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Restoration of normal membrane stability to

unstable protein 4.1-deficient erythrocyte

membranes by incorporation of purified protein

4.1.

Y Takakuwa, … , M Benabadji, N Mohandas

J Clin Invest.

1986;

78(1)

:80-85.

https://doi.org/10.1172/JCI112577

.

Protein 4.1, a principal component of the erythrocyte membrane skeleton, is thought to be

important in regulating membrane stability through its interaction with spectrin and actin. A

key role for protein 4.1 has been indicated in studies in which deficiency of this protein was

shown to result in marked instability of the membrane. In order to obtain direct evidence for

the functional role of protein 4.1, we reconstituted protein 4.1-deficient membranes with

purified protein 4.1 and showed restoration of membrane stability. Erythrocyte membranes

totally and partially deficient in protein 4.1 were reconstituted by exchange hemolysis with

various concentrations of purified protein 4.1, and their stability measured using an

ektacytometer. Native erythrocyte membranes totally deficient in protein 4.1 were markedly

unstable, while those partially deficient had intermediate reductions in membrane stability.

Reconstitution with increasing concentrations of purified protein 4.1 resulted in progressive

restoration of membrane stability. Near-normal membrane stability could be restored to both

totally and partially protein 4.1-deficient membranes. In contrast, the addition of protein 4.1

to resealed membranes did not improve membrane stability. This implies that the added

protein 4.1 must have access to the cell interior in order to affect membrane stability.

Furthermore, in control experiments, the addition of protein 4.1 to normal membranes did not

increase their stability. Also, the addition of purified spectrin and human serum […]

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Restoration of Normal Membrane Stability

to

Unstable Protein 4.1-deficient

Erythrocyte Membranes

by Incorporation

of Purified

Protein

4.1

Yuichi Takakuwa, Gil Tchernia, Mary Rossi, Mohamed Benabadji, and Narla Mohandas

DepartmentofLaboratory Medicine and Cancer ResearchInstitute, Universityof California, San Francisco, California 94143; University ofParis, H6pital Bicetre, Kremlin Bicetre, France; and Centre Algerien de Transfusion Sanguine, H6pital Mustafa, Alger

Abstract

Protein 4.1, a principal componentof the erythrocyte membrane skeleton, is thought to be important in regulating membrane stability through its interaction with spectrin and actin.A key role for protein 4.1 has been indicated in studies in which defi-ciency of this protein was shown to resultinmarkedinstability of the membrane. In order toobtain direct evidence for the func-tional role of protein 4.1,wereconstituted protein

4.1-deficient

membraneswithpurified protein 4.1 and showed restoration of membranestability. Erythrocyte membranes totally and partially deficient in protein 4.1 were reconstituted by exchange

hemolysis

with various concentrations of purified protein 4.1, and their stability measured usinganektacytometer. Native erythrocyte membranes totally deficient in protein 4.1 were markedly un-stable, while those

partially

deficient

hadintermediate reductions

in membrane stability. Reconstitution with increasing concen-trations of

purified

protein 4.1 resulted in progressive restoration of membrane stability. Near-normal membrane stability could be restored to both totally and partially protein 4.1-deficient membranes. In contrast, theaddition of protein 4.1 to resealed membranesdid not improve membrane stability. This implies that the added protein 4.1 musthaveaccess tothe cellinterior

inorder toaffect membrane stability. Furthermore, in control experiments, the addition of

protein

4.1 tonormal membranes

did

not

increase

their

stability. Also,

the addition of

purified

spectrin and human serum albumin

during resealing

didnot im-provestability of protein

4.1-deficient

membranes.These results provide direct evidence for the crucial role of

protein

4.1in reg-ulating erythrocyte membrane stability.

Introduction

Recent

biochemical studies

have shown that

spectrin, protein

4.1, andactin formaskeletal

protein

network that

underlies

the inner surface of the erythrocyte membrane

(1-4).

This network is thoughttobe

important

in

regulating

such membrane func-tionsas

deformability

and

stability (5, 6). Support

for this

hy-pothesis

has been derived from

studies

of various

pathologic

erythrocytes in which altered membrane

stability

has beenrelated

to defects in the various skeletal

proteins

and their interac-tions (7-13).

Addresscorrespondence toDr. Mohandas,Cancer ResearchInstitute M-1282, University ofCalifornia, San Francisco,CA 94143.

Receivedfor publication 12September1985andinrevisedform21

January 1986.

Animportant function for protein4.1 wasindicated in

stud-ies of protein 4. 1-deficient erythrocytes from a family of patients with hemolytic anemia (9, 14). In these studies, theerythrocyte

membranes totally deficient in protein 4.1 showed marked

re-duction inmembrane stability, while membranes partially de-ficient in this protein showed an intermediate reduction in membranestability. A study of erythrocytes from another family inwhich aqualitative defect in the association of protein 4.1 and spectrin was documented also showed a reduction in mem-branestability (15). These studies provided strong indirect evi-dence of protein 4.1's probable importance in maintaining erythrocyte membrane stability.

Toobtain direct evidence for a crucial role of protein 4.1 in

maintaining

membranestability, we incorporated purified pro-tein 4.1

obtained

from normal erythrocytes into protein 4.1-deficient membranes. Purified protein 4.1 is a globular protein that

migrates

as two

major polypeptides of

80,000 and 78,000 molecular wt (mol wt) when analyzed on sodium dodecyl

sulfate-polyacrylamide

gel

electrophoresis

(SDS-PAGE)'

(16-18). These

twopolypeptides, referred toasprotein 4. la and 4. lb, are thought

tobindtospectrin with equal efficiency (18) and also to promote spectrin-actin interaction (19-21). When the purified normal

protein 4.1 was incorporated into protein 4. 1-deficient mem-branesby exchange hemolysis (22), the stability of these mem-branes wasrestored to near-normal values, thus providing direct

evidence

that

protein

4.1 is essential for normal membrane

sta-bility.

Methods

Materials.Wholebloodwasobtained fromapreviously studied Algerian family inwhom wefoundelliptocytosis associated with protein4.1

de-ficiency(9). The bloodwascollected into acid citrate dextrose, transported fromAlgeriatoSanFrancisco, storedat4°C,and usedwithin4d.Protein

4.1 waspurified from normal erythrocytes by the method of Tyleret al.

(17),dialyzed against the hypotonic sodiumphosphatebuffer(pH7.4, 40 mosmol/kg), and used within4d.Spectrindimerwaspurifiedfrom

normalerythrocytes bythe methodof Tyleretal.(23).Human serum

albuminwasobtained fromSigma Chemical Co.,St.Louis,MO.

Preparationofresealedghostsand incorporationofpurifiedprotein

4.1 intothe ghosts. Erythrocytes were washed with the isotonic sodium phosphate buffer (pH 7.4, 290 mosmol/kg)and thenlysedin 40 vol of the ice-cold sodium phosphate buffer (pH 7.4, 40 mosmol/kg). The

membraneswerecollected bycentrifugationat39,000gfor 2minat

0°C.Torestoreisotonicity,asmall volumeofthemixtureofKCI,

MgC92,

anddithiothreitol (DTT)wasaddedtothe membranesuspension, giving

afinal concentration of 100mMKCI, 1 mMMgCl2,and1 mM DTT. Theghost suspensionwasthenincubatedat37°C for 60mintoallow theghoststoreseal.

1.Abbreviationsused in thispaper:DI,deformability index; DTT,

di-thiothreitol; SDS-PAGE, sodium dodecyl sulfate-polyacrylamide gel electrophoresis.

J.Clin.Invest.

K) TheAmericanSocietyfor ClinicalInvestigation,Inc.

(3)

Toincorporatepurifiedprotein4.1into the ghosts,wemodifiedthe

techniqueof exchangehemolysisdescribedbyClark and Shohet (22).

Afterlysis, membranes were harvested. 0.5 ml ofpurified protein4.1 solutionofadefinedconcentrationwasaddedto0.4 mlofpacked ghosts.

The mixture was gentlystirred at 0°C for 20 min. The membranes were subsequently resealed by theaddition of 0.1 mlof themixture of KCI, MgCl2, and DTT to restore isotonicityasdescribed above.

SDS-PA GE.Membraneproteinswereanalyzed by SDS-PAGE using thediscontinuous buffer systemof Laemmli (24).Weutilized 1.5 mm-thick slab gels composed ofaseparating gel of7% acrylamide and a stacking gel of 3% acrylamide. After electrophoresis, proteins on gels were stained with Coomassie Blue. To quantitate the amount of protein 4.1, the gels were dried and analyzed with the densitometer (DU-7; Beckman Instruments, Inc., Palo Alto, CA). Western blot analysis with affinity-purified anti-protein4.1 IgGwasusedtoestablish theidentity

of polypeptides thatareimmunologicallyrelatedtoprotein4.1(25). Measurement ofmembrane

stability.

The resealed ghost samples were

suspendedin dextran (40,000 mol wt, 35% wt/vol) and examined by the ektacytometer,alaserdiffraction method describedpreviously (15, 26).

Inbrief, suspended ghosts weresubjectedto a constanthighshearstress

of 750dyne/cm2and thechange in their laser diffractionpattern was

measuredbyrecordingasignaldesignated asthedeformability index (DI) as afunction of time. TheDIprovides a measure of the ellipticity ofthedeforming ghosts in the flow field. When the shear stress is first applied, ghostsaredeformed intoellipsoidsand producea narrow

ellip-ticalpatternthat generatesahighvalueof DI. Withtime,asthe ghosts are unable towithstand the large value of applied shear stress, they begin

tofragment.This loss of membrane surfaceas aconsequence of

frag-mentation results in decreasing DI values. The rate atwhich the DI

decreases isameasureof therateof membranefragmentation,andhence provides us with aquantitativemeasureof membranestability.

Results

Unstable membranes of

protein

4.1-deficient erythrocytes

from patientswith

hereditary elliptocytosis.

Membrane

protein

com-position of erythrocytes from various

family

members ofthe

Algerian

family

previously studied

wasreanalyzed. Membranes

totally deficient

in

protein

4.1and

partially deficient

in

protein

4.1, as

well

as normal

membranes,

are shown in

Fig.

1. The

Coomassie Blue-stained gels showed

absence

of

protein

4.1 in

totally deficient

membranes and

-50% reduction

in

partially

deficient

membranes

(lane

1).

Western blot

analysis

using

affin-ity-purified anti-protein

4.1 IgG showed complete absence of

protein

4.1 in totally

deficient

membranes (lane 2).

This

data

implies

that no

intact protein

4.1 or

protein

4.1 degradation products are present in totally

deficient

membranes.

Ektacytometric measurements showed marked and

inter-mediate reductions

in

mechanical

stability

of

membranestotally and

partially deficient

in

protein

4.1,

respectively (Fig.

2). The

maximum

DI value

attained

byghosts preparedfrom erythro-cytes withatotal

deficiency

of

protein

4.1 waslower than that

of ghosts prepared from

normal cells.

This is

a

reflection of

the reduced

surface

areaof these cells due to prior in vivo fragmen-tation.

Restoration

ofmembrane stability after

reconstitution

of

total protein

4.1-deficient

erythrocytes.

The effect of

increasing

the

concentration

of

purified protein

4.1 used during membrane reconstitution on mechanical stability of protein 4. 1-deficient membranesis shown in Fig. 3 A. It is evident that the DI signal decayedmuchmore slowlyafter reconstitution ofthe membranes with protein 4.1. With increasing amounts of added protein 4.1, theonsetof the decay was delayed and the time taken to

reach

a fractional declinewas

prolonged,

indicating

that membrane

Total

Partial

def

iciency

def

iciency

Normal

(t

spectrin _

_

>

/j

spectrin-

p-S.

4.1

-_

4.2-b

4-4.1

Actin_-1 2 1 2 1 2

Figure 1. SDS-PAGE analysis of protein 4.1-deficient erythrocyte membranes. Membranes prepared from erythrocytestotallydeficient in protein 4.1, partially deficient in protein4.1, and normal mem-braneswereanalyzedon7%gelsusingtheLaemmligradientsystem (lanes marked 1), andon Westernblotswithaffinity-purified anti-pro-tein4.1IgG (lanes marked 2). Note that incomparisontonormal membranes, membraneswithpartialdeficiency have reducedamounts

ofprotein 4.1. Western blotanalysisshowed complete absence of pro-tein4.1 in totally deficient membranes.

stabilitywasbeing restored bytheassociationofprotein 4.1with

themembrane.Progressiveincreases inmembrane stabilitycan be seen upto aconcentration of 560

ug/ml

of added protein 4.1. Further increases in protein 4.1 concentration had little

further effect onmembrane stability. Varying incubation time

from 30 to90min during resealingat37°Cinthe presence of protein4.1didnotalter membrane response (data not shown). Wechosea60-min incubation time for all subsequentmembrane

reconstitution experiments.

Toestablish that entrapment of

protein

4.1 inthe

ghost

is essential to restoremembrane

stability,

we

performed

experi-ments inwhich protein4.1 wasadded to resealed ghostsand

incubated at 37°C for an

additional

60 min.

This

maneuver

allowed forprotein4.1 tohaveaccessonlytothe outer surface

of the membrane. As shown in Fig. 3 B, addition of purified

protein

4.1at

concentrations

upto930

,g/ml

did not have any ameliorating effect on membrane stability. These data imply that membrane

stability

canbe restored only when

protein

4.1

hasaccess totheinside of the ghost.

Restoration of membrane

stability

after reconstitution of

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0.8-

0.7-Q

0.6--a

2.

0.5-

E0.4-.0

c 0.3

-

0.2-0.1

-\ \ \ a l~~~~~~~~~~~ra

Totaldeficiency

ofprotein4.1 Partial deficiency ofprotein4.1

50 100

Time(Seconds)

150 200

Figure2. Membranestability of protein 4.1-deficient erythrocyte ghosts. Resealed ghostsprepared from normal and protein-deficient cellswereexposedto750

dynes/cm2

intheektacytometer and decline of theDIwasmeasured as afunction of time. TherateofDIdecline is a measure of membranestability. Membranes totally deficient in protein 4.1 fragmented more rapidly than did normal membranes. Partiallydeficient membranes showed intermediate reductions in membranestability.

purified protein.

The

data

from

this series

of

experiments

are shown in Fig. 4A.Aswithtotally deficient membranes, increas-ing concentrations

of

protein 4.1 (0-560

,ug/ml)

increased mem-branestability. Near-normal stabilitywasrestoredat aprotein

concentration

of 560

tsg/ml.

Addition

of

protein

4.1toresealed membranes,

which

allows access only to the outersurface of membrane,

did

notimprove membrane stability (Fig. 4 B), a result

similar

tothat

obtained

with

membranes that are totally

deficient

in

protein

4.1.These

observations provide further

sup-porttoour

thesis

that

membrane

stability

canberestored

only

when

protein

4.1 has accessto

the inside of

the cell.

Membrane

stability

is

unaltered

by

nonspecifically

bound

protein 4.1 and by unbound protein 4.1. The effect of

incorpo-ration ofpurified protein

4.1

into

normal

erythrocyte

membranes

is

shown in

Fig.

5.

Increasing

the

concentration of protein

4.1

to930

,ug/ml

did

notchangethe

stability of

normal membranes. These data imply that entrapment

of

excess

protein

4.1

into

membranes thatalready haveanormal complement ofthis

pro-teincannotincrease theirstability. Furthermore, they alsoimply that specific interaction ofprotein 4.1 with membrane is nec-essary to restorestabilitytothe deficient membranes.

Inadditional control experiments,theprotein 4.1-deficient membraneswere resealed in thepresence of purified spectrin dimer(620or1,240 ug/ml) and humanserumalbumin(500or

1,000

,g/ml).

As showninFig. 6, both of these proteinsproduced minimal alterationsinmetnbranestability.Theseobservations

show that neither animportant erythrocyte skeletal proteinnor

a

globular

proteinofapproximately thesamemolecular weight

asprotein 4.1 canrestore thestability of protein 4. 1-deficient

membranes.

SDS-PAGE

analysis ofreconstituted membranes. SDS-PAGE

analysisconfirmed theincorporationofprotein4.1 into

recon-stitutedresealed ghosts. Purified protein 4.1 is primarily com-posedof twosequence-related polypeptides, protein 4.la(80,000 mol wt) and protein 4. lb (78,000 mol wt) (Fig. 7, left lane). With increasing amounts of added protein 4.1, the amount of protein 4.1 boundtothe totally deficient membranes increased (Fig.7,

lanes 1-4). (Note that during the incubation of the ghosts at

37°C for 60 min, some protein 4.1 degradation occurred,

re-sultinginseveral new lowmolecularweight bandsongels.)The

amountof theincorporated protein 4.1 was quantitated by per-forming the densitometric analysis on the dried gels. (We nor-malized the value of the amount of protein 4.1 by calculating the ratio of protein 4.1 to protein 4.2, assuming that the amount ofprotein 4.2 was not altered during experiments.) In order to

accountfor the interactionofprotein 4.1 with the outer surface of the membrane, we also analyzed ghosts in which protein 4.1 wasaddedafter membrane resealing. These data are shown in lanes 1'-4'of Fig. 7. The amount of protein 4.1 associated with membranes in thesegels is thought to represent binding of the

protein

to the outside

of

the membrane. Subtraction

of

the

amountofprotein 4.1 in lanes 2-4' from their counterparts in lanes 2-4 allowed us to estimate the amount of protein 4.1 as-sociatedwiththe inside of theghost. Theamountofprotein4.1

incorporated into the interior ofprotein 4.1-deficient erythrocyte ghostswasfoundtobe threetofive timesmorethanthenormal

physiologic content of erythrocyte membranes. These data

in-dicate

thata

significant

amount of

protein

4.1

is entrapped

in

100 150 200 0 50

Time(Seconds) Time(Seconds)

Figure 3. Restoration of membrane stabilitytoerythrocyte ghosts totally deficient in protein4.1.Ghosts pre-pared from totally deficient cells wereincubated with 0, 70, 200, 350, 560, and 930

,ug/ml

ofprotein4.1

before resealing, andtheir

mem-branestability determined. Increas-ing the concentration ofprotein4.1

resulted inadecrease in rate of frag-mentation. Maximal restoration of membranestabilitywas seen at a

protein concentration of 560 ug/ml

(leftpanel). Addition of 350and930 ,ug/ml ofprotein4.1after membrane resealing, followed by incubationat

- 37°Cfor 60min,didnotalter the 100 rateoffragmentationand hence

membranestability(rightpanel).

x Qo

c

a

a

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0.8-

0.7-

0.6-e

0.5-b

c

E

a)

0.3-Q

0.2-

0.1-+=~~~~~~\ 5 560pg/ml

7 200

0

50

I

100 150 Time(Seconds)

200

the interior of

these

ghosts.

Similar datawasalso obtained

using

partially protein

4.

1-deficient

membranes.

In

experiments with

normal

membranes,

wealsofound

that,

with

increasing concentrations of

added

protein 4.1, increasing

amounts

of

the

protein

were

found

tobe

entrapped

in the

interior

of

these

ghosts.

Threetofive timesmorethanthe

physiological

content

of erythrocyte

membranewas

found

tobe

incorporated

into normal ghosts. However, in contrastto

protein

4.

1-deficient

membranes,

this

excess

protein

4.1 hadno

effect

onmembrane

stability,

asshown in

Fig.

5. To

determine

ifthis

incorporated

protein

4.1

is

closely associated with the membrane skeleton, washed and resealed membranes were treated

with Triton

X-100. This treatment resulted in the reduction of

membrane-associated

protein

4.1

from

threetofive

times

theamountof normal to<50%

higher

than normal content,

suggesting

thata

large

portion of

the

entrapped

protein

4.1

is

not

tightly

bound tothe membrane skeleton.

Similarly,

inone

experiment,

treat-ment

of reconstituted protein 4.1-deficient

membranes

with

Triton X-100

resulted in a

50%

decrease in

membrane-associated

protein 4.1.

This

suggests that a

fraction of

theentrapped 4.1

tightly

bound to the

skeleton

may be

responsible

for restoration

of

membrane

stability.

- Figure 4. Restoration of membrane - stabilitytopartially protein4.

1-defi-Normal cienterythrocyteghosts.Ghosts pre-paredfrom deficient cellswere incu-batedwith0, 70, 200, 350,and 560 ug/ml ofprotein4.1beforeresealing. 0

°g/ml

Increasing the concentration of

pro-350 tein 4.1 resulted in a decrease in the 560

rateoffragmentation.Membrane stabilitywasrestoredtonear-normal valuesat aprotein concentration of 560

Ag/ml

(A).Additionof350and

560

Ag/ml

ofprotein4.1 after reseal

I ing did not alter the rate of

frag-50 100 mentation and hence membrane

sta-Time (Seconds) bility(B).

Discussion

Our

ability

to restore

mechanical

stability

to unstable

protein

4.1-deficient membranes by addition of the missing protein provides the most direct evidence that protein 4.1 has a direct effect upon membrane

stability.

The

finding

that

protein

4.1 can restore membrane stability only when it has access to the cell

interior

implies

that

functional binding sites

for thisprotein are

localized in

the

cytoplasmic

domain

of

the membrane. Fur-thermore, the

finding

that entrapment

of

excess

protein

4.1into normal membranes does not alter their stability implies that nonspecific association of protein 4.1 can have no effect on membrane stability. This

further implies

that therestoration of

stability

to

deficient

membranes must be throughits

functional

association with

othermembrane components.

t-2:

E2

50 100 150

Time(seconds)

200

100 Time(Seconds)

Figure 5.Membrane stability isunaltered by nonspecific binding of protein 4.1 to normal membranes. Normal erythrocytes were lysed,

incubated with0, 560, and 930

,g/ml

of purified protein 4.1, and re-sealed. Themembrane stabilitywasunaltered by the addition of

puri-fied protein4.1.

Figure 6. Membrane stabilityisunaltered by incorporation ofspectrin and albuminintopartiallyprotein4.1-deficienterythrocyte ghosts.

Ghosts prepared from deficient membraneswereincubated with620 and 1,240

lAg/ml

ofpurifiedspectrindimer and with 500 and 1,000

,sg/ml

of humanserumalbumin.Themembranestabilitywas mini-mally alteredby theincorporation ofeither spectrin or human serum

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4.1 b~'

1 2 3 4 1

2'

3

4'

Figure7.SDS-PAGE analysis of erythrocyte membranes totally defi-cient in protein4.1 reconstituted with purified protein. Proteins4. la

(80,000 mol wt) and4.lb (78,000 mol wt), the principal constituents of the preparation used for reconstitution,areshownin theleftlane. Minoramountsofpolypeptides withmolecularweightsof 87,000, 85,000, and 67,000canalso beseeninthis protein preparation. These

polypeptideshavepreviously been showntobe sequence-relatedto the

principal constituents(39). Lanes 1-4 are membranes that have been

reconstituted with0,200,560, and930,ug/ml,respectively, of purified proteinbefore resealing. After resealing,the membranes were washed

with isotonic buffertoremoveunboundprotein4.1fromtheoutside. The membraneswerethen relysedandwashedwith hypotonic buffer

toremoveunboundprotein4.1from the cell interior. Addition of

in-creasingconcentrations of the protein resulted in increasedamounts

of protein4.1 boundtothe membrane.LanesJ'-4'aremembranes from ghoststowhich0,200,560,and930

,g/ml,

respectively, of puri-fied protein4.1 wasaddedafter resealing. After incubationat37°C for 60 min, theywerewashedandlysedasdescribedabovebefore analy-sis. Protein4.1 boundtothesemembranesrepresents theinteraction ofaddedprotein only withthe outersurface of the membrane.

Amountsof proteins4. 1a, 4. 1b, and 4.2 shown by thearrowswere

quantitated by densitometric analysis.

Since

protein

4.1hasbeen showntomodulate spectrin-actin interaction in

vitro (19-21),

it is likely that protein 4.1 maintains membrane stability through its

ability

topromotethis interac-tion.

Support

for this molecular mechanismcanalsobeinferred from the

finding

that erythrocytes

from patients

with hereditary

spherocytosis

inwhicha

defective protein

4.

1-spectrin

association

has been documented also showareduction in membrane

sta-bility (15). Recently,

protein 4.1 has also been showntobindto

inside-out erythrocytic residues from which protein 4.1,

spectrin,

ankyrin,

and actin have been depleted (27). This finding has been usedto suggestthat protein 4.1 maylink the skeleton to

the lipid bilayer by association with integral membrane

pro-tein(s). Atleast three candidate proteins (glycophorin A

[28],

glycophorin

C

[29],

andband 3 [30])

have

been suggested for this binding. Fromourdata, it isnotpossibletoinfer which of these biochemical interactions contributetothe restoration of membrane stabilityseenin thepresent

study.

Although it isnot surprising that the added protein 4.1 is ableto physically bindtoprotein 4.1-deficient membranes, it

isnotablethat this bound protein is able to restore a functional defect of the membrane. This

implies

thatsomeof the bound protein 4.1 is able to integrate into the abnormal membrane skeletal organization andrestore itto a morenormal state of organization. It also suggeststhat the erythrocytic membrane skeleton isadynamicstructureinto which missing skeletal

pro-teincomponents canbe reintegratedevenafterit has been fully assembledonthe membrane.

Onepreviousstudyhas alsodefinedafunctional role for a

skeletal protein by incorporating the protein into deficient erythrocytes (31). This involved incorporation of spectrin into spectrin-deficient (sph/sph)mutant mouseerythrocytes. Recon-stitution of spectrin by exchange hemolysiswasshownto result inapartialcorrectionofthe instabilityof these cells.Generation of myelin figures and membrane lipid losswereused todocument changes in cell stability.

Recently, protein4.1-like polypeptides that react with

an-tierythrocyte protein4.1IgG havebeenfoundinplatelets, poly-morphonuclear leukocytes, lymphocytes, fibroblasts, lens, and brain (32-38). However, the function of nonerythroid

protein

4.1 hasnotyetbeen defined. The resultsofthis study support afunctional role for this protein in maintaining membrane

me-chanical stabilityinerythrocytes.

Acknowledgments

The authorswould liketoacknowledge theexpert assistance of Mr.

JamesHarrisin the preparation of thismanuscript.Wewould also like

tothank the Bradai family for their cooperation.

This work was supported by grants AM16095, AM26263, and AM32094from the National Institutes of Health.

References

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2. Lux, S.E. 1979.Dissectingthe redcellmembrane skeleton.Nature

(Lond.).281:426-429.

3. Branton, D., C. M. Cohen, andJ.Tyler. 1981. Interaction of cytoskeletalproteinsonthehumanerythrocytemembrane.Cell. 24:24-32.

4. Marchesi, V. T. 1983. Thered cellmembrane skeleton: recent progress.Blood.61:1-11.

5.Evans, E. A., and R. M. Hochmuth. 1977.Asolid-liquidcomposite

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