Abstract
We studied nine individuals from five unrelated families with alpha I/46-50a hereditary elliptocytosis (HE) or hereditary pyropoikilocytosis (HPP), including one of the original HHP probands first reported by Zarkowsky and colleagues (1975. Br. J. Haematol. 29:537-543). Biochemical analysis of erythrocyte membrane proteins from these patients revealed, as a common abnormality, the presence of the alpha I/46-50a peptide after limited tryptic digestion of spectrin. The polymerase chain reaction was utilized to study the structure of the DNA encoding the alpha I domain of spectrin in the affected individuals. The DNA sequence of the alpha-spectrin gene encoding the region of the alpha-spectrin chain surrounding the abnormal proteolytic cleavage site was normal. We identified a point mutation causing the replacement of a highly conserved leucine residue by proline at position 207 in the alpha-spectrin chain, a site 51 residues to the amino-terminal side of the abnormal proteolytic cleavage site. Analysis of the proposed triple helical model of spectrin repeats reveals that the mutation occurs in helix 2 at a position directly opposite the abnormal proteolytic cleavage site in helix 3, making this the first report of a mutation occurring in helix 2 of a repeat in the alpha I domain of spectrin. These results add to the molecular heterogeneity of mutations associated with HE/HPP and provide further support for the proposed triple helical model of spectrin. Disruption of this proposed alpha-helical structure by helix-breaking proline substitutions may result in a functionally defective spectrin chain.
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- Bennett V., Lambert S. The spectrin skeleton: from red cells to brain. J Clin Invest. 1991 May;87(5):1483–1489. doi: 10.1172/JCI115157. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Bennett V. Spectrin-based membrane skeleton: a multipotential adaptor between plasma membrane and cytoplasm. Physiol Rev. 1990 Oct;70(4):1029–1065. doi: 10.1152/physrev.1990.70.4.1029. [DOI] [PubMed] [Google Scholar]
- Coetzer T. L., Sahr K., Prchal J., Blacklock H., Peterson L., Koler R., Doyle J., Manaster J., Palek J. Four different mutations in codon 28 of alpha spectrin are associated with structurally and functionally abnormal spectrin alpha I/74 in hereditary elliptocytosis. J Clin Invest. 1991 Sep;88(3):743–749. doi: 10.1172/JCI115371. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Coetzer T., Lawler J., Prchal J. T., Palek J. Molecular determinants of clinical expression of hereditary elliptocytosis and pyropoikilocytosis. Blood. 1987 Sep;70(3):766–772. [PubMed] [Google Scholar]
- Coetzer T., Palek J., Lawler J., Liu S. C., Jarolim P., Lahav M., Prchal J. T., Wang W., Alter B. P., Schewitz G. Structural and functional heterogeneity of alpha spectrin mutations involving the spectrin heterodimer self-association site: relationships to hematologic expression of homozygous hereditary elliptocytosis and hereditary pyropoikilocytosis. Blood. 1990 Jun 1;75(11):2235–2244. [PubMed] [Google Scholar]
- Delaunay J., Alloisio N., Morlé L., Pothier B. The red cell skeleton and its genetic disorders. Mol Aspects Med. 1990;11(3):161–241. doi: 10.1016/0098-2997(90)90001-i. [DOI] [PubMed] [Google Scholar]
- Dhermy D., Lecomte M. C., Garbarz M., Bournier O., Galand C., Gautero H., Feo C., Alloisio N., Delaunay J., Boivin P. Spectrin beta-chain variant associated with hereditary elliptocytosis. J Clin Invest. 1982 Oct;70(4):707–715. doi: 10.1172/JCI110666. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Dhermy D., Lecomte M. C., Garbarz M., Feo C., Gautero H., Bournier O., Galand C., Herrera A., Gretillat F., Boivin P. Molecular defect of spectrin in the family of a child with congenital hemolytic poikilocytic anemia. Pediatr Res. 1984 Oct;18(10):1005–1012. doi: 10.1203/00006450-198410000-00019. [DOI] [PubMed] [Google Scholar]
- Eber S. W., Morris S. A., Schröter W., Gratzer W. B. Interactions of spectrin in hereditary elliptocytes containing truncated spectrin beta-chains. J Clin Invest. 1988 Feb;81(2):523–530. doi: 10.1172/JCI113350. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Evans J. P., Baines A. J., Hann I. M., Al-Hakim I., Knowles S. M., Hoffbrand A. V. Defective spectrin dimer-dimer association in a family with transfusion dependent homozygous hereditary elliptocytosis. Br J Haematol. 1983 Jun;54(2):163–172. doi: 10.1111/j.1365-2141.1983.tb02085.x. [DOI] [PubMed] [Google Scholar]
- Fairbanks G., Steck T. L., Wallach D. F. Electrophoretic analysis of the major polypeptides of the human erythrocyte membrane. Biochemistry. 1971 Jun 22;10(13):2606–2617. doi: 10.1021/bi00789a030. [DOI] [PubMed] [Google Scholar]
- Floyd P. B., Gallagher P. G., Valentino L. A., Davis M., Marchesi S. L., Forget B. G. Heterogeneity of the molecular basis of hereditary pyropoikilocytosis and hereditary elliptocytosis associated with increased levels of the spectrin alpha I/74-kilodalton tryptic peptide. Blood. 1991 Sep 1;78(5):1364–1372. [PubMed] [Google Scholar]
- Gallagher P. G., Tse W. T., Forget B. G. Clinical and molecular aspects of disorders of the erythrocyte membrane skeleton. Semin Perinatol. 1990 Oct;14(5):351–367. [PubMed] [Google Scholar]
- Garbarz M., Lecomte M. C., Dhermy D., Feo C., Chaveroche I., Gautero H., Bournier O., Picat C., Goepp A., Boivin P. Double inheritance of an alpha I/65 spectrin variant in a child with homozygous elliptocytosis. Blood. 1986 Jun;67(6):1661–1667. [PubMed] [Google Scholar]
- Garbarz M., Lecomte M. C., Féo C., Devaux I., Picat C., Lefebvre C., Galibert F., Gautero H., Bournier O., Galand C. Hereditary pyropoikilocytosis and elliptocytosis in a white French family with the spectrin alpha I/74 variant related to a CGT to CAT codon change (Arg to His) at position 22 of the spectrin alpha I domain. Blood. 1990 Apr 15;75(8):1691–1698. [PubMed] [Google Scholar]
- Garbarz M., Tse W. T., Gallagher P. G., Picat C., Lecomte M. C., Galibert F., Dhermy D., Forget B. G. Spectrin Rouen (beta 220-218), a novel shortened beta-chain variant in a kindred with hereditary elliptocytosis. Characterization of the molecular defect as exon skipping due to a splice site mutation. J Clin Invest. 1991 Jul;88(1):76–81. doi: 10.1172/JCI115307. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Gyllensten U. B., Erlich H. A. Generation of single-stranded DNA by the polymerase chain reaction and its application to direct sequencing of the HLA-DQA locus. Proc Natl Acad Sci U S A. 1988 Oct;85(20):7652–7656. doi: 10.1073/pnas.85.20.7652. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hoffman N., Stanislovitis P., Watkins P. C., Klinger K. W., Linnenbach A. J., Forget B. G. Three RFLPs are detected by an alpha spectrin genomic clone. Nucleic Acids Res. 1987 Jun 11;15(11):4696–4696. doi: 10.1093/nar/15.11.4696. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Iarocci T. A., Wagner G. M., Mohandas N., Lane P. A., Mentzer W. C. Hereditary poikilocytic anemia associated with the co-inheritance of two alpha spectrin abnormalities. Blood. 1988 May;71(5):1390–1396. [PubMed] [Google Scholar]
- Knowles W. J., Morrow J. S., Speicher D. W., Zarkowsky H. S., Mohandas N., Mentzer W. C., Shohet S. B., Marchesi V. T. Molecular and functional changes in spectrin from patients with hereditary pyropoikilocytosis. J Clin Invest. 1983 Jun;71(6):1867–1877. doi: 10.1172/JCI110942. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Laemmli U. K. Cleavage of structural proteins during the assembly of the head of bacteriophage T4. Nature. 1970 Aug 15;227(5259):680–685. doi: 10.1038/227680a0. [DOI] [PubMed] [Google Scholar]
- Lawler J., Coetzer T. L., Mankad V. N., Moore R. B., Prchal J. T., Palek J. Spectrin-alpha I/61: a new structural variant of alpha-spectrin in a double-heterozygous form of hereditary pyropoikilocytosis. Blood. 1988 Oct;72(4):1412–1415. [PubMed] [Google Scholar]
- Lawler J., Palek J., Liu S. C., Prchal J., Butler W. M. Molecular heterogeneity of hereditary pyropoikilocytosis: identification of a second variant of the spectrin alpha-subunit. Blood. 1983 Dec;62(6):1182–1189. [PubMed] [Google Scholar]
- Lecomte M. C., Garbarz M., Grandchamp B., Féo C., Gautero H., Devaux I., Bournier O., Galand C., d'Auriol L., Galibert F. Sp alpha I/78: a mutation of the alpha I spectrin domain in a white kindred with HE and HPP phenotypes. Blood. 1989 Aug 15;74(3):1126–1133. [PubMed] [Google Scholar]
- Liu S. C., Palek J., Prchal J. T. Defective spectrin dimer-dimer association with hereditary elliptocytosis. Proc Natl Acad Sci U S A. 1982 Mar;79(6):2072–2076. doi: 10.1073/pnas.79.6.2072. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Liu S. C., Windisch P., Kim S., Palek J. Oligomeric states of spectrin in normal erythrocyte membranes: biochemical and electron microscopic studies. Cell. 1984 Jun;37(2):587–594. doi: 10.1016/0092-8674(84)90389-1. [DOI] [PubMed] [Google Scholar]
- Marchesi S. L., Knowles W. J., Morrow J. S., Bologna M., Marchesi V. T. Abnormal spectrin in hereditary elliptocytosis. Blood. 1986 Jan;67(1):141–151. [PubMed] [Google Scholar]
- Marchesi S. L., Letsinger J. T., Speicher D. W., Marchesi V. T., Agre P., Hyun B., Gulati G. Mutant forms of spectrin alpha-subunits in hereditary elliptocytosis. J Clin Invest. 1987 Jul;80(1):191–198. doi: 10.1172/JCI113047. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Marchesi V. T. Stabilizing infrastructure of cell membranes. Annu Rev Cell Biol. 1985;1:531–561. doi: 10.1146/annurev.cb.01.110185.002531. [DOI] [PubMed] [Google Scholar]
- Matsudaira P. Sequence from picomole quantities of proteins electroblotted onto polyvinylidene difluoride membranes. J Biol Chem. 1987 Jul 25;262(21):10035–10038. [PubMed] [Google Scholar]
- Mohandas N., Clark M. R., Health B. P., Rossi M., Wolfe L. C., Lux S. E., Shohet S. B. A technique to detect reduced mechanical stability of red cell membranes: relevance to elliptocytic disorders. Blood. 1982 Apr;59(4):768–774. [PubMed] [Google Scholar]
- Morlé L., Alloisio N., Ducluzeau M. T., Pothier B., Blibech R., Kastally R., Delaunay J. Spectrin Tunis (alpha I/78): a new alpha I variant that causes asymptomatic hereditary elliptocytosis in the heterozygous state. Blood. 1988 Feb;71(2):508–511. [PubMed] [Google Scholar]
- Morlé L., Roux A. F., Alloisio N., Pothier B., Starck J., Denoroy L., Morlé F., Rudigoz R. C., Forget B. G., Delaunay J. Two elliptocytogenic alpha I/74 variants of the spectrin alpha I domain. Spectrin Culoz (GGT----GTT; alpha I 40 Gly----Val) and spectrin Lyon (CTT----TTT; alpha I 43 Leu---Phe). J Clin Invest. 1990 Aug;86(2):548–554. doi: 10.1172/JCI114743. [DOI] [PMC free article] [PubMed] [Google Scholar]
- O'Farrell P. H. High resolution two-dimensional electrophoresis of proteins. J Biol Chem. 1975 May 25;250(10):4007–4021. [PMC free article] [PubMed] [Google Scholar]
- Ohanian V., Evans J. P., Gratzer W. B. A case of elliptocytosis associated with a truncated spectrin chain. Br J Haematol. 1985 Sep;61(1):31–39. doi: 10.1111/j.1365-2141.1985.tb04057.x. [DOI] [PubMed] [Google Scholar]
- Palek J. Hereditary elliptocytosis, spherocytosis and related disorders: consequences of a deficiency or a mutation of membrane skeletal proteins. Blood Rev. 1987 Sep;1(3):147–168. doi: 10.1016/0268-960x(87)90031-2. [DOI] [PubMed] [Google Scholar]
- Palek J., Lambert S. Genetics of the red cell membrane skeleton. Semin Hematol. 1990 Oct;27(4):290–332. [PubMed] [Google Scholar]
- Pothier B., Morlé L., Alloisio N., Ducluzeau M. T., Caldani C., Féo C., Garbarz M., Chaveroche I., Dhermy D., Lecomte M. C. Spectrin Nice (beta 220/216): a shortened beta-chain variant associated with an increase of the alpha I/74 fragment in a case of elliptocytosis. Blood. 1987 Jun;69(6):1759–1765. [PubMed] [Google Scholar]
- Prchal J. T., Castleberry R. P., Parmley R. T., Crist W. M., Malluh A. Hereditary pyropoikilocytosis and elliptocytosis: clinical, laboratory, and ultrastructural features in infants and children. Pediatr Res. 1982 Jun;16(6):484–489. doi: 10.1203/00006450-198206000-00017. [DOI] [PubMed] [Google Scholar]
- Roux A. F., Morlé F., Guetarni D., Colonna P., Sahr K., Forget B. G., Delaunay J., Godet J. Molecular basis of Sp alpha I/65 hereditary elliptocytosis in North Africa: insertion of a TTG triplet between codons 147 and 149 in the alpha-spectrin gene from five unrelated families. Blood. 1989 Jun;73(8):2196–2201. [PubMed] [Google Scholar]
- Sahr K. E., Laurila P., Kotula L., Scarpa A. L., Coupal E., Leto T. L., Linnenbach A. J., Winkelmann J. C., Speicher D. W., Marchesi V. T. The complete cDNA and polypeptide sequences of human erythroid alpha-spectrin. J Biol Chem. 1990 Mar 15;265(8):4434–4443. [PubMed] [Google Scholar]
- Sahr K. E., Tobe T., Scarpa A., Laughinghouse K., Marchesi S. L., Agre P., Linnenbach A. J., Marchesi V. T., Forget B. G. Sequence and exon-intron organization of the DNA encoding the alpha I domain of human spectrin. Application to the study of mutations causing hereditary elliptocytosis. J Clin Invest. 1989 Oct;84(4):1243–1252. doi: 10.1172/JCI114291. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Saiki R. K., Bugawan T. L., Horn G. T., Mullis K. B., Erlich H. A. Analysis of enzymatically amplified beta-globin and HLA-DQ alpha DNA with allele-specific oligonucleotide probes. Nature. 1986 Nov 13;324(6093):163–166. doi: 10.1038/324163a0. [DOI] [PubMed] [Google Scholar]
- Saiki R. K., Gelfand D. H., Stoffel S., Scharf S. J., Higuchi R., Horn G. T., Mullis K. B., Erlich H. A. Primer-directed enzymatic amplification of DNA with a thermostable DNA polymerase. Science. 1988 Jan 29;239(4839):487–491. doi: 10.1126/science.2448875. [DOI] [PubMed] [Google Scholar]
- Sanger F., Nicklen S., Coulson A. R. DNA sequencing with chain-terminating inhibitors. Proc Natl Acad Sci U S A. 1977 Dec;74(12):5463–5467. doi: 10.1073/pnas.74.12.5463. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Speicher D. W., Marchesi V. T. Erythrocyte spectrin is comprised of many homologous triple helical segments. Nature. 1984 Sep 13;311(5982):177–180. doi: 10.1038/311177a0. [DOI] [PubMed] [Google Scholar]
- Speicher D. W., Morrow J. S., Knowles W. J., Marchesi V. T. A structural model of human erythrocyte spectrin. Alignment of chemical and functional domains. J Biol Chem. 1982 Aug 10;257(15):9093–9101. [PubMed] [Google Scholar]
- Speicher D. W., Morrow J. S., Knowles W. J., Marchesi V. T. Identification of proteolytically resistant domains of human erythrocyte spectrin. Proc Natl Acad Sci U S A. 1980 Oct;77(10):5673–5677. doi: 10.1073/pnas.77.10.5673. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Tse W. T., Lecomte M. C., Costa F. F., Garbarz M., Feo C., Boivin P., Dhermy D., Forget B. G. Point mutation in the beta-spectrin gene associated with alpha I/74 hereditary elliptocytosis. Implications for the mechanism of spectrin dimer self-association. J Clin Invest. 1990 Sep;86(3):909–916. doi: 10.1172/JCI114792. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Ungewickell E., Gratzer W. Self-association of human spectrin. A thermodynamic and kinetic study. Eur J Biochem. 1978 Aug 1;88(2):379–385. doi: 10.1111/j.1432-1033.1978.tb12459.x. [DOI] [PubMed] [Google Scholar]
- Zarkowsky H. S., Mohandas N., Speaker C. B., Shohet S. B. A congenital haemolytic anaemia with thermal sensitivity of the erythrocyte membrane. Br J Haematol. 1975 Apr;29(4):537–543. doi: 10.1111/j.1365-2141.1975.tb02740.x. [DOI] [PubMed] [Google Scholar]