Five spontaneous, allelic mutations in the ␣-spectrin gene, Spna1, have been identified in mice (spherocytosis [sph], sph 1J , sph 2J , sph 2BC , sph Dem ). All cause severe hemolytic anemia. Here, analysis of 3 new alleles reveals previously unknown consequences of red blood cell (RBC) spectrin deficiency. In sph 3J , a missense mutation (H2012Y) in repeat 19 introduces a cryptic splice site resulting in premature termination of translation. In sph Ihj , a premature stop codon occurs (Q1853Stop) in repeat 18. Both mutations result in markedly reduced RBC membrane spectrin content, decreased band 3, and absent -adducin. Reevaluation of available, previously described sph alleles reveals band 3 and adducin deficiency as well. In sph 4J , a missense mutation occurs in the C-terminal EF hand domain (C2384Y). Notably, an equally severe hemolytic anemia occurs despite minimally decreased membrane spectrin with normal band 3 levels and present, although reduced, -adducin. The severity of anemia in sph 4J indicates that the highly conserved cysteine residue at the C-terminus of ␣-spectrin participates in interactions critical to membrane stability. The data reinforce the notion that a membrane bridge in addition to the classic protein 4.1-p55-glycophorin C linkage exists at the RBC junctional complex that involves interactions between spectrin, adducin, and band 3. (Blood. 2010;115:1804-1814)
IntroductionThe membrane skeleton, a multiprotein complex attached to the cytoplasmic surface of the red blood cell (RBC) lipid bilayer, is critical to RBC strength and deformability. 1 The major component of the skeleton, spectrin, consists of ␣ and  subunits, encoded in mice by the Spna1 and Spnb1 genes, respectively. 2 Spectrin tetramers are cross-linked into a 2-dimensional hexagonal array by short actin protofilaments at "junctional complexes," which also include protein 4.1, dematin (protein 4.9), adducin, tropomyosin, tropomodulin, and p55. 3 The spectrin array is attached to the overlying plasma membrane by ankyrin, which binds -spectrin to the integral membrane protein band 3 (anion exchanger, SLC4A1), and by protein 4.1-p55-glycophorin C interactions at the junctional complexes. The structural components and function of the RBC membrane skeleton have been comprehensively reviewed elsewhere. 2,[4][5][6][7] Each spectrin molecule is composed of a series of approximately 106 amino acid repeats that fold into triple helices; ␣-spectrin contains 21 numbered repeats, although repeat 10 is actually an SH3 domain, and -spectrin contains 16 repeats. 6 ␣-and -spectrin align side-to-side ("nucleate") in an antiparallel manner to form heterodimers. 8 Repeats 18 to 21 at the C-terminus of ␣-spectrin and repeats 1 to 4 at the N-terminus of -spectrin form the nucleation site that initiates "zippering" of the 2 subunits together via electrostatic interactions. 6,9,10 Heterodimers selfassociate to form heterotetramers, the major form of spectrin in RBCs. The self-association site is at opposite ends of the respective nucleation si...