• The common HE mutation aL260P reduces spectrin tetramer links between junctional complexes in red cell membranes by favoring closed dimers.• Favoring closed spectrin dimer formation is a new mechanism of red cell membrane destabilization by hereditary anemia mutations.Hereditary elliptocytosis (HE) and hereditary pyropoikilocytosis (HPP) are common disorders of erythrocyte shape primarily because of mutations in spectrin. The most common HE/HPP mutations are located distant from the critical ab-spectrin tetramerization site, yet still interfere with formation of spectrin tetramers and destabilize the membrane by unknown mechanisms. To address this question, we studied the common HE-associated mutation, aL260P, in the context of a fully functional mini-spectrin. The mutation exhibited wild-type tetramer binding in univalent binding assays, but reduced binding affinity in bivalent-binding assays. Biophysical analyses demonstrated the mutation-containing domain was only modestly structurally destabilized and helical content was not significantly changed. Gel filtration analysis of the aL260P mini-spectrin indicated more compact structures for dimers and tetramers compared with wild-type. Chemical crosslinking showed structural changes in the mutant mini-spectrin dimer were primarily restricted to the vicinity of the aL260P mutation and indicated large conformational rearrangements of this region. These data indicate the mutation increased the stability of the closed dimer state, thereby reducing tetramer assembly and resulting in membrane destabilization. These results reveal a novel mechanism of erythrocyte membrane destabilization that could contribute to development of therapeutic interventions for mutations in membrane proteins containing spectrin-type domains associated with inherited disease. (Blood. 2013;122(17): [3045][3046][3047][3048][3049][3050][3051][3052][3053]
IntroductionThe hereditary elliptocytosis (HE) syndromes are the most common disorders of erythrocyte shape. In parts of Africa, the incidence of HE approaches that of sickle cell disease, presumably because HE red cells confer some resistance to invasion by malaria parasites. Most cases of HE are due to missense mutations in the erythrocyte membrane skeleton protein spectrin. 1,2 Spectrin is a critical component of the erythrocyte membrane skeleton, a network of proteins on the cytoplasmic face of the membrane that maintains the shape and elasticity of the red cell membrane. 3,4 In the erythrocyte, spectrin exists as an antiparallel ab-heterodimer that self-associates in a head-to-head fashion to form tetramers and higher order oligomers. 5 Studies of spectrin mutations in HE and the related disorder hereditary pyropoikilocytosis (HPP) 6,7 have provided important insights into the structure and function of spectrin in the cell. 8 Furthermore, erythrocyte spectrin has served as the paradigm for our understanding of spectrin proteins in nonerythroid cells. We now know that spectrin mutations in other cell types play important roles in pathogen...