Tetramers of ␣-and -spectrin heterodimers, linked by intermediary proteins to transmembrane proteins, stabilize the red blood cell cytoskeleton. Deficiencies of either ␣-or -spectrin can result in severe hereditary spherocytosis (HS) or hereditary elliptocytosis (HE) in mice and humans. Four mouse mutations, sph, sph Dem , sph 2BC , and sph J , affect the erythroid ␣-spectrin gene, Spna1, on chromosome 1 and cause severe HS and HE. Here we describe the molecular alterations in ␣-spectrin and their consequences in sph 2BC /sph 2BC and sph J /sph J erythrocytes. A splicing mutation, sph 2BC initiates the skipping of exon 41 and premature protein termination before the site required for dimerization of ␣-spectrin with -spectrin. A nonsense mutation in exon 52, sph J eliminates the COOHterminal 13 amino acids. Both defects result in instability of the red cell membrane and loss of membrane surface area. In sph 2BC /sph 2BC , barely perceptible levels of messenger RNA and consequent decreased synthesis of ␣-spectrin protein are primarily responsible for the resultant hemolysis. By contrast, sph J /sph J mice synthesize the truncated ␣-spectrin in which the 13-terminal amino acids are deleted at higher levels than normal, but they cannot retain this mutant protein in the cytoskeleton. The sph J deletion is near the 4.1/actin-binding region at the junctional complex providing new evidence that this 13-amino acid segment at the COOH-terminus of ␣-spectrin is crucial to the stability of the junctional complex.
IntroductionMice with mutations in genes encoding membrane skeletal proteins are important models for hereditary spherocytosis (HS). 1 Gene mapping and disrupted protein levels 2,3 identified the affected product and became the basis for the subsequent cloning and sequencing of ␣-spectrin (Spna1), -spectrin (Spnb1), and ankyrin (Ank1) from mouse 4-6 and human DNA. 7-10 -Spectrin is a pivotal protein that provides binding sites for ankyrin, the linker between spectrin and the transmembrane protein band 3; ␣-spectrin heterodimerization; tetramerization of heterodimers 11 ; and 4.1, a protein that joins spectrin tetramers to the transmembrane protein glycophorin C at junctional complexes. 12 Anchoring of the spectrinbased cytoskeleton to the transmembrane proteins band 3 and glycophorin C is essential for red blood cell stability. The nucleotide alterations described for the mouse beta spectrin (ja/ ja), 13 ankyrin (nb/nb), 14 and ␣-spectrin (sph/sph, sph Dem /sph Dem ) 4,15 mutations provide an explanation for the instability of red cells in these mutants and clues to the functional consequences of alterations in specific amino acids. Assessing functional effects of mutations in humans is more difficult because the secondary genetic diversity affects results, mutations are heterogeneous, and clinical severity may vary among patients with the same mutation.The murine ␣-spectrin mutations sph, sph 2BC , and sph J result in severe HS, whereas sph Dem is a unique model for hereditary elliptocytosis (HE). 16 ␣-Spect...