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Blood, 15 April 2007, Vol. 109, No. 8, pp. 3538-3543.
Prepublished online as a Blood First Edition Paper on December 27, 2006; DOI 10.1182/blood-2006-07-038588.


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Submitted July 31, 2006
Accepted December 3, 2006

A pathogenic proline mutation in the linker between spectrin repeats: disease due to spectrin unfolding

Colin P Johnson, Gaetani Massimiliano, Vanessa Ortiz, Nishant Bhasin, Sandy Harper, Patrick G Gallagher, David W Speicher, and Dennis E Discher*

Molecular & Cell Biophysics Lab, University of Pennsylvania, Philadelphia, PA
The Wistar Institute, Philadelphia, PA
Department of Medicine, Yale University School of Medicine, New Haven, CT

* Corresponding author; email: discher{at}seas.upenn.edu.

Pathogenic mutations in {alpha} and {beta} spectrin result in a variety of syndromes including hereditary elliptocytosis (HE), spherocytosis, and pyropoikilocytic anemia. While some mutations clearly lie at sites of interaction such as the sites of spectrin {alpha}-{beta} tetramer formation and directly disrupt spectrin binding, a surprising number of HE-causing mutations have been identified within linker regions between distal spectrin repeats. Here we apply solution structural and single molecule methods to the folding and stability of recombinant proteins consisting of {alpha}-spectrin's first five spectrin repeats, comparing normal spectrin to a pathogenic linker mutation, Q471P between repeats R4 and R5. Results show that the linker mutation at 37 °C destabilizes a significant fraction of the five-repeat construct whereas the wild-type remains fully folded well above body temperature. In wild-type protein, helical linkers propagate stability from one repeat to the next, but the mutation disrupts the stabilizing influence of adjacent repeats. The results suggest a molecular mechanism for the high frequency of disease due to proline mutations in spectrin linkers.


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