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Blood, 15 December 2005, Vol. 106, No. 13, pp. 4367-4369.
Prepublished online as a Blood First Edition Paper on September 8, 2005; DOI 10.1182/blood-2005-05-1813.
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Submitted May 4, 2005
Accepted June 24, 2005
A novel splicing mutation of the -spectrin gene in the original hereditary pyropoikilocytosis kindred
Daniel B Costa, Larisa Lozovatsky, Patrick G Gallagher, and Bernard G Forget*
Department of Medicine, Yale University School of Medicine, New Haven, CT, USA
Departmernt of Pediatrics, Yale University School of Medicine, New Haven, CT, USA
* Corresponding author; email: bernard.forget{at}yale.edu.
Hereditary pyropoikilocytosis (HPP) is a severe hemolytic anemia due to abnormalities of the RBC membrane skeleton, first reported in 1975 by Zarkowsky et al. In the original HPP kindred, the disease has been known to be due to compound heterozygosity for an allele encoding a structural variant of -spectrin (L207P) and a -spectrin allele associated with a defect in a-spectrin production. The molecular basis of this production defective allele has been unknown. To identify the molecular basis of this mutant allele, an RT-PCR approach was utilized to examine -spectrin cDNA in reticulocyte RNA obtained from one of the original HPP patients described by Zarkowsky et al. In transcripts from the production-defective, non-L207P allele, a pattern of abnormal splicing between exon 22 and 23 was identified, resulting in insertion of intronic fragments with an in-frame premature termination codon. In corresponding genomic DNA, a G to A substitution at position +5 of the donor consensus splice site of IVS 22 was found. Heterozygosity for this mutation was confirmed in genomic DNA of the HPP siblings and their asymptomatic mother. Following gene transfer into tissue culture cells, there was complete absence of normally spliced -spectrin gene transcripts derived from a minigene containing the IVS 22 +5 mutation. The identification of this mutant -spectrin allele associated with a defect in -spectrin production completes the characterization of the molecular defects in the original HPP family reported 30 years ago.

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