A variant of the EPB3 gene of the anti-Lepore type in hereditary spherocytosis

Paola Bianchi, Alberto Zanella, Nicole Alloisio, Giovanni Barosi, Elena Bredi, Giovanni Pelissero, Manuela Zappa, Cristina Vercellati, Luciano Baronciani, Jean Delaunay, Girolamo Sirchia

Research output: Contribution to journalArticle


The EPB3 gene encodes band 3 (anion exchanger 1) of the red cell membrane. A subset of hereditary spherocytosis (HS) is associated with EPB3 gene mutations and band 3 deficiency. We report a large Italian family in which 10 of the 27 members investigated displayed an autosomal dominant HS. SDS-PAGE revealed a reduction in band 3 in the patients. Screening of the Pst I polymorphic site confirmed the linkage of HS with the EPB3 gene. Analysis of complementary and genomic DNA showed a large additional segment. Nucleotide sequencing disclosed an in-frame duplication of 69 nucleotides (nt) including a triplet of intronic origin and a genuine exonic duplication of 66 nt. Two CCTGC sequences occurred close to one another, one near the intron 12 acceptor splice site (nt -7 to -3), and the other within exon 13 (nt 1494-1498). We assumed that the abnormal allele arose from an unequal recombination event of the anti-Lepore type between the two CCTGC sequences. At the level of the mutated protein, termed band 3 Milano, the additional segment (Gin plus duplication of residues 478-499) corresponded to the last part of the third transmembrane domain (TM3), the entire second outer loop and part of TM4 as it is currently defined in hydropathy analysis. After deglycosylation of band 3, only the normal band was detected, supporting the view that band 3 Milano is probably not incorporated into the membrane.

Original languageEnglish
Pages (from-to)283-288
Number of pages6
JournalBritish Journal of Haematology
Issue number2
Publication statusPublished - 1997


  • Band 3 protein
  • Congenital haemolytic anaemia
  • DNA duplication
  • Erythrocyte membrane
  • Hereditary spherocytosis

ASJC Scopus subject areas

  • Hematology

Fingerprint Dive into the research topics of 'A variant of the EPB3 gene of the anti-Lepore type in hereditary spherocytosis'. Together they form a unique fingerprint.

  • Cite this

    Bianchi, P., Zanella, A., Alloisio, N., Barosi, G., Bredi, E., Pelissero, G., Zappa, M., Vercellati, C., Baronciani, L., Delaunay, J., & Sirchia, G. (1997). A variant of the EPB3 gene of the anti-Lepore type in hereditary spherocytosis. British Journal of Haematology, 98(2), 283-288.