2009
DOI: 10.1182/blood-2008-07-171140
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The monovalent cation leak in overhydrated stomatocytic red blood cells results from amino acid substitutions in the Rh-associated glycoprotein

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Cited by 108 publications
(138 citation statements)
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“…These changes could lead either to cation leak through the normal substrate translocation pathway of ABCB6, or to the generation of a novel constitutive or cyclic leak pathway through the protein. Alternatively, mutant ABCB6 polypeptides could activate an independent cation permeability through direct or indirect protein-protein interaction, as proposed for CHC mutations in AE1/SLC4A1 [11,15], stomatin-deficient OHSt mutations in RhAG [12,13], and suggested by the fourfold elevation of K-Cl cotransport observed in red cells of patient FP Lille (LdeF, unpublished data).…”
Section: Discussionmentioning
confidence: 93%
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“…These changes could lead either to cation leak through the normal substrate translocation pathway of ABCB6, or to the generation of a novel constitutive or cyclic leak pathway through the protein. Alternatively, mutant ABCB6 polypeptides could activate an independent cation permeability through direct or indirect protein-protein interaction, as proposed for CHC mutations in AE1/SLC4A1 [11,15], stomatin-deficient OHSt mutations in RhAG [12,13], and suggested by the fourfold elevation of K-Cl cotransport observed in red cells of patient FP Lille (LdeF, unpublished data).…”
Section: Discussionmentioning
confidence: 93%
“…These include SLC4A1 (an ion exchange) in CHC and in atypical forms of hereditary spherostomatocytosis [10,11], RHAG (Rh-associated glycoprotein) in isolated stomatin-deficient OHSt [12,13] GLUT1 (glucose transporter 1) in echinocytosis with paroxysmal dyskinesia [14], stomatin-deficient cryohydrocytosis [15] or in CHC [16] or pseudohyperkalemia and hemolysis [17] with neurological symptoms, and PIEZO1 (mechanosensitive cation channel protein FAM38A) in DHSt [18]. These findings suggest that distinct missense mutations in various red cell membrane solute transporters or channels generate cation leak pathways either through the mutant proteins themselves or by deregulating one or more independent cation permeabilities of the red cell membrane.…”
Section: Introductionmentioning
confidence: 99%
“…Mutations in several genes have been shown to cause red cell cation leak disorders. These include chloride-bicarbonate exchanger SLC4A1/AE1/ Band 3 in CHC and in atypical forms of hereditary spherostomatocytosis [23,24], ammonia transporter RHAG (Rh-associated glycoprotein) in isolated stomatin-deficient OHSt [25,26], glucose transporter GLUT1 in echinocytosis with paroxysmal dyskinesia [27], stomatin-deficient CHC [28] or in CHC [29] or pseudohyperkalemia and hemolysis [30] with neurological symptoms, and PIEZO1 (mechanosensitive cation channel protein FAM38A) in DHSt [10][11][12][13]. A recent study has highlighted a novel DHSt gene, KCNN4, encoding the widely expressed KCa3.1 Gardos channel, a Ca 21 -sensitive K 1 channel of intermediate conductance [14].…”
Section: Discussionmentioning
confidence: 99%
“…In a recently published paper it is reported that point mutations in Rhassociated glycoprotein (RhAG) result in overhydrated stomatocytosis (OHSt), in which the red cells are very cation-leaky at physiological temperature. 9 RhAG is a member of the band 3 macrocomplex and there is evidence that in normal cells it may function as an ammonium transporter, and/or gas channel. 10,11 The mutations identified (Phe65Ser, Ile61Arg) occur in the predicted transmembrane span 2 of the protein and are thought to widen the pore, allowing passage of cations.…”
Section: The Hereditary Stomatocytosesmentioning
confidence: 99%
“…10,11 The mutations identified (Phe65Ser, Ile61Arg) occur in the predicted transmembrane span 2 of the protein and are thought to widen the pore, allowing passage of cations. 9 This condition is unusual, in that it is characterized by a large reduction or even absence of the membrane lipid raft protein, stomatin. The precise function of stomatin and its role in OHSt has remained a mystery.…”
Section: The Hereditary Stomatocytosesmentioning
confidence: 99%