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Blood, 15 September 2007, Vol. 110, No. 6, pp. 2158-2165.
Prepublished online as a Blood First Edition Paper on June 6, 2007; DOI 10.1182/blood-2006-12-063420.
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Submitted December 21, 2006
Accepted May 16, 2007
Point mutations involved in red cell stomatocytosis
convert the electroneutral anion exchanger 1 to a non-selective cation conductance
Helene Guizouarn*, Sonia Martial, Nicole Gabillat, and Franck Borgese
Laboratoire de physiologie cellulaire et moleculaire, UMR6548, CNRS-Universite de Nice, Nice, France
* Corresponding author; email: helene.guizouarn{at}unice.fr.
The anion exchanger 1, AE1, is encoded by the SLC4A1 gene and catalyses the electroneutral anion exchange across cell plasma membrane. It is the most abundant transmembrane protein expressed in red cell where it is involved in CO2 transport. Recently, four new point mutations of SLC4A1 gene have been described leading to missense mutations in the protein sequence (L687P, D705Y, S731P or H734R). These point mutations were associated to hemolytic anemia and it was shown that they confer a cation transport feature to the human AE1. Facing this unexpected property for an electroneutral anion exchanger we have studied the transport features of mutated hAE1 by expression in xenopus oocytes. Our results show that the point mutations of hAE1 convert the electroneutral anion exchanger to a cation conductance : the exchangers are no longer able to exchange Cl- and HCO3- whereas they transport Na+ and K+ through a conductive mechanism. These data shed new light on transport mechanisms showing the tiny difference, in terms of primary sequence, between an electroneutral exchange and a conductive pathway.

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