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Prepublished online as a Blood First Edition Paper on March 20, 2003; DOI 10.1182/blood-2002-07-2288.

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Blood, 1 July 2003, Vol. 102, No. 1, pp. 353-356

RED CELLS

Red cell adenylate kinase deficiency: molecular study of 3 new mutations (118G>A, 190G>A, and GAC deletion) associated with hereditary nonspherocytic hemolytic anemia

Joan-Lluis Vives Corrons, Estefania Garcia, Joan J. Tusell, Kottayil I. Varughese, Carol West, and Ernest Beutler

From the Red Cell Pathology Unit, Hospital Clinic i Provincial, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain; the Haematology Department, Hospital Materno-Infantil Vall d'Hebron, Barcelona, Spain; and The Scripps Research Institute, Department of Molecular and Experimental Medicine, La Jolla, CA.

We report here 2 patients with chronic nonspherocytic hemolytic anemia (CNSHA) and severe red blood cell (RBC) adenylate kinase (AK) deficiency. One of these patients, a boy of Spanish origin, exhibited a neonatal icterus and splenomegaly and required blood transfusions until the age of 2 years. The other patient was a white, American infant born to parents who were first cousins; he also presented with neonatal icterus and anemia. In neither case was psychomotor impairment observed. The first patient was found to be a compound heterozygote for 2 different missense mutations, 118G>A(Gly40Arg) and 190G>A(Gly64Arg) (cDNA sequence first described by Matsuura et al, 1989). The second patient was homozygous for an in-frame deletion (GAC) from nucleotide (nt) 498 to 500 or nt 501 to 503 of the cDNA sequence, predicting deletion of either aspartic acid (Asp) 140 or 141. The crystal structure of porcine cytosolic AK was used as a molecular model to investigate how these mutations may affect enzyme structure and function. (Blood. 2003;102:353-356)


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J. Biol. Chem.Home page
Y.-W. Tan, J. A. Hanson, and H. Yang
Direct Mg2+ Binding Activates Adenylate Kinase from Escherichia coli
J. Biol. Chem., January 30, 2009; 284(5): 3306 - 3313.
[Abstract] [Full Text] [PDF]



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