Erythrocyte cytoskeleton

A number of other enzymopathic substances (e.g., pyruvate kinase. Chapter 13 and pyrimidine-5 -nucleotidase. Chapter 27), abnormal hemoglobins (Chapter 28), and abnormalities of the erythrocyte cytoskeleton (Chapter 10) may cause hemolytic anemia. Because many enzymes in the red cell are identical to those in other tissues, defects in these enzymes may have pleiotropic effects. Thus, in addition to hemolytic anemia, triose phosphate isomerase deficiency causes severe neuromuscular disease, and phospho-fructokinase deficiency causes a muscle glycogen storage disease (Chapter 13). Mutations that result in decreased enzyme stability are usually most strongly expressed in erythrocytes because of their inability to synthesize proteins. 

Fig. 44.10. A generalized view of the erythrocyte cytoskeleton. A. The major protein, spectrin, is linked to the plasma membrane either through interactions with ankyrin and band 3, or with actin, band 4.1, and glycophorin. Other proteins in this complex, but not shown, are tropomyosin and adducin. B. A view from inside the cell, looking up at the cytoskeleton. This view displays the cross-linking of the sprectrin dimers to actin and band 3 anchor sites.

In erythrocytes and most other cells, the major structural link of plasma membranes to the cytoskeleton is mediated by interactions between ankyrin and various integral membrane proteins, including Cf/HCOj antiporters, sodium ion pumps and voltage-dependent sodium ion channels. Ankyrin also binds to the =100 nm, rod-shaped, antiparallel a(3 heterodimers of spectrin and thus secures the cytoskeleton to the plasma membrane. Spectrin dimers self-associate to form tetramers and further to form a polygonal network parallel to the plasma membrane (Fig. 2-9D). Neurons contain both spectrin I, also termed erythroid spectrin, and spectrin II, also termed fodrin. Spectrin II is found throughout neurons, including axons, and binds to microtubules, whereas spectrin I occurs only in the soma and dendrites. 

In the blood, 2.5-3.0 g of hemoglobin iron circulates as a component of the erythrocytes (top right). Over the course of several months, the flexibility of the red blood cells constantly declines due to damage to the membrane and cytoskeleton. Old erythrocytes of this type are taken up by macrophages in the spleen and other organs and broken down. The organic part of the heme is oxidized into bilirubin (see p. 194), while the iron returns to the plasma pool. The quantity of heme iron recycled per day is much larger than the amount resorbed by the intestines. 

What is the function of the membrane skeleton There is a group of hereditary diseases including spherocytosis in which erythrocytes do not maintain their biconcave disc shape but become spherical or have other abnormal shapes and are extremely fragile.269 272 Causes of spherocytosis include defective formation of spectrin tetramers and defective association of spectrin with ankyrin or the band 4.1 protein.265 273 Thus, the principal functions of these proteins in erythrocytes may be to strengthen the membrane and to preserve the characteristic shape of erythrocytes during their 120-day lifetime in the bloodstream. In other cells the spectrins are able to interact with microtubules, which are absent from erythrocytes, and to microtubule-associated proteins of the cytoskeleton (Chapter 7, Section F).270 In nerve terminals a protein similar to erythrocyte protein 4.1 may be involved in transmitter release.274 The cytoskeleton is also actively involved in transmembrane signaling. 

One of the major integral proteins of the erythrocyte membrane is the anion channel, or band-3 protein, which moves Cl- and HC03 anions across the membrane. The anion transporter has two identical subunits with molecular weights of about 95,000, and each subunit probably has 10 or 11 transmembrane helices. The band-3 protein is attached to the spectrin cytoskeleton through a smaller protein, anky-rin. The cytosolic domain of the anion transporter also binds the glycolytic enzyme glyceraldehyde-3-phosphate dehydrogenase. 

The structure of spectrin and the location of spectrin in the cytoskeleton. (a) An a/3 dimer of spectrin. Both a and f3 subunits are extended structures consisting of end-to-end domains of 106 amino-acyl residues folded into three a helices the subunits twist about one another loosely as shown. (b) The erythrocyte membrane skeleton. Spectrin tetramers ((X2P2), shown in yellow, are linked to the cytoplasmic domain of the anion channel (blue) by the protein ankyrin (red), and to glycophorin and actin filaments by protein 4.1. This structure lends stability to the red cell membrane while maintaining sufficient flexibility to allow erythrocytes to withstand substantial shear forces in the peripheral circulation. 

Spectrin is a common component of the submembranous cytoskeleton. It was first identified as a major constituent of the erythrocyte membrane cytoskeleton, but has since been found in many other vertebrate tissues as well as in the nonvertebrates Drosophila, Acanthamoeba, Dictyostelium, and echinoderms (Bennett and Condeelis, 1988 Byers et al., 1992 Dubreuil et al., 1989 Pollard, 1984 Wessel and Chen., 1993). The ease with which spectrin could be isolated from erythrocyte ghosts made it an ideal candidate for the study of the biochemical processes involved in the assembly and organization of the cytoskeleton (Gratzer, 1985). 

The membrane skeleton acts as an elastic semisolid, allowing brief periods of deformation followed by reestablishment of the original cell shape (reviewed by Bennett and Gilligan, 1993). Erythrocytes in the human bloodstream have to squeeze repeatedly through narrow capillaries of diameters smaller than their own dimensions while resisting rupture. A functional erythrocyte membrane is pivotal to maintaining the functional properties of the erythrocyte. This importance is apparent when examination is made of many hemolytic anemias, where mutation of proteins involved in the structure of the submembranous cytoskeleton, and its attachment to the lipid bilayer, result in a malformed or altered cytoskeletal architecture and a disease phenotype. 

Erythrocytes are small compared with most other cells and are peculiar because of their biconcave disk shape (see Fig. 1-12). They have no nucleus, because it is extruded just before the release of the cell into the blood stream from the bone marrow, where the cells develop. Their cytoplasm has no organelles and is full of the protein hemoglobin that binds 02 and C02. In the cytoplasm are other proteins also, namely, (1) the submembrane cytoskeleton, (2) enzymes of the glycolytic and... 

Appendix B - Methods for isolation of low density lipoproteins and erythrocyte membranes and cytoskeletons from blood... 

Quantification of erythrocyte membranes and cytoskeletons. The Lowry protein assay... 

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