HE-producing Spna1 mutation, sphDem. Second, the splice site mutation in intron 41 of sph2BC is responsible for exon skipping, premature termination, barely detectable protein, and membrane instability of the red cells. Third, the nonsense mutation in sphJ that eliminates the C-terminal 0.5% of the protein leads to increased osmotic fragility as a result of the loss of cytoskeleton stability. The sph2BC mutation is similar to the mutation
sphDem in causing exon skipping in the mRNA, but
the effects of the exon skip in the 2 mutants are different. In
sphDem, the exon skip does not shift the reading
frame, and it produces a mutant protein fully capable of incorporation
into the cytoskeleton but defective in tetramerization.16
In sph2BC, the exon skip introduces a
frame-shift and premature termination, resulting in a truncated protein
lacking sequences required for dimerization with The location of the sph2BC mutation in murine
In contrast to the effects of the sph2BC
mutation, the sphJ mutation does not eliminate
the dimerization site of Structural features of the missing 13 aa suggest ways in which they may
contribute to the stability of The 13 C-terminal residues are separated from the EF hand motifs of
We thank reviewers Luanne Peters, Brian Soper, and Babette Gwynn at The Jackson Laboratory. We also thank our colleagues in Microchemical Services, partially supported by a National Cancer Institute core grant, for their excellent expertise.
Submitted January 16, 2002; accepted July 26, 2002.
Prepublished online as Blood First Edition Paper, August 8, 2002; DOI 10.1182/blood-2002-01-0113.
Supported by National Institutes of Health grants R01 HL29305 (J.E.B.), R01 DK26263 (N.M.), NRSA F32 DK09482 (N.J.W.), and core grant CA34196.
The publication costs of this article were defrayed in part by page charge payment. Therefore, and solely to indicate this fact, this article is hereby marked "advertisement" in accordance with 18 U.S.C. section 1734.
Reprints: Jane E. Barker, The Jackson Laboratory, 600 Main St, Bar Harbor, ME 04609; e-mail: jeb{at}jax.org.
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