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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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2002-07-2288v1
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Submitted August 19, 2002
Accepted January 16, 2003

Red cell adenylate kinase deficiency. Molecular study of three new mutations (118 G{Rightarrow}A,190 G{Rightarrow}A, and GAC deletion) associated with nonspherocytic hemolytic anemia

Joan-Lluis Vives-Corrons*, Estefania E Garcia, Joan J Tusell, Kottayil I Varughese, Carol C West, and Enrest B Beutler

Red Cell Pathology Unit, Hospital Clinic i Provincial, Barcelona, Spain
Haematology Department, Hospital Malerno-Infantil Vall d'Hebron, Barcelona, Spain
Department of Molecular and Experimental Medicine, The Scripps Research Institute, La Jolla, CA, USA

* Corresponding author; email: jlvives{at}medicina.ub.es.

Two patients with chronic nonspherocytic hemolytic anemia (CNSHA) and severe red blood cell(RBC) adenylate kinase (AK) deficiency are reported. One of these patients, a boy of Spanish origin, exhibited a neonatal icterus and splenomegaly and required blood transfusions until the age of two years. The other patient was an infant born of U.S. white 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 two different missense mutations, c.118 G{Rightarrow}A (Gly40Arg) and c.190 G{Rightarrow}A (Gly64Arg).The second patient was homozygous for an in-frame deletion (GAC) from nt 498 to 500 or nt 501 to 503 of the cDNA sequence, predicting deletion of either Asp 140 or 141.The crystal structure of porcine cytosolic AK was used as a molecular model to investigate how these mutations may affect the enzyme structure and function.


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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.
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