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Blood, 1 June 2008, Vol. 111, No. 11, pp. 5380-5389.
Prepublished online as a Blood First Edition Paper on January 3, 2008; DOI 10.1182/blood-2007-07-099473.
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Submitted July 5, 2007
Accepted December 8, 2007
Band 3 Courcouronnes (Ser667Phe): a trafficking mutant differentially rescued by wild type band 3 and glycophorin A
Ashley M Toye, Rosalind C Williamson, Moudji Khanfar, Brigitte Bader-Meunier, Therese Cynober, Madeleine Thibault, Gil Tchernia, Michele Dechaux, Jean Delaunay, and Lesley J Bruce*
Department of Biochemistry, University of Bristol, Bristol, United Kingdom
Maternite Evry, Hopital Louise-Michel, Evry, France
Department of Physiology, Hopital Necker-Enfants-Malades, Paris, France
Centre de Reference des Maladies Constitutionnelles de l'Erythropoiese et du Globule Rouge, Hopital de Bicetre, Le Kremlin-Bicetre, France
INSERM U 779, Hopital de Bicetre, Le Kremlin-Bicetre, France
Bristol Institute for Transfusion Sciences, National Blood Service, Bristol, United Kingdom
* Corresponding author; email: lesley.bruce{at}nbs.nhs.uk.
We describe a mutation in human erythrocyte band 3 (anion exchanger 1, SLC4A1) causing both hereditary spherocytosis and distal renal tubular acidosis. The proband developed a transfusion dependent, hemolytic anemia following birth. Immunoblotting showed band 3 was reduced to ~35% of wild-type, other proteins of the band 3/Rh macrocomplex were also reduced. DNA sequence analysis revealed a novel homozygous mutation, C2000 to T, leading to the amino acid substitution, Ser667Phe. The parents were heterozygous for the same mutation. Sulfate influx in the patient's erythrocytes was ~40% wild-type. The mutant band 3 produced very little chloride influx when expressed in Xenopus oocytes. Influx was partially rescued by co-expression of glycophorin A and also rescued by co-expression of wild-type band 3. At age 2 years, an ammonium chloride challenge showed the child has incomplete dRTA. Stable expression of mutant kidney band 3 in both non-polarized and polarized Madin-Darby canine kidney cells showed that the majority of the mutant protein was retained in the endoplasmic reticulum. Overall our results suggest that the Ser667Phe does not affect the anion transport function of band 3 but causes a trafficking defect in both erythrocytes and kidney cells.

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