Mutations of ankyrin-1 are the most frequent cause of the inherited
hemolytic anemia, hereditary spherocytosis (HS), in people of European ancestry. Ankyrin-1, which provides the primary linkage between the erythrocyte membrane skeleton and the plasma membrane, has numerous
isoforms generated by alternative splicing, alternate polyadenylation, use of tissue-specific promoters, and alternate NH(2) or COOH-termini. Mutation detection in erythrocyte membrane
protein genes, including
ankyrin, has been a challenge, primarily due to the large size of these genes, and the apparent frequent occurrence of HS-associated null alleles. Using denaturing high-performance liquid chromatography (DHPLC), we screened the
ankyrin gene of the proband of a large, three generation African-American kindred with
ankyrin-deficient HS. DHPLC yielded an abnormal chromatogram for exon 1. Examination of the corresponding exon 1 sequence in genomic
DNA from the proband revealed heterozygosity for a mutation of the initiator
methionine (ATG to ATA Met 1 Ile). Coupled in vitrotranscription/translation studies with rabbit reticulocyte lysates demonstrated that the wild-type
ankyrin erythroid
cDNA initiates only from the known initiator
methionine, indicating that the use of alternate initiator
methionine is not a mechanism of
isoform diversity in erythroid cells. The mutant
ankyrin allele, unlike some initiator
methionine mutations that utilize downstream
codons for translation initiation, was associated with a null allele. This is the first report describing
ankyrin-linked HS in an African-American kindred.