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Ankyrin-linked hereditary spherocytosis in an African-American kindred.

Abstract
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.
AuthorsJose Sangerman, Yelena Maksimova, E Jennifer Edelman, Jon S Morrow, Bernard G Forget, Patrick G Gallagher
JournalAmerican journal of hematology (Am J Hematol) Vol. 83 Issue 10 Pg. 789-94 (Oct 2008) ISSN: 1096-8652 [Electronic] United States
PMID18704959 (Publication Type: Journal Article, Research Support, N.I.H., Extramural)
CopyrightCopyright 2008 Wiley-Liss, Inc.
Chemical References
  • Ankyrins
  • Codon
Topics
  • Black or African American (genetics)
  • Alleles
  • Ankyrins (deficiency, genetics)
  • Base Sequence
  • Case-Control Studies
  • Chromatography, High Pressure Liquid
  • Codon
  • DNA Mutational Analysis
  • Exons
  • Family
  • Female
  • Gene Frequency
  • Genetic Testing
  • Heterozygote
  • Humans
  • Male
  • Molecular Sequence Data
  • Mutation
  • Pedigree
  • Siblings
  • Spherocytosis, Hereditary (genetics)

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