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Bombay Blood Type

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Proc. Nati. Acad. Sci. U S A Vol. 9 1 , p p. 5843-5847, June 1994 Medical Sciences Molecular basis fo r H blood group i n Bombay (Oh) a n d para-Bombay individuals (ABO blood group/Secretor blood group/oligosaccharide biosynthesis/fucosyltransferase/surface antigen) ROBERT J . KELLY*, LINDA K . ERNST*, ROBERT D . LARSENt, JANE G . BRYANT , JUDY S. ROBINSON§, AND JOHN B . LOWE*t¶ *Howard Hughes Medical Institute a n tDepartment of Pathology, University o f Michigan, Medical Science Research Building I Room 3510, 1150 West Drive, An n Arbor M I 48109-0650; §American Red Cross Reference Laboratory, 2425 Park Road, Charlotte, N C 28203; a n d tUniversity o f Kentucky Blood Bank, Room HA628, University o f Kentucky Medical Center, 8 0 0 Rose Street, Lexington, KY 40536 Communicated b y Robert L . Hill, December 9, 1993 ABSTRACT T h e penultimate step i n t h e biosynthesis o f the human A B O blood group oligosaccharide antigens i s cat- alyzed b y a-(1,2)-fucosyltransferase(s) (GDP-L-fucose:flD- galactoside 2-a-L-fucosyltransferase, E C 2.4.1.69), whose e x - pression i s determined b y t h e H a n d Secretor (SE) blood group loci (also known a s FUTI a n d FUT2, respectively). These enzymes construct Fucal -) 2Galh3-linkages, known a s H determinants, which a r e essential precursors t o the A a n d B antigens. Erythrocytes from individuals with the rare Bombay a n d para-Bombay blood group phenotypes a r e deficient i n H determinants, a n d thus A a n d B determinants, as a conse- quence o f apparent homozygosity fo r null alleles a t t h e H locus. W e report a molecular analysis o f a human a-(1,2)- fucosyltransferasegene, thought t o correspond t o t h e H blood group locus, i n a Bombay pedigree a nd a para-Bombay pedi- gree. W e find inactivating point mutations i n t h e coding regions o f both alleles f this gene i n each H-deficient individual. These results define t h e molecular basis f o r H blood group antigen deficiency in Bombay a n d para-Bombay phenotypes, provide compelling evidence that this gene represents t he human H blood group locus, a n d strongly support a hypothesis that t h e H a n d SE loci represent a-(1,2)-fucosyltransferase genes. Candidate sequences fo r t h e human S E locus are identified b y low-stringency Southern blot hybridization anal- yses, using a probe derived from t h e H a-(1,2)-fucosyltrans- ferase gene. The antigens determined b y t h e human A B O blood group locus a r e oligosaccharide molecules constructed b y t h e s e - quential action o f specific glycosyltransferases. T h e final step i n this pathway i s catalyzed b y allelic glycosyltransferases encoded b y th e A B O locus. These enzymes require a pre- cursor oligosaccharide substrate (Fucal -* 2Galf-) known a s t he H blood group antigen, constructed b y a-(1,2)-fucosyl- transferase(s) [a(1,2)FTs; GDP-L-fucose:43D-galactoside 2-a-L-fucosyltransferase, E C 2.4.1.69]. Genetic a n d bio- chemical observations a re consistent with a hypothesis that t h e H a n d Secretor (SE) blood group loci (also known as FUTI a d FUT2, respectively) correspond to distinct a(1,2)FT genes with tissue-specific expression patterns a n d close genetic linkage o n chromosome 1 9 (1-6). Under this two-locus model (2), the human H bloodgroup locus deter- mines expression of t h e H antigen ( a s well a s A and/or B antigens) i n t h e erythroid lineage, whereas t h e S E locus controls H expression (and thus A o r B antigen expression) i n a variety o f secretory epithelia a n d i n saliva (Table 1 ) . Nearly a l l humans maintain atleast o n e functional H allele (1). Roughly 8 0 % of these (Secretors) also maintain at least on e functional S E allele, whereas t h e remainder (non- Table 1 . Phenotypes a n d predicted genotypes a t t he human H a n d SE blood group loci (see ref. 2 ) Phenotype Secretory Trivial name Erythroid epithelia Genotype Secretor H positive H positive H/H, SE/- Non-Secretor H positive H negative H/H, se/se para-Bombay (h/h H H positive SE/- Bombay (h/h non-Secretor) H negative H negative h/h, se/se Secretors) a r e homozygous f o r null alleles a t t h e S E locus. Individuals o f t h e rare Oh (Bombay) phenotype ( 1 , 7 ) lack H determinants i n a l l tissues a n d a r e thought to b e homozygous f r null alleles a t both loci (Table 1 ) (2). Other rare individ- uals, o f t h e para-Bombay phenotype (1 , 8 ) , synthesize H determinants in their secretory epithelia b u t n o t in the erythroid lineage (1). These persons a r e believed t o b e homozygous for null alleles a t t he H locus ( 1 , 2 ) b u t appar- ently have a t least o n e functional S E allele. T h e basis f o r null alleles a t these loci ha s n o t been defined, n o r h a s t h e two-locus hypothesis confirmed a t th e molecular level. W e have previously isolated a human a(1,2)FT cDNA whose cognate enzyme is kinetically similar to that o f the H a(1,2)FT a n d whose chromosomal location (number 1 9 ) is syntenic t o the H blood group locus (9). confirm th e hypothesis that this cDNA corresponds to t h e H locus, a n d t o identify t h e molecular basis f o r deficiency o f H determinants i n presumed h / h individuals, w e determined t h e genomic structure a n d sequence of a wild-type allele a n d compared i t t o alleles taken from H-deficient individuals. Inactivatingpoint mutations were identified within th e coding portions ofeach such allele, including alleles i n individuals with wild-type S E locus-determined H antigen expression. These results yield a molecular explanation f o r A BH blood group deficiency in Bombay a n d para-Bombay individuals, provide genetic support f or assignment of this a(l,2)FT gene t o t h e H locus, a nd indicate that t he S E locus represents a n a(1,2)FT gene distinct from th e H locus. MATERIALS A N D METHODS Cloning o f a(1,2)FT Alleles. Genomic DNA sequences corresponding t o a previously described human a(1,2)FT cDNA [pCDM7-a(1,2)FT; ref. 9 ] were isolated from phage genomic DNA libraries prepared from leukocyte DN A iso- lated from a n H-positive individual an d from a n H-deficient Abbreviation: a(1,2)FT, a-(1,2)-fucosyltransferase.  T o whom reprint requests should b e addressed. 5843 T h e publication costs o f this article were defrayed i n part b y page charge payment. This article must therefore b e hereby marked  advertisement in accordance with 1 8 U.S.C. §1734 solely t o indicate this fact.
Transcript

 

P r o c . N a t i . A c a d .

S c i . USA

V o l . 9 1 , p p . 5 8 4 3 - 5 8 4 7 , J u n e 1 9 9 4

M e d i c a l S c i e n c e s

M o l e c u l a r b a s i s f o r H b l o o d

g r o u p

i n

Bombay ( O h )

a n d

p a r a - B o m b a y

i n d i v i d u a l s

(ABO b l o o d

g r o u p / S e c r e t o r b l o o d g r o u p / o l i g o s a c c h a r i d e

b i o s y n t h e s i s / f u c o s y l t r a n s f e r a s e / s u r f a c e a n t i g e n )

ROBERT J .

K E L L Y * ,

LINDA K .

E R N S T * ,

ROBERT

D .

L A R S E N t ,

JANE G .

B R Y A N T ,

JUDY S .

R O B I N S O N § ,

AND JOHN B . LOWE*t¶

* H o w a r d H u g h e s M e d i c a l I n s t i t u t e a n

t D e p a r t m e n t

o f

P a t h o l o g y , U n i v e r s i t y

o f

M i c h i g a n ,

M e d i c a l S c i e n c e R e s e a r c h

B u i l d i n g I

Room

3 5 1 0 ,

1 1 5 0 W e s t

D r i v e ,

An n

A r b o r

MI

4 8 1 0 9 - 0 6 5 0 ;

§ A m e r i c a n R e d C r o s s

R e f e r e n c e

L a b o r a t o r y ,

2 4 2 5 P a r k

R o a d ,

C h a r l o t t e ,

NC

2 8 2 0 3 ;

a n d

t U n i v e r s i t y

o f

K e n t u c k y

B l o o d

B a n k ,

Room

H A 6 2 8 ,

U n i v e r s i t y

o f

K e n t u c k y

M e d i c a l

C e n t e r ,

8 0 0 R o s e

S t r e e t ,

L e x i n g t o n ,

KY 4 0 5 3 6

C o m m u n i c a t e d

b y

R o b e r t L .

H i l l ,

D e c e m b e r

9 ,

1 9 9 3

ABSTRACT

T h e p e n u l t i m a t e

s t e p

i n

t h e

b i o s y n t h e s i s

o f

t h e

h u m a n AB O b l o o d g r o u p o l i g o s a c c h a r i d e

a n t i g e n s

i s

c a t -

a l y z e d b y a - ( 1 , 2 ) - f u c o s y l t r a n s f e r a s e ( s ) ( G D P - L - f u c o s e : f l D -

g a l a c t o s i d e

2 - a - L - f u c o s y l t r a n s f e r a s e ,

EC

2 . 4 . 1 . 6 9 ) ,

w h o s e e x -

p r e s s i o n

i s d e t e r m i n e d

b y

t h e

H a n d

S e c r e t o r

( S E )

b l o o d

g r o u p

l o c i ( a l s o k n o w n a s FUTI a n d F U T 2 ,

r e s p e c t i v e l y ) .

T h e s e

e n z y m e s

c o n s t r u c t F u c a l

-)

2 G a l h 3 - l i n k a g e s , k n o w n a s H

d e t e r m i n a n t s ,

w h i c h

a r e e s s e n t i a l

p r e c u r s o r s

t o t h e A a n d B

a n t i g e n s .

E r y t h r o c y t e s

f r o m i n d i v i d u a l s w i t h t h e r a r e

B o m b a y

a n d

p a r a - B o m b a y

b l o o d

g r o u p p h e n o t y p e s

a r e d e f i c i e n t i n H

d e t e r m i n a n t s ,

a n d t h u s A a n d

B

d e t e r m i n a n t s ,

a s

a c o n s e -

q u e n c e

o f

a p p a r e n t

h o m o z y g o s i t y

f o r n u l l a l l e l e s a t t h e H l o c u s .

W e r e p o r t

a m o l e c u l a r

a n a l y s i s

o f

a human

a - ( 1 , 2 ) -

f u c o s y l t r a n s f e r a s e g e n e , t h o u g h t

t o

c o r r e s p o n d

t o t h e H

b l o o d

g r o u p l o c u s ,

i n

a

B o m b a y p e d i g r e e

a n d

a

p a r a - B o m b a y p e d i -

g r e e .

W e f i n d

i n a c t i v a t i n g p o i n t m u t a t i o n s

i n

t h e

c o d i n g r e g i o n s

o f b o t h a l l e l e s

f

t h i s

g e n e

i n

e a c h H - d e f i c i e n t

i n d i v i d u a l .

T h e s e

r e s u l t s d e f i n e t h e

m o l e c u l a r b a s i s f o r

H

b l o o d

g r o u p

a n t i g e n

d e f i c i e n c y

i n

B o m b a y

a n d

p a r a - B o m b a y

p h e n o t y p e s , p r o v i d e

c o m p e l l i n g

e v i d e n c e

t h a t t h i s

g e n e r e p r e s e n t s

t h e human

H

b l o o d

g r o u p

l o c u s ,

a n d

s t r o n g l y s u p p o r t

a

h y p o t h e s i s

t h a t

t h e

H a n d

SE l o c i

r e p r e s e n t a - ( 1 , 2 ) - f u c o s y l t r a n s f e r a s e

g e n e s .

C a n d i d a t e

s e q u e n c e s

f o r t h e human SE l o c u s a r e

i d e n t i f i e d b y l o w - s t r i n g e n c y

S o u t h e r n

b l o t

h y b r i d i z a t i o n

a n a l -

y s e s ,

u s i n g

a

p r o b e

d e r i v e d f r o m

t h e

H

a - ( 1 , 2 ) - f u c o s y l t r a n s -

f e r a s e

g e n e .

T h e

a n t i g e n s d e t e r m i n e d

b y

t h e h u m a n

AB O b l o o d

g r o u p

l o c u s

a r e

o l i g o s a c c h a r i d e

m o l e c u l e s c o n s t r u c t e d

b y

t h e

s e -

q u e n t i a l

a c t i o n o f

s p e c i f i c g l y c o s y l t r a n s f e r a s e s .

T h e

f i n a l

s t e p

i n

t h i s

p a t h w a y

i s

c a t a l y z e d

b y

a l l e l i c

g l y c o s y l t r a n s f e r a s e s

e n c o d e d

b y

t h e

AB O

l o c u s . T h e s e

e n z y m e s

r e q u i r e

a

p r e -

c u r s o r

o l i g o s a c c h a r i d e

s u b s t r a t e

( F u c a l

- *

2 G a l f - )

k n o w n a s

t h e

H b l o o d

g r o u p a n t i g e n ,

c o n s t r u c t e d

b y a - ( 1 , 2 ) - f u c o s y l -

t r a n s f e r a s e ( s ) [ a ( 1 , 2 ) F T s ; G D P - L - f u c o s e : 4 3 D - g a l a c t o s i d e

2 - a - L - f u c o s y l t r a n s f e r a s e ,

EC

2 . 4 . 1 . 6 9 ] .

G e n e t i c

a n d b i o -

c h e m i c a l

o b s e r v a t i o n s a r e c o n s i s t e n t w i t h a

h y p o t h e s i s

t h a t

t h e H a n d

S e c r e t o r ( S E ) b l o o d

g r o u p

l o c i

( a l s o k n o w n a s

FUTI a d

F U T 2 , r e s p e c t i v e l y ) c o r r e s p o n d t o d i s t i n c t

a ( 1 , 2 ) F T g e n e s

w i t h

t i s s u e - s p e c i f i c

e x p r e s s i o n p a t t e r n s a n d

c l o s e

g e n e t i c

l i n k a g e

o n

c h r o m o s o m e

1 9 ( 1 - 6 ) . U n d e r

t h i s

t w o - l o c u s

m o d e l

( 2 ) , t h e h u m a n

H

b l o o d g r o u p l o c u s d e t e r -

m i n e s

e x pr e ss i o n o f t h e H

a n t i g e n ( a s w e l l a s A a n d / o r B

a n t i g e n s )

i n

t h e

e r y t h r o i d l i n e a g e ,

w h e r e a s t h e SE l o c u s

c o n t r o l s

H

e x p r e s s i o n ( a n d

t h u s A o r B

a n t i g e n

e x p r e s s i o n )

i n a

v a r i e t y o f s e c r e t o r y e p i t h e l i a a n d i n

s a l i v a ( T a b l e 1 ) .

N e a r l y

a l l h u m a n s

m a i n t a i n a t l e a s t o n e

f u n c t i o n a l H a l l e l e

( 1 ) .

R o u g h l y 8 0 % o f t h e s e

( S e c r e t o r s ) a l s o m a i n t a i n

a t l e a s t

o n e

f u n c t i o n a l SE

a l l e l e , w h e r e a s t h e r e m a i n d e r ( n o n -

T a b l e 1 . P h e n o t y p e s

a n d

p r e d i c t e d g e n o t y p e s

a t

t h e h u m a n H

a n d SE b l o o d

g r o u p l o c i ( s e e r e f . 2 )

P h e n o t y p e

S e c r e t o r y

T r i v i a l name

E r y t h r o i d e p i t h e l i a G e n o t y p e

S e c r e t o r

H

p o s i t i v e

H

p o s i t i v e H/H, SE/-

N o n - S e c r e t o r H p o s i t i v e H n e g a t i v e H/H,

s e / s e

p a r a - B o m b a y

( h / h

H

H

p o s i t i v e SE/-

Bombay

( h / h

n o n - S e c r e t o r )

H

n e g a t i v e

H

n e g a t i v e h / h , s e / s e

S e c r e t o r s )

a r e

h o m o z y g o u s

f o r n u l l a l l e l e s

a t t h e SE

l o c u s .

I n d i v i d u a l s

o f t h e r a r e O h ( B o m b a y ) p h e n o t y p e ( 1 , 7 )

l a c k H

d e t e r m i n a n t s i n a l l t i s s u e s a n d a r e t h o u g h t t o b e

h o m o z y g o u s

f r n u l l a l l e l e s a t b o t h

l o c i

( T a b l e 1 )

( 2 ) .

O t h e r r a r e

i n d i v i d -

u a l s , o f t h e p a r a - B o m b a y p h e n o t y p e ( 1 ,

8 ) , s y n t h e s i z e H

d e t e r m i n a n t s

i n

t h e i r

s e c r e t o r y e p i t h e l i a b u t n o t i n t h e

e r y t h r o i d l i n e a g e ( 1 ) .

T h e s e

p e r s o n s

a r e b e l i e v e d

t o

b e

h o m o z y g o u s f o r

n u l l

a l l e l e s

a t t h e

H

l o c u s

( 1 , 2 ) b u t

a p p a r -

e n t l y h a v e a t

l e a s t o n e f u n c t i o n a l SE a l l e l e .

T h e b a s i s f o r n u l l

a l l e l e s

a t

t h e s e l o c i h a s

n o t b e e n d e f i n e d ,

n o r h a s t h e

t w o - l o c u s

h y p o t h e s i s c o n f i r m e d a t

t h e

m o l e c u l a r l e v e l . W e h a v e

p r e v i o u s l y i s o l a t e d a h u m a n

a ( 1 , 2 ) F T

cDNA w h o s e

c o g n a t e e n z y m e i s k i n e t i c a l l y

s i m i l a r

t o

t h a t

o f t h e H

a ( 1 , 2 ) F T

a n d w h o s e c h r o m o s o m a l

l o c a t i o n

( n u m b e r 1 9 )

i s

s y n t e n i c

t o t h e H b l o o d g r o u p l o c u s ( 9 ) .

c o n f i r m

t h e

h y p o t h e s i s

t h a t t h i s

cDNA c o r r e s p o n d s t o t h e H

l o c u s , a n d t o

i d e n t i f y

t h e m o l e c u l a r

b a s i s f o r d e f i c i e n c y o f

H

d e t e r m i n a n t s i n

p r e s u m e d

h / h

i n d i v i d u a l s ,

we d e t e r m i n e d t h e

g e n o m i c

s t r u c t u r e a n d

s e q u e n c e o f a

w i l d - t y p e a l l e l e a n d

c o m p a r e d

i t

t o a l l e l e s t a k e n

f r o m

H - d e f i c i e n t

i n d i v i d u a l s .

I n a c t i v a t i n g p o i n t m u t a t i o n s w e r e

i d e n t i f i e d w i t h i n t h e

c o d i n g

p o r t i o n s

o f e a c h s u c h

a l l e l e , i n c l u d i n g

a l l e l e s

i n i n d i v i d u a l s

w i t h w i l d - t y p e SE l o c u s - d e t e r m i n e d

H

a n t i g e n e x p r e s s i o n .

T h e s e r e s u l t s

y i e l d a m o l e c u l a r

e x p l a n a t i o n f o r A B H

b l o o d

g r o u p

d e f i c i e n c y

i n B o m b a y

a n d

p a r a - B o m b a y i n d i v i d u a l s ,

p r o v i d e

g e n e t i c

s u p p o r t f o r a s s i g n m e n t

o f

t h i s

a ( l , 2 ) F T

g e n e

t o t h e H

l o c u s ,

a n d i n d i c a t e t h a t t h e SE l o c u s

r e p r e s e n t s a n

a ( 1 , 2 ) F T

g e n e

d i s t i n c t f r o m t h e H

l o c u s .

M A T E R I A LS

AN D

M E T H O D S

C l o n i n g

o f

a ( 1 , 2 ) F T A l l e l e s .

G e n o m i c DNA s e q u e n c e s

c o r r e s p o n d i n g

t o

a

p r e v i o u s l y d e s c r i b e d h u m a n a ( 1 , 2 ) F T

cDNA

[ p C D M 7 - a ( 1 , 2 ) F T ;

r e f . 9 ] w e r e i s o l a t e d f r o m

p h a g e

g e n o m i c DNA

l i b r a r i e s p r e p a r e d

f r o m

l e u k o c y t e DNA i s o -

l a t e d f r o m a n

H - p o s i t i v e

i n d i v i d u a l a n d

f r o m a n H - d e f i c i e n t

A b b r e v i a t i o n :

a ( 1 , 2 ) F T , a - ( 1 , 2 ) - f u c o s y l t r a n s f e r a s e .

  T o

w h o m

r e p r i n t r e q u e s t s s h o u l d b e

a d d r e s s e d .

5 8 4 3

T h e

p u b l i c a t i o n c o s t s o f t h i s a r t i c l e w e r e

d e f r a y e d

i n p a r t b y p a g e

c h a r g e

p a y m e n t .

T h i s

a r t i c l e m u s t t h e r e f o r e b e

h e r e b y

m a r k e d

  a d v e r t i s e m e n t

i n a c c o r d a n c e w i t h 1 8 U . S . C .

§ 1 7 3 4 s o l e l y

t o i n d i c a t e t h i s

f a c t .

 

5 8 4 4

M e d i c a l S c i e n c e s : K e l l y e t a l .

i n d i v i d u a l ( X ; Bombay p h e n o t y p e ) ( 1 0 ) .

L i b r a r i e s w e r e

s c r e e n e d

b y

p l a q u e h y b r i d i z a t i o n ( 1 1 ) u s i n g

a 1 . 2 - k b

H i n f l

f r a g m e n t i s o l a t e d f r o m t h e i n s e r t

i n p C D M 7 - a ( 1 , 2 ) F T ( 9 ) .

A d j a c e n t E c o R I f r a g m e n t s o f 2 . 7 a n d . 5 k b f r o m a s i n g l e

p h a g e w e r e s u b c l o n e d i n t o t h e u n i q u e E c o R I s i t e i n t e v e c t o r

pWE15 ( S t r a t a g e n e ) . B o t h s t r a n d s o f t h e s e f r a g m e n t s w e r e

s e q u e n c e d

b y u s i n g o l i g o n u c l e o t i d e p r i me r s c o r r e s p o n d i n g t o

t h e i n s e r t

s e q u e n c e .

T h e c o d i n g s e q u e n c e s o f t h e t w o a l l e l e s

( Y 1 a n d Y 2 ) f r o m

a p a r a - B o m b a y i n d i v i d u a l w e r e g e n e r a t e d

w i t h t h e PCR ( 1 1 ) ,

u s i n g

p r i m e r p a i r s f l a n k i n g t h e m u t a t i o n

i n Y 2 ( F i g .

1 ) .

O n e

p a i r o f t h e s e p r i m e r s a m p l i f i e s a

s e q u e n c e

b e t w e e n a p o s i t i o n

w i t h i n i n t r o n a t a l o c a t i o n 1 8 7 - 1 5 7

n t 5 ' t o t h e A o f t h e

i n i t i a t i o n c o d o n (GCGCAAGCTTCTCAICCCTiAAAC.

CTAGGACTCAGGCTCT)

a n d a t n t 1 0 3 5 - 1 0 6 5 w i t h i n t h e

c o d i n g

s e q u e n c e ( t a k i n g

t h e A r e s i d u e o f t h e

i n i t i a t i o n

c o d o n

a s n t 1 ,

n u m b e r e d

a s i n

r e f . 9 ; GCGCTCTAGAE[CAT-

TAATGCCCACCCACTCGGGCAG)

a t a s i t e 3 '

t o t h e

Y 2

m u t a t i o n .

T h e o t h e r p r i m e r p a i r a m p l i f i e s

a

s e q u e n c e

b e -

t w e e n n t

6 5 7 a n d 6 8 5 o f

t h e

c o d i n g s e q u e n c e ( 5 '

t o t e

Y 2

m u t a t i o n ; GCGCAAGCTTGCGCCGTGGGGACTATCTG-

CAGGTTATGCC)

a n d b e t w e e n n t 1 1 3 5 a n d 1 1 6 6

w i t h i n

t h e

3 ' u n t r a n s l a t e d

r e g i o n

(GCGCTCTAGACAGGCCTCT-

GAAGCCACGTACTGCTGGCTC).

G e n o m i c DNA w a s

s u b j e c t e d t o 3 0 c y c l e s

o f

a m p l i f i c a t i o n ( d e n a t u r a t i o n

a t

9 4 T C

a

1 k b

exon 1 i n t r o n

5

 

u t

f o r

1 . 5

m i n ;

a n n e a l i n g / e x t e n s i o n f o r 2 . 5

m i n

a t 7 2 0 C ) . F r a g -

m e n t s g e n e r a t ed w i th t h e s e p r i m e r p a i r s w e r e s u b c l o n e d i n t o

pTZ19R

( P h a r m a c i a L K B ) . C l o n e s c o r r e s p o n d i n g t o

a l l e l e

Y ,

a n d t o a l l e l e Y 2 w e r e d i s t i n g u i s h e d b y d i g e s t i o n w i t h B s t N I

( c l e a v e s Y 2 , n o t w i l d t y p e

o r Y 1 ,

a t t h i s p o s i t i o n ) . M u l t i p l e

c l o n e s c o r r e s p o n d i n g t o e a c h a l l e l e w e r e s e q u e n c e d

t o d i s -

t i n g u i s h PCR e r r o r s f r o m a c t u a l s e q u e n c e

p o l y m o r p h i s m s .

T h e s e a n a l y s e s i d e n t i f i e d t h e m u t a t i o n i n

t h e Y 1 a l l e l e c o r -

r e s p o n d i n g t o a m i n o a c i d r e s i d u e 1 6 4 a n d i n d i c a t e d

t h a t t h e

Y 1

a n d Y 2 c o d i n g r e g i o n s a r e o t h e r w i s e i d e n t i c a t o

t h e

w i l d - t y p e

c o d i n g r e g i o n .

E x p r e s s i o n V e c t o r C o n s t r u c t i o n a n d A n a l y s i s .

E x p r e s s i o n

v e c t o r s c o n t a i n i n g s i n g l e o r m u l t i p l e m u t a t i o n s w e r e a s s e m -

b l e d w i t h r e s t r i c t i o n f r a g m e n t e x c h a n g e p r o c e d u r e s ( 1 1 ) ,

u s i n g r e s t r i c t i o n s i t e s i n t h e 6 . 5 - k b E c o R I f r a g m e n t t h a t

e n c o m p a s s e s t h e t w o

a ( 1 , 2 ) F T

e x o n s

( F i g . 1 ) , c l o n e d i n t o

t h e

E c o R I s i t e

o f v e c t o r pWE15 ( 1 2 ) . D e t a i l s o f v e c t o r c o n s t r u c -

t i o n s a r e a v a i l a b l e f r o m

t h e

a u t h o r s . C O S - 1 c e l l s

w e r e

t r a n s f e c t e d

b y

a D E A E - d e x t r a n p r o c e d u r e ( 1 1 ) . A c o n t r o l

v e c t o r (pCDM7-CAT) e n c o d i n g c h l o r a m ph e n i c o l a c e t y l -

t r a n s f e r a s e [ d e r i v e d

f r o m

pSV2-CAT ( 1 1 )

a n d

pCDM7 ( 9 ) ]

w a s c o t r a n s f e c t e d t o a l l o w n o r m a l i z a t i o n f o r t r a n s f e c t i o n

e f f i c i e n c y .

C e l l e x t r a c t s w e r e

p r e p a r e d 7 2

h r

a f t e r t r a n s f e c -

t i o n

( 9 )

a n d

w e r e

u s e d i n

a ( 1 , 2 ) F T a c t i v i t y a s s a y s ( 1 2 )

p e r f o r m e d

i n

d u p l i c a t e

u n d e r

l i n e a r

r e a c t i o n c o n d i t i o n s .

e x o n

2

c o d i n g r e g i o n

:

X.

1 .

y

K

X

(

  7 ~

r

oL

B o m b a y

X 1

w i l d - t y p e

...t t t t t t t t

aagacag...

B o m b a y

.

.

. t t t t t t t t o a a g a c a g . . .

X 2 w i l d - t y p e

... . t g c t g g g a t t a c a g g

...

B o m b a y

...t g c t g g g g t t a c a g g ...

X 3 w i l d - t y p e

B o m b a y

...g c c t c a g t g c a t t t g ...

...

g c c t c a g g g c a t t t g

...

B s t N I

X 4 w i l d - t y p e

...

G C T

G C C

T A C

C T G G C T

...

* - -

A

A

Y 3 1 6 L

A ...

A / u l

B o m b a y

... G C T

G C CTAC

TG GCT

... A

A

S t o p

p a r a - B o m b a y

A I u l

Y 1

w i l d - t y p e

. . . C T G A A G

C T C

T C T

G G C . . .

* - -

L K

L 1 6 4 S

G ...

p a r a - B o m b a y

. . . C T G

A A G C A C T C T

G G C

. . .

.. .

L K H

S G . . .

B s t N I

Y 2

w i l d - t y p e

... A C C T C C

C A G G G C G A T ...

 

T

S Q 2 7 6 G

D ...

B f a l

p a r a - B o m b a y

...

A C C T C C

J A G

G G C G A T

.. .

...

T

S

S t o p

.. .

X 5

w i l d - t y p e

..

. g t t g g c c g g g a t g g t ...

B o m b a y

...

g t t g g c c a g g a t g g t

 

X 6 w i l d - t y p e

...

t t t t t t t

a a t t a t t t . . .

B o m b a y

...

t t t t t t t t a a t t a t t t

...

F I G . 1 . S t r u c t u r e o f w i l d - t y p e

a n d

m u t a n t

a ( 1 , 2 ) F T

a l l e l e s .

( a )

S c a l e a n d l i n e a r

map

o f t h e

g e n e . C o d i n g p o r t i o n

o f

exon

2 i s d e n o t e d

b y

t h e s o l i d a r e a .

N o n c o d i n g p o r t i o n s

o f exons 1 a n d

2

ar e s h a d e d . P o s i t i o n s o f

DNA

sequence

d i f f e r e n c e s b e t w e e n a

w i l d - t y p e

a l l e l e

a n d a l l e l e s

i s o l a t e d

f r o m H - d e f i c i e n t i n d i v i d u a l s

( X 1 - X 6 , B o m b a y ;

Y 1 a n d

Y 2 , p a r a - B o m b a y )

are

i n d i c a t e d a b o v e t h e s c h e m a t i c .

R e g i o n

i n d i c a t e d

b y

A b e l o w

t h e

map c o r r e s p o n d s t o t r a n s c r i p t i o n

i n i t i a t i o n

s i t e .

DNA

sequence

o f t h i s area i s  

cctcccaagcCCTCGCTGCCAGTCCGGACAGGCT-

GGCGGAGGGGAGGGCCTGCCGGGCCGGATAGCCGGACGCCTGGCGT...,

w h e r e

u n d e r l i n e d

n u c l e o t i d e s

r e p r e s e n t

t h e f i r s t

9 b a s e s

o f t h e h u m a n

a ( 1 , 2 ) F T

cDNA

( 9 ) .

P r i m e r - e x t e n s i o n

a n a l y s e s ( d a t a

n o t

s h o w n )

d e f i n e t h e

g e n e ' s t r a n s c r i p t i o n i n i t i a t i o n s i t e

( b o l d f a c e

C)

i n

a

c e l l

l i n e

( A 4 3 1 )

t h a t

expresses t h i s gene ( 9 , 1 2 ) . R e g i o n

i n d i c a t e d b y

B

c o r r e s p o n d s t o

t h e

5 ' s p l i c e

j u n c t i o n

b e t w e e n

exon

I a n d

t h e i n t r o n

( . . .

AGCAGCTCGGgtaagtgg

...

. ;

i n t r o n i c

sequence

i n l o w e r c a s e

l e t t e r s ) . u t ,

U n t r a n s l a t e d

r e g i o n . R e g i o n

i n d i c a t e d

b y

C i n t h e

s c h e m a t i c

c o r r e s p o n d s

t o t h e

3 '

s p l i c e j u n c t i o n

b e t w e e n t h e

i n t r o n

( l o w e r c a s e

l e t t e r s )

a n d

exon 2

( u p p e r c a s e l e t t e r s ) ( .

.

. c a g l g c a t t t g c t a a t t c g c c t t t c c t c -

c c c t g c a g C C AT G

T GG

CT C  

. ) .

U n d e r l i n e d

t

r e s i d u e i n t h i s

sequence c o r r e s p o n d s

t o m u t a t i o n

X 3 ( s e e b ) .

U n d e r l i n e d

A T G r e s i d u e s

c o r r e s p o n d

t o t h e

e n z y m e ' s

i n i t i a t o r

m e t h i o n i n e c o d o n

( 9 ) .

R e s t r i c t i o n

s i t e s

u s e d

t o

c r e a t e c h i m e r i c

a ( 1 , 2 ) F T

v e c t o r s

( s e e F i g . 2 ) ,

a n d t h e

E c o R I

a n d D r a I s i t e s

u s e d

i n

F i g . 5 ,

ar e

s h o w n

b e l o w .

( b ) S e q u e n c e

d i f f e r e n c e s b e t w e e n

t h e

w i l d - t y p e

a l l e l e a n d t h e H - d ef i c i e nt a l l e l e s .

N u c l e o t i d e

sequence, p r e d i c t e d

a m i n o

a c i d

sequence,

a n d a m i n o a c i d n u m b e r

ar e

s h o w n f o r e a c h

sequence

d i f f e r e n c e . N u c l e o t i d e

sequence

d i f f e r e n c e s

i n

H - d e f i c i e n t a l l e l e s ar e u n d e r l i n e d .

S e q u e n c e

d i f f e r e n c e s

( X 1 - X 6 )

i d e n t i f i e d

i n t h e

Bombay p r o p o s i t u s

X ar e a t l e f t

( B o mb a y ) . P o l y m o r ph i c

B s t N I a n d

A l u

I

s i t e s c o r r e s p o n d i n g

t o

t h e X 4 a l l e l e are o v e r l i n e d . S e q u e n c e d i f f e r e n c e s

( Y 1

a n d

Y 2 )

i d e n t i f i e d

i n

t h e

p a r a - B o m b a y i n d i v i d u a l

Y

ar e s h o w n a t

r i g h t ( p a r a - B o m b a y ) . P o l y m o r p h i c

A l u

I , B s t N I ,

a n d B f a I s i t e s

c o r r e s p o n d i n g

t o

t h e

Y ,

a n d

Y 2

a l l e l e s

ar e

o v e r l i n e d .

I 0

A B

b

............

P r o c . N a t l . Acad S c i . USA

9 1

( 1 9 9 4 )

 

P r o c . N a t l . A c a d . S c i . USA 9 1

( 1 9 9 4 )

5 8 4 5

E x t r a c t s w e r e a l s o

s u b j e c t e d

t o

c h l o r a m p h e n i c o l a c e t y l t r a n s -

f e r a s e a c t i v i t y a s s a y s ( 1 1 ) .

P e d i g r e e A n a l y s e s . H a n d L e w i s b l o o d

g r o u p

p h e n o t y p e s o f

e a c h i n d i v i d u a l w e r e

d e t e r m i n e d b y

s t a n d a r d

b l o o d

t y p i n g

p r o c e d u r e s ( 1 3 ) . F o r PCR a n a l y s e s , g e n o m i c D N A w a s

p r e p a r e d f r o m p e r i p h e r a l b l o o d

( 1 1 ) , o r f r o m

f r e s h l y

p l u c k e d

h a i r s

( 1 4 ) ,

a n d w a s

u s e d a s

PCR t e m p l a t e

u n d e r t h e

r e a c t i o n

c o n d i t i o n s d e s c r i b e d a b o v e . PCR

p r i m e r s

u s e d

t o s a m p l e t h e

X 4

a n d

Y 2 p o s i t i o n s

(GCGCAAGCTTGCGCCGTGGGGAC-

TATCTGCAGGTTATGCC a n d

G C G C T C T A G A Q T f J - Q

CATTAATGCCCACCCACTCGGGCAG)

c o r r e s p o n d

t o

p o s i t i o n s 6 5 7 - 6 8 6 a n d 1 0 3 5 - 1 0 6 5 ,

r e s p e c t i v e l y ,

o f t h e

a 1 , 2 ) F T

cDNA

( 9 ) .

T h i r t y

n u c l e o t i d e s o f

e a c h

p r i m e r

( u n -

d e r l i n e d ) a r e

d e r i v e d f r o m

t h e cDNA

s e q u e n c e .

T e n

f l a n k i n g

n u c l e o t i d e s i n c l u d e a r e s t r i c t i o n s i t e

( L i n d I , AAGCTT;

X b a I ,

T C T A G A ) .

T h e Y 1 p o s i t i o n

w a s

a n a l y z e d u s i n g

n e s t e d

PCR p r i m e r s . T h e o u t e r m o s t p a i r c o r r e s p o n d s

t o

p o s i t i o n s

3 3 5 - 3 6 4

(TCCTGCCTGCCATGCATGCCGCCCTGGCCC)

a n d 6 5 7 - 6 8 6

(GGCATAACCTGCAGATAGTCCCCACG-

GCGC)

o f t h e

a ( 1 , 2 ) F T

cDNA ( 9 ) .

T h e

i n n e r

p a i r

c o r r e -

s p o n d s t o p o s i t i o n s 3 6 6 - 3 9 5

(GGTATTCCGCATCACCCT-

GCCCGTGCTGGC)

a n d 6 2 6 - 6 5 5

(CGTGGACGCCGA-

CAAAGGTGCGCGGGCGGT).

PCR p r o d u c t s w e r e t h e n s u b j e c t e d t o r e s t r i c t i o n e n d o n u -

c l e a s e

d i g e s t i o n

a n d

a c r y l a m i d e g e l

e l e c t r o p h o r e s i s ( s e e

F i g s .

3 a n d

4 ) . P r o d u c t s e n c o m p a s s i n g t h e

Y 1

p o s i t i o n

w e r e a l s o

f i x e d t o n y l o n h y b r i d i z a t i o n m e m b r a n e s a n d p r o b e d w i t h

3 2 P - l a b e l e d

a l l e l e - s p e c i f i c o l i g o n u c l e o t i d e s ( 1 5 )

( w i l d -

t y p e p r o b e ,

CTGAAGCTCTCTGGC;

Y 1 - s p e c i f i c

p r o b e ,

C T -

GAAGCACTCTGGC)

( s e e F i g . 4 ) . F i l t e r s w e r e

h y b r i d i z e d

a t

3 7 0 C i n

5 x s t a n d a r d s a l i n e

p h o s p h a t e / E D T A ( S S P E ) / 5 x

D e n h a r d t ' s

s o l u t i o n / 0 . 5 %

S D S / 0 . 1 mg

o f s h e a r e d s a l m o n

s p e r m

DNA

p e r m l ,

r i n s e d i n 2 x

S S P E / 0 . 1 %

SD S

a t

r o o m

t e m p e r a t u r e ,

w a s h e d

f o r

1 0

m i n

a t 4 2 0 C i n

2 x

S S P E / 0 . 1 %

S D S ,

a n d

s u b j e c t e d

t o

a u t o r a d i o g r a p h y .

RESULTS

To

i d e n t i f y

DNA

s e q u e n c e

d i f f e r e n c e s

t h a t

m i g h t

i n a c t i v a t e

t h e

a ( 1 , 2 ) F T

g e n e

i n

B o m b a y i n d i v i d u a l s ,

we

s e q u e n c e d

= 6 . 5

k b o f

g e n o m i c DNA

e n c o m p a s s i n g

a

w i l d - t y p e

a l l e l e

a n d t h e

c o r r e s p o n d i n g

6 . 5 - k b

r e g i o n

i n

a

B o m b a y

a l l e l e

( F i g . 1 ) .

T h e

B o m b a y

a l l e l e

( i n d i v i d u a l X

i n

F i g . 1 ) d i f f e r s f r o m

t h e

w i l d - t y p e a l l e l e

a t s i x

p o s i t i o n s . T h r e e o f t h e s e

s i n g l e n u c l e -

o t i d e

d i f f e r e n c e s a r e i n t h e

g e n e ' s

s i n g l e i n t e r v e n i n g s e q u e n c e

( X 1 , X 2 , X 3 ) ,

o n e i s

w i t h i n

t h e

c o d i n g r e g i o n ( X 4 ) ,

a n d

t w o

a r e

i n t h e 3 '

u n t r a n s l a t e d

r e g i o n ( X 5 ,

X 6 ) .

T h e s e q u e n c e

d i f f e r -

e n c e t h e

c o d i n g r e g i o n ( X 4 )

i s

a

n o n s e n s e

m u t a t i o n t h a t

c r e a t e s a t e r m i n a t i o n c o d o n

c o r r e s p o n d i n g

t o a m i n o a c i d 3 1 6

o f t h e

w i l d - t y p e

a ( 1 , 2 ) F T

( T y r - 3 1 6

- -

t e r ) .

T h i s

s e q u e n c e

a l t e r a t i o n p r e d i c t s

a m u t a n t

p o l y p e p t i d e

t h a t i s

m i s s i n g

t h e 5 0

C - t e r m i n a l a m i n o a c i d s o f t h e

w i l d - t y p e e n z y m e .

A

N o n s e n s e M u t a t i o n

I n a c t i v a t e s

t h e

a ( 1 , 2 ) F T

G e n e i n

a

B o m b a y

I n d i v i d u a l .

T o c o n f i r m

t h a t t h e

T y r - 3 1 6

- *

t e r

m u t a t i o n i n a c t i v a t e s t h i s

a l l e l e ,

t h i s

DNA

s e q u e n c e

d i f f e r -

e n c e

a n d

e a c h o f t h e

o t h e r s w e r e m o v e d i n t o

t h e

w i l d - t y p e

s e q u e n c e b a c k g r o u n d

a n d t e s t e d

f o r f u n c t i o n b y t r a n s f e c t i o n

i n t o a

a ( 1 , 2 ) F T - d e f i c i e n t m a m m a l i a n

h o s t ( C O S - 1 c e l l s ; r e f .

9 ) ( F i g .

2 ) .

T h e

w i l d - t y p e

c o n s t r u c t

( p l a s m i d p H H H ;

F i g . 2 )

e n c o d e s a

s u b s t a n t i a l

a m o u n t

o f a ( 1 , 2 ) F T

a c t i v i t y , w h e r e a s

t h e

B o m b a y

c o n s t r u c t

( p l a s m i d p B B B )

g e n e r a t e s n o e n z y m e

a c t i v i t y .

I n t r o d u c t i o n o f t h e

T y r - 3 1 6

- -

t e r m u t a t i o n

i n t o

t h e

w i l d - t y p e

b a c k g r o u n d c o m p l e t e l y i n a c t i v a t e s t h e

w i l d - t y p e

g e n e ( p l a s m i d p H B H ) . By

c o n t r a s t , v e c t o r s c o n t a i n i n g e a c h

o f

t h e o t h e r

D N A

s e q u e n c e d i f f e r e n c e s

i n

t h e B o m b a y a l l e l e

e x p r e s s n o r m a l l e v e l s o f a ( 1 , 2 ) F T

a c t i v i t y i n t r a n s f e c t e d c e l l s

( p l a s m i d s

p B H H a n d

p H H B ) . C o r r e c t i o n o f

t h e T y r - 3 1 6

t e r

m u t a t i o n

i n

t h e

B o m b a y a l l e l e

( p l a s m i d

pBHB) f u l l y

r e s t o r e s

e n z y m e a c t i v i t y . T h e s e

r e s u l t s i n d i c a t e t h a t t h e

T y r - 3 1 6

- +

t e r

m u t a t i o n i s

r e s p o n s i b l e

f o r

i n a c t i v i t y

o f

t h i s

a l l e l e i n t h e

B o m b a y

i n d i v i d u a l

a n d

i n d i c a t e t h a t t h e o t h e r

VECTOR

p W

p

V F

I 1 E -

p i r 1 P s

p ; , B

p ; J . ) B H

CQONSTRUC

I

. 2 1 F

ACTIVITY

. -

.-

 

,-

::

F

^

 

£ 3 -

1 1 _ 7t

- £ 3 a - - - - - - - . : < N - ;I Z--

F I G .

2 .

F u n c t i o n a l

a n a l y s i s

o f

a ( 1 , 2 ) F r

a l l e l e s

i s o l a t e d f r o m

w i l d - t y p e a n d H - d e f i c i e n t

i n d i v i d u a l s . E x p r e s s i o n v e c t o r s

c o n t a i n ,

s i n g l y

o r i n

c o m b i n a t i o n ,

t h e

D NA

s e q u e n c e

d i f f e r e n c e s a s s o c i a t e d

w i t h t h e H - d e f i c i e n t

p h e n o t y p e ( p l a s m i d s

p B B B ,

p B H B ,

pHBH,

pBHH,

p e % - B 1 ,

a n d

p p a a - B D )

o n

a w i l d - t y p e s e q u e n c e

b a c k g r o u n d

( p l a s m i d

H H H ) . P o i n t

m u t a t i o n s a r e i n d i c a t e d a b o v e

e a c h v e c t o r

d i a g r a m . S i n g l e

l i n e s i n d i c a t e

i n t r o n i c o r

f l a n k i n g s e q u e n c e .

S t i p p l e d

b o x e s c o r r e s p o n d t o t h e 5 n o n c o d i n g

e x o n a n d 3 '

u n t r a n s l a t e d

r e g i o n . S o l i d b o x d e n o t e s

c o d i n g s e q u e n c e . O p e n a r e a s w i t h i n t h e

s o l i d b o x c o r r e s p o n d

t o

r e g i o n s

o f t h e

p r o t e i n p r e d i c t e d t o

b e

t r u n c a t e d b y n o n s e n s e m u t a t i o n s

( v e c t o r s p B B B , pHBH,

a n d

p p , -

B 2 ) . E a c h v e c t o r , o r a

c o n t r o l p l a s m i d ( p W E 1 5 ) , w a s

t r a n s f e c t e d i n t o

C O S - 1

c e l l s ,

a n d

e x t r a c t s f r o m t h e

t r a n s f e c t e d

c e l l s

w e r e

s u b j e c t e d

t o

a ( 1 , 2 ) F T a c t i v i t y d e t e r m i n a t i o n s .

a ( 1 , 2 ) F T a c t i v i t y l e v e l s a r e

m e a n v a l u e s ± SE M

d e t e r m i n e d f o r a t l e a s t t h r e e i n d e p e n d e n t

t r a n s f e c t i o n s , e a c h n o r m a l i z e d f o r

t r a n s f e c t i o n e f f i c i e n c y a s d -

s c r i b e d .

DNA s e q u e n c e d i f f e r e n c e s

r e p r e s e n t

f u n c t i o n a l l y n e u t r a l

DNA

s e q u e n c e

p o l y m o r p h i s m s .

T h e B o m b a y P r o p o s i t u s I s

H o m o z y g o u s

f o r t h e N o n s e n s e

M u t a t i o n .

B e c a u s e o f t h e

r a r i t y

o f t h e r e c e s s i v e

B o m b a y

p h e n o t y p e ( 1 ) , a n d b e c a u s e

c o n s a n g u i n i t y i s

n o t uncommon

i n

B o m b a y p e d i g r e e s

( 1 , 1 6 ) ,

we

s o u g h t t o d e t e r m i n e w h e t h e r

i n d i v i d u a l X wa

h o m o z y g o u s

f o r

t h e

T y r - 3 1 6

- -

t e r

m u t a -

t i o n .

T h i s

s e q u e n c e

d i f f e r e n c e y i e l d s

r e s t r i c t i o n s i t e c l e a v a g e

p o l y m o r p h i s m s f o r B s t N I

( c l e a v e s t h e w i l d - t y p e a l l e l e ) a n d

A l u I

( c l e a v e s

t h e B o m b a y a l l e l e ) ( F i g . 1 ) .

A l l e l e a s s i g n m e n t

a t t h i s p o s i t i o n w a s t h e r e f o r e

a c c o m p l i s h e d b y r e s t r i c t i o n

a n a l y s i s

o f t h e

c o r r e s p o n d i n g s e g m e n t

o f t h e c o d i n g r e g i o n

g e n e r a t e d b y

t h e

PCR

( F i g .

3 )

T h e s e

a n a l y s e s i n d i c a t e t h a t

t h e

p r o p o s i t u s i s

h o m o z y g o u s

f o r

t h e

T y r - 3 1 6

- -

t e r

m u t a t i o n

a s a r e s u l t o f

i n h e r i t i n g t h e c o r r e s p o n d i n g DNA

s e q u e n c e

a l t e r a t i o n f r o m e a c h

h e t e r o z y g o u s p a r e n t ( F i g .

3 ) . E a c h o f h i s

l i v i n g

s i b l i n g s i s n o t

e r y t h r o i d H d e f i c i e n t a n d i s

e i t h e r

h e t e r o z y g o u s

f o r t h i s a l l e l e

o r i s

h o m o z y g o u s f o r t h e

w i l d -

t y p e a l l e l e ( F i g . 3 . T h i s

i s a

r a r e

a l l e l e i n t h e g e n e r a l

p o p u l a t i o n , s i n c e

t h i s

DNA

s e q u e n c e a l t e r a t i o n w a s n o t

d e t e c t e d i n a n

a n a l y s i s

o f a l l e l e s

f r o m u n r e l a t e d

H - p o s -

i t i v e

i n d i v i d u a l s

( d a t a n o t s h o w n ) . T h e s e d a t a i n d i c a t e t h a t

t h e

T y r - 3 1 6

- -

t e r

m u t a t i o n i s

r e s p o n s i b l e

f o r t h e

H - d e f i c i e n t

p h e n o t y p e

o f

t h e p r o p o s i t u s . When c o n s i d e r e d

t o g e t h e r w i t h

e n z y m e k i n e t i c d a t a

a n d c h r o m o s o m a l l o c a l i z a t i o n r e s u l t s ,

t h e

d a t a a l s o

s t r o n g l y s u p p o r t

t h e h y p o t h e s i s t h a t t h i s g e n e

c o r r e s p o n d s

t o

t h e h u m a n H b l o o d g r o u p l o c u s ( 9 ) .

N o n s e n s e

a n d

M i s s e n s e

M u t a t i o n s I n a c t i v a t e

t h e

a ( 1 , 2 ) F T

G e n e

i n

p a r a - B o m b a y I n d i v i d u a l s . A s a d i r e c t t e s t

o f t h e

h y p o t h e s i s t h a t t h e

H a n d

SE l o c i a r e

d i s t i n c t

a ( 1 , 2 ) F T

g e n e s ,

a n d

t o f u r t h e r

s u p p o r t

t h e

a s s i g n m e n t o f

t h i s

g e n e t o t h e

H

l o c u s ,

we

e x a m i n e d b o t h a l l e l e s

o f

t h i s g e n e i n a S e c r e t o r -

p o s i t i v e , e r y t h r o i d H - d e f i c i e n t

i n d i v i d u a l [ p a r a - B o m b a y

p h e -

n o t y p e ( 1 , 2 , 8 ) ; i n d i v i d u a l Y

i n

F i g . 1 ] . W e f o u n d t h a t t h e

c o d i n g r e g i o n

o f

e a c h a l l e l e

i n

t h i s p a r a - B o m b a y p e r s o n

c o n t a i n s

a

s i n g l e

b a s e

s e q u e n c e a l t e r a t i o n

r e l a t i v e t o c o r r e -

s p o n d i n g p o s i t i o n s

i n

t h e

w i l d - t y p e s e q u e n c e ( F i g . 1 ) . O n e

M e d i c a l S c i e n c e s :

K e l l y

e t

a l .

 

5 8 4 6

M e d i c a l S c i e n c e s : K e l l y e t a l .

a

n d i g e s t e d 4 0 9

B s t N I d i g e s t i o n W i l d

t y p e

1 7 0

1 2 3

2 4 ^

9 2

( B )

B o m b a y

1 7 0 T

[ 1 A U :

9 2

A l u l

d i g e s t i o n W i l d t y p e _

4 0 9

( A )

B o m b a y

L14Z71

U n d i g e s t e d

b

4 0 9

B s t N I W i l d t y p e

1 7 0 1 2 3

2 4 9 2

A / l

( B )

p B o m b a y

2 9 3

2 4

9 2

A

B f a l W i l d

t y p e 4 0 9

( F )

p B o m b a y

7

0 J 2 3 9

C

J n d i g e s i e c

2 9 0

W i l d

t v o e

6 4 - 6 5 4 1 1 4 : 5 2

p B o m b a v 6 4 6

1 6 8

5 2

a

Bc

T i c

H H h A H I h H h u h HH H

H h H : . i h H . - H t i . : h

H

h

H J F

-

S e l s e S e i s e S e l s e

S e

-

s e s e S e s e S e s e -

 e

0 3

3 1 0

-

2 8 1

27 1

2 3 4

t 9 4

1 1 8

6 0 3

3 1 0

2 8 1

2 7 1

7 2 3 4

1 9 4

 

1 1 8

2

F I G .

3 . A n a l y s i s o f t h e

X 4 m u t a t i o n i n a

B o m b a y p e d i g r e e ( 1 0 ) .

( a )

A l l e l e - s p e c i f i c r e s t r i c t i o n s i t e p o l y m o r p h i s m s a t t h e X 4 p o s i t i o n . T h e

single

base

c h a n ge

 C

--

G)

corresponding

to the

X4

Bombay

allele

( i n d i c a t e d b y * ) d e s t r o y s

a B s t N I r e s t r i c t i o n s i t e a n d c r e a t e s a n A l u I

s i t e

( s e e F i g . l b ) .

PCR was u s e d t o a m p l i f y 4 0 9

b p

o f t h e

a ( 1 , 2 ) F T gene

e n c o m p a s s i n g

t h i s

p o s i t i o n ( t o p ) ,

u s i n g

p r i m e r s ( i n d i c a t e d b y a r r o w s )

d e s c r i b e d i n M a t e r i a l s a n d

M e t h o d s . B s t N I

c l e a v a g e

o f t h i s

s e g m e n t

( m i d d l e , l a b e l e d B )

f r o m t h e

w i l d - t y p e

a l l e l e

y i e l d s

1 2 3 -

2 4 - b p

f r a g m e n t s ,

w h e r e a s a

s i n g l e d i a g n o s t i c

B s t N I - r e s i s t a n t

1 4 7 - b p

f r a g m e n t

i s o b t a i n e d

w i t h t h e

X 4

B o m b a y

a l l e l e ( s h a d e d ) .

C o n v e r s e l y ,

A l u I

d i g e s t i o n ( b o t t o m ,

l a b e l e d A )

o f t h e PCR

f r a g m e n t

g e n e r a t e d

f r o m

t h e

X 4 B o m b a y

a l l e l e

y i e l d s

2 9 2 - a n d

1 1 7 - b p

f r a g m e n t s ( s h a d e d ) ,

w h e r e a s

t h e 4 0 9 - b p s e g m e n t

f r o m

t h e w i l d - t y p e

a l l e l e i s n o t c l e a v e d

b y

A l u I .

( b )

A n a l y s i s

o f

a l l e l e - s p e c i f i c

r e s t r i c t i o n

s i t e

p o l y m o r p h i s m s .

G e n o m i c

DNAw a s

s u b j e c t e d

t o PCR a m p l i f i c a t i o n a n d r e s t r i c t i o n

c l e a v a g e

a s o u t l i n e d i n

a .

C l o n e d

DNA

s e g m e n t s

c o n t a i n i n g w i l d - t y p e

sequence ( H c )

o r t h e

X 4

m u t a t i o n

( B c )

as c o n t r o l

t e m p l a t e s .

PCR

f r a g m e n t s

were

d i g e s t e d

w i t h e i t h e r B s t N I ( l a n e s

B )

o r

A l u I ( l a n e s

A )

a n d were f r a c t i o n a t e d b y a c r y l a m i d e

g e l

e l e c t r o p h o r e s i s . M o l e c u l a r

s i z e

s t a n d a r d s

( b p )

a r e

i n l a n e M. S o l i d

s y m b o l s

w i t h i n t h e

p e d i g r e e

d e n o t e

a n i n d i v i d u a l w i t h t h e

B o m b a y p h e n o t y p e . B o m b a y

p r o p o s i t u s

i s

i n d i c a t e d

b y

a n arrow.

O p e n s y m b o l s

d e n o t e a n i n d i v i d u a l w i t h

H - p o s -

i t i v e e r y t h r o c y t e s .

H

o c u s

g e n o t y p e s

u n d e r e a c h

s y m b o l

a r e i n f e r r e d

f r o m t h e i n d i v i d u a l ' s e r y t h r o c y t e H a n t i g e n

s t a t u s a n d r e s t r i c t i o n

f r a g m e n t

p a t t e r n s . G e n o t y p e s

a t t h e

SE l o c u s ar e i n f e r r e d f r o m e a c h

i n d i v i d u a l ' s L e w i s b l o o d

group p h e n o t y p e ( 1 ) a n d / o r

w i t h

c o n s i d e r -

a t i o n

f o r t h e

S e c r e t o r

s t a t u s o f t h e

p a r e n t s

a n d

s i b l i n g s . D a s h i n d i c a t e s

t h a t t h e s t a t u s

o f o ne

a l l e l e a t t h e SE l o c u s

i s

n o t k n o w n .

a l l e l e c o n t a i n s

a m i s s e n s e m u t a t i o n

a t

c o d o n 1 6 4 t h a t

p r e d i c t s

t h e s u b s t i t u t i o n

o f

a h i s t i d i n e r e s i d u e f o r t h e

w i l d - t y p e

l e u c i n e

residue at

t h i s

position

( Y 1 ;

Leu 164

 

His).

The other a l le le

c o n t a i n s a t e r m i n a t i o n c o d o n

a t a

p o s i t i o n c o r r e s p o n d i n g

t o

aminoacid residue 276

( Y 2 ;

Gln-276

 

ter)

and

predicts

a

p r o t e i n

9 0

a m i n o a c i d s

s h o r t e r t h a n t h e

w i l d - t y p e enzyme.

B o t h m u t a n t a l l e l e s

y i e l d

u n d e t e c t a b l e

a ( 1 , 2 ) F T a c t i v i t y

w h e n t e s t e d b y t r a n s f e c t i o n ( F i g . 2 ) .

I n h e r i t a n c e o f

t h e s e a l l e l e s was

e x a m i n e d

i n

t h i s para-

Bombay p e d i g r e e , u s i n g r e s t r i c t i o n s i t e

c l e a v a g e p o l y m o r -

p h i s m s

f o r

B s t N I , B f a I ,

a n d

A l u

I

( s e e F i g . 1

a n d

b y

a l l e l e - s p e c i f i c o l i g o n u c l e o t i d e h y b r i d i z a t i o n

a n a l y s i s o f t h e

Y 1

a l l e l e . T h e s e a n a l y s e s d e m o n s t r a t e t h a t t h e p a r a - B o m b a y

s i b l i n g

o f t h e

p r o p o s i t u s

i s a l s o a c o m p o u n d h e t e r o z y g o t e f o r

t h e Y 1

a n d a l l e l e s

( F i g . 4 ) . A l l o t h e r f a m i l y m e m b e r s

e x a m i n e d

are

n o t

e r y t h r o i d H d e f i c i e n t

a n d are e i t h e r h e t -

erozygous f o r o ne o f t h e two m u t a n t a l l e l e s

( p a r e n t s a n d

c h i l d r e n

o f t h e

p a r a - B o m b a y i n d i v i d u a l s ) or

m a i n t a i n t h e

w i l d - t y p e

sequence

a t b o t h p o s i t i o n s ( o t h e r s i b l i n g s ) . T a k e n

t o g e t h e r

w i t h t h e r e s u l t s f r o m t h e Bombay a l l e l e s , t h e s e d a t a

i n d i c a t e t h a t i n a c t i v a t i n g p o i n t m u t a t i o n s w i t h i n t h e

c o d i n g

sequence

o f

t h i s

a ( 1 , 2 ) F T gene

are

r e s p o n s i b l e f o r H b l o o d

- 1 9 4

- 1 1 8

72

W W W

 *

  *Wild

type

 

*

 

i o m b a v

F I G .

4 .

A n a l y s i s

o f

Y 1

a n d Y 2 m u t a t i o n s i n a

p a r a - B o m b a y

p e d i g r e e

( 8 ) . ( a ) A l l e l e - s p e c i f i c

r e s t r i c t i o n

s i t e

p o l y m o r p h i s m s a t p o s i t i o n

8 2 6

(Y2).

The

single

base

change

 C

 

T)

in

allele

Y2

in the

para-Bombay

person

( i n d i c a t e d b y * ) d e s t r o y s

a

B s t N I r e s t r i c t i o n s i t e a n c r e a t e s

a

B f a

I s i t e

( s e e

F i g . l b ) .

PCR w a s u s e d t o

a m p l i f y

4 0 9

b p

o f t h e

a ( 1 , 2 ) F T

gene

encompassing

t h i s

p o s i t i o n ( t o p ) , u s i n g p r i m e r s ( i n d i c a t e d b y

a r r o w s )

d e s c r i b e d i n M a t e r i a l s a n d M e t h o d s .

B s t N I

c l e a v a g e

o f t h i s

s e g m e n t

( m i d d l e ,

l a b e l e d

B )

f r o m t h e

w i l d - t y p e

a l l e l e

y i e l d s

d i a g n o s t i c

1 7 0 - a n d 1 2 3 - b p

B s t N I

f r a g m e n t s ,

w h e r e a s a

s i n g l e d i a g n o s t i c

B s t N I -

r e s i s t a n t 2 9 3 - b p

f r a g m e n t

( s h a d e d )

i s o b t a i n e d w i t h t h e

Y 2

a l l e l e i n t h e

p a r a - B o m b a y i n d i v i d u a l . C o n v e r s e l y , B f a

I

d i g e s t i o n ( b o t t o m , l a b e l e d

F )

o f t h e PCR

f r a g m e n t

f r o m t h e Y 2 a l l e l e y i e l d s

f r a g m e n t s

t h a t a r e 1 7 0

a n d 2 3 9

b p l o n g ( s h a d e d ) ,

w h e r e a s t h e

4 0 9 - b p s e g m e n t

f r o m

t h e

w i l d - t y p e a l l e l e i s n o t

c l e a v e d b y B f a

I .

( b ) A l l e l e - s p e c i f i c r e s t r i c t i o n s i t e

p o l y m o r p h i s m

a t

p o s i t i o n

4 9 1

( Y 1 ) .

T h e

s i n g l e

n u c l e o t i d e

c h a n g e

 T

A )

a t

p o s i t i o n

4 9 1

( i n d i c a t e d b y * )

i n a l l e l e Y 1 o f t h e

p a r a - B o m b a y

p e r s o n d e s t r o y s a n A l u I

s i t e

( s e e F i g .

l b ) .

PCR p r i m e r s

f l a n k i n g t h i s

s i t e

g e n e r a t e

a

2 9 0 - b p w i l d - t y p e

f r a g m e n t

t h a t

y i e l d s d i a g n o s t i c

5 4 - a n d

1 1 4 - b p

A l u I

f i r g m e n t s .

A b s e n c e o f t h e A l u I

s i t e

a t t h i s

p o s i t i o n

i n t h e

Y 1

a l l e l e y i e l d s

a

d i a g n o s t i c 1 6 8 - b p

f r a g m e n t

( s h a d e d ) .

( c ) A n a l y s i s o f

a l l e l e - s p e c i f i c sequence p o l y m o r p h i s m s .

T h e

p a r a - B o m b a y p r o p o s i t u s

i s i n d i c a t e d b y

a n

arrow;

b o t h

p a r a - B o m b a y

i n d i v i d u a l s

ar e i n d i c a t e d b y

s o l i d

s y m b o l s .

T h e r e s t o f t h e

p e d i g r e e

i s l a b e l e d as i

F i g . 3 .

PCR

f r a g m e n t s

s h o w n i n a

a n d

b were

g e n e r a t e d b y

u s i n g

g e n o m i c

DNA

f r o m

f a m i l y

m e m b e r s o r

b y

u s i n g c l o n e d

DNA

s e g m e n t s c o n t a i n m i n g

w i l d - t y p e

sequence ( H c ) or t h e m u t a t i o n s

i n

t h e p a r a - B o m b a y i n d i v i d -

u a l s

( p B c ; a l l e l e

Y 2

i n

t o p g e l ;

a l l e l e Y 1

i n b o t t o m g e l ) . PCR f r a g m e n t s

were d i g e s t e d

w i t h B s t N I

( l a n e s B ) o r B f a I ( l a n e s F ) ( t o p g e l ) , o r A l u

I

( l a n e s A ) ( b o t t o m g e l )

a n d

were f r a c t i o n a t e d b y a c r y l a m i d e g e l

e l e c t r o p h o r e s i s . M o l e c u l a r

s i z e s t a n d a r d s ( b p ) ar e

i n

l a n e M. A l t e r n a -

t i v e l y ,

f o r

a l l e l e - s p e c i f i c o l i g o n u c l e o t i d e a n a l y s i s o f t h e

Y j

p o s i t i o n ,

PCR

p r o d u c t s d i a g r a m m e d

i n b were

g e n e r a t e d

f o r e a c h i n d i v i d u a l

a n d

f r

c o n t r o l

t e m p l a t e s ( p B c ,

Y 1

a l l e l e ;

H c ,

w i l d - t y p e a l l e l e ) .

T h e s e

f r a g m e n t s

were t h e n p r o b e d w i t h r a d i o l a b e l e d o l i g o n u c l e o t i d e s p e c i f i c

f o r e i t h e r

t h e w i l d - t y p e sequence

a t

t h e Y 1

p o s i t i o n   W i l d t y p e )

o r f o r

t h e

m u t a n t Y 1

sequence ( p B o m b a y ) .

group a n t i g e n d e f i c i e n c y

i n

t h e s e

Bombay

a n d

p a r a - B o m b a y

i n d i v i d u a l s

a n d t h u s

p r o v i d e g e n e t i c s u p p o r t

f o r b i o c h e m i c a l

a

b

h   h l i H H

s e

-

gee I s e

s e : s e

R A

R

A R A

 

H c

B c

M

S h / h H / h

H / h H / h H / h H

h

s e / s e

S e / s e s e / s e S e / s e S e ' s e s e

 

RARARARARABABARA

P r o c .

N a t l . A c a d .

S c i . USA

9 1

( 1 9 9 4 )

 

P r o c . N a t l . A c a d . S c i . USA

9 1

( 1 9 9 4 )

5 8 4 7

E D

 13 3

 6

. 2

-4.3

F I G .

5 . Human DNA

sequences

t h a t w i t h t h e H

a ( 1 , 2 ) F T

c o d i n g

r e g i o n . Human g e n o m i c

DNA

was d i g e s t e d w i t h

E c o R I ( l a n e E )

or D r a I

( l a n e D ) ( s e e

F i g . l a )

a n d

s u b j e c t e d

t o

S o u t h e r n

b l o t a n a l y s i s ( 1 1 )

u s i n g

t h e

c o d i n g r e g i o n

o f t h e

a ( 1 , 2 ) F T

cDNA

as a

p r o b e ( 9 ) . H y b r i d i z a t i o n

w a s

d o n e a t 4 2 T C , w i t h a

f i n a l

w a s h a t 6 5 T C i n 2 x

s t a n d a r d

s a l i n e c i t r a t e / 0 . 2 %

S D S . M o l e c u l a r

s i z e

s t a n d a r d s ( k b ) ar e i n d i c a t e d

o n t h e r i g h t .

( 9 , 1 2 ) a n d c h r o m o s o m a l l o c a l i z a t i o n ( 9 )

d a t a ,

i n d i c a t i n g

t h a t

t h i s

gene

c o r r e s p o n d s

t o t h e

human

H b l o o d

group

l o c u s .

T h e H

a ( 1 , 2 ) F T

G e n e

I d e n t i f e s C a n d i d a t e s

t h e Human

SE Locus. S i n c e

t h e two

p a r a - B o m b a y

i n d i v i d u a l s maintain a

f u n c t i o n a l S E - d e t e r m i n e d

a ( 1 , 2 ) F T ,

b u t

n o t

a n H - e n c o d e d

a ( 1 , 2 ) F T ,

i t

ca n b e

c o n c l u d e d

t h a t t h e SE l o c u s m u s t t h e r e -

f o r e

c o r r e s p o n d

t o

a n

a ( 1 , 2 ) F T gene

d i s t i n c t f r o m

t h e

o ne

e x a m i n e d h e r e .

T h e s e r e s u l t s

p r o v i d e

a d d i t i o n a l

s u p p o r t

f o r

g e n e t i c ( 2 )

a n d b i o c h e m i c a l ( 3 - 5 )

d a t a

i n d i c a t i n g

t h a t t h e

human

H

n d S b l o o d

group

l o c i c o r r e s p o n d

t o

d i s t i n c t

a ( 1 , 2 ) F T

genes.

I n d e e d ,

when

u s e d

i n

S o u t h e r n b l o t

a n a l y -

s e s ,

t h e c o d i n g p o r t i o n

o f t h e

H

gene

i d e n t i f i e s c r o s s -

h y b r i d i z i n g

human DNA

sequences

d i s t i n c t f r o m

t h o s e c o r -

r e s p o n d i n g

t o

t h e H

a ( 1 , 2 ) F T gene ( F i g . 5 ) .

By a n a l o g y

o

t h e

s t r u c t u r a l l y

r e l a t e d

f a m i l y

o f

human

a - ( 1 , 3 ) - f u c o s y l t r a n s -

f e r a s e

genes

( 1 7 ) ,

s u c h

sequences

r e p r e s e n t

c a n d i d a t e s

f o r

a n o t h e r a ( 1 , 2 ) F T gene

t h a t

may c o r r e s p o n d

t o t h e SE

l o c u s .

DISCUSSION

Bombay

a n d

p a r a - B o m b a y

i n d i v i d u a l s

d i s p l a y

n o

a p p a r e n t

d e l e t e r i o u s p h e n o t y p e ( 1 )

e x c e p t

i n

c i r c u m s t a n c e s

r e q u i r i n g

b l o o d

t r a n s f u s i o n ,

w h e r e i n

t h e y

are c r o s s - m a t c h

i n c o m p a t i -

b l e

w i t h a l l d o n o r s e x c e p t

o t h e r

H - d e f i c i e n t

i n d i v i d u a l s

( 1 ) .

S i n c e

t h e

c o d i n g sequence

m u t a t i o n s i d e n t i f i e d

h e r e

y i e l d

n o n f u n c t i o n a l a ( 1 , 2 ) F T s ,

i t

t h a t t h e

f u c o s y l t r a n s -

f e r a s e a c t i v i t y

e n c o d e d

b y

t h e H

gene

i s

n o t e s s e n t i a l

i n

h u m a n s

[ b a r r i n g

processes

t h a t

suppress

nonsense

c o d o n s

( 1 8 )

o r o t h e r

RNA e d i t i n g

e v e n t s

( 1 9 ) ] .

G i v e n

t h e

h i g h

f r e q u e n c y

o f

n o n - S e c r e t o r

i n d i v i d u a l s

( = 2 0 %

o f

C a u c a s i a n s ;

r e f .

1 ) ,

t h e

a ( 1 , 2 ) F T

e n c o d e d

b y

t h e SE

l o c u s i s

a p p a r e n t l y

a l s o

n o t e s s e n t i a l ( a t

l e a s t i n t h e

a d u l t

h u m a n ) ,

a l t h o u g h

a

d e f i n i t i o n o f t h e m o l e c u l a r b a s i s

f o r n u l l a l l e l e s

a t

t h i s l o c u s

m u s t

a w a i t

t h e

i s o l a t i o n

a n d c h a r a c t e r i z a t i o n

o f

t h i s

g e n e .

T h e s e o b s e r v a t i o n s s u g g e s t

t h a t

a ny e v o l u t i o n a r y

con-

s t r a i n t s

t h a t

may

h a v e o nce

s e l e c t e d f o r

f u n c t i o n a l a l l e l e s

a t

t h e s e

a ( 1 , 2 ) F T

l o c i

h a v e

s i n c e c e a s e d t o

b e

o p e r a t i v e

i n

a d u l t

h u m a n s .

I t

r e m a i n s

p o s s i b l e ,

h o w e v e r ,

t h a t

r e l a t e d

l o c i

m a i n t a i n c o m p e n s a t i n g

f u n c t i o n a l r e d u n d a n c y

s u f f i c i e n t t o

s u s t a i n a n o r m a l

p h e n o t y p e . I n d e e d ,

b y a n a l o g y

t o

t h e

f a m i l y

o f human

a - ( 1 , 3 ) - f u c o s y l t r a n s f e r a s e

genes

( 1 7 ) ,

i t r e m a i n s

p o s s i b l e

t h a t o t h e r

a ( 1 , 2 ) F T s ( 2 0 ) ,

e n c o d e d b y as y e t

un-

c l o n e d

genes,

may

f u l f i l l o n e o r

more e s s e n t i a l r o l e s . M o r e -

o v e r ,

s u c h r o l e s

( l i k e

e m b r y o

i m p l a n t a t i o n

i n

t h e m o use; r e f .

2 1 ) may

b e

o p e r a t i v e

i n

t i s s u e s ,

o r a t

d e v e l o p m e n t a l

s t a g e s ,

n o t

y e t

e x a m i n e d

i n

H o m o s a p i e n s .

A l t e r n a t i v e l y , t h e

f u n c -

t i o n s

m a i n t a i n e d b y

t e r m i n a l

a ( 1 , 2 ) f u c o s e

l i n k a g e s

may b e

a c c o m p l i s h e d

b y

o t h e r

t e r m i n a l s u g a r m o i e t i e s

t h a t a r e ,

i n

t u r n , e n c o d e d

b y

n o n p o l y m o r p h i c

g l y c o s y l t r a n s f e r a s e s

( d i s -

c u s s e d

i n r e f .

2 2 ) . T h e s e i s s u e s a r e n o t

i d i o s y n c r a t i c t o

t h e

a ( 1 , 2 ) F T s . N u l l

a l l e l e s a r e

r a t h e r common

w i t h i n

o t h e r

g l y c o s y l t r a n s f e r a s e

g e n e s

( t h e ABO, L e w i s ,

P ,

a n d S d a

b l o o d

g r o u p s y s t e m s ,

e x a m p l e ; s e e r e f . 1 ) a n d i n s o m e

i n s t a n c e s

h a v e b e e n s h o w n t o c o r r e s p o n d

t o i n a c t i v a t i n g

c o d i n g

s e -

q u e n c e

m u t a t i o n s ( 2 3 ) .

E x p e r i m e n t a l t e s t s o f

h y p o t h e s e s

c o n c e r n i n g

a f u n c t i o n ( s ) o f t h e s e a n d

o t h e r m a m m a l i a n

g l y c o s y l t r a n s f e r a s e s , a n d t h e i r

c o g n a t e o l i g o s a c c h a r i d e

p r o d -

u c t s ,

s h o u l d b e f a c i l i t a t e d

w i t h t h e u s e o f

c l o n e d g l y c o s y l -

t r a n s f e r a s e g e n e s

i n

c o n j u n c t i o n

w i t h

t r a n s g e n i c a n d g e n e

d i s r u p t i o n

t e c h n o l o g i e s ( 2 4 ) .

W e t h a n k

M s . J o b e r t a W e l l s

a n d D r s .

D a v i d

G i n s b u r g ,

C r a i g

T h o m p s o n , R a f a e l O r i o l , J o h n J u d d , a n d P e t e r I s s i t f o r h e l p w i t h t h i s

w o r k . T h i s w o r k

w a s s u p p o r t e d

b y N a t i o n a l I n s t i t u t e s o f H e a l t h

G r a n t R O 1

H L 4 8 8 5 9 . J . B . L . i s a n A s s o c i a t e

I n v e s t i g a t o r o f t h e

H o w a r d

H u g h e s M e d i c a l I n s t i t u t e .

1 W a t k i n s , W. M . ( 1 9 8 0 )

A d v . Hum. G e n e t .

1 0 , 1 - 1 1 6 .

2 . O r i o l , R . ,

D a n i l o v s , J .  

H a w k i n s ,

B .

R . ( 1 9 8 1 ) Am . J .

Hum.

G e n e t . 3 3 ,

4 2 1 - 4 3 1 .

3 . L e

P e n d u ,

J . , C a r t r o n , J . P . , L e m i e u x , R . U .   O r i o l , R . ( 1 9 8 5 )

Am .

J . H u m . G e n e t . 3 7 , 7 4 9 - 7 6 0 .

4 .

K u m a z a k i ,

T .  

Y o s h i d a ,

A .

( 1 9 8 4 )

P r o c . N a t l .

A c a d . S c i . USA

8 1 , 4 1 9 3 - 4 1 9 7 .

5 .

S a r n e s t o , A . , K o h l i n , T . ,

T h u r i n ,

J .

 

B l a s z c z y k - T h u r i n ,

M .

( 1 9 9 0 )

J . B i o l . C h e m . 2 6 5 ,

1 5 0 6 7 - 1 5 0 7 5 .

6 . R e g e ,

V . P . , P a i n t e r ,

T .

J . ,

W a t k i n s , W. M .   M o r g a n ,

W. T . J . ( 1 9 6 4 )

N a t u r e ( L o n d o n ) 2 0 3 , 3 6 0 - 3 6 3 .

7 .

B h e n d e ,

Y .

M . , D e s h p a n d e ,

C .

K . B h a t i a ,

H . M . , S a n g e r , R . ,

R a c e ,

R .

R . , M o r g a n ,

W. T . J .

  W a t k i n s , W.

M .

( 1 9 5 2 )

L a n -

c e t i 9 0 3 - 9 0 4 .

8 .

S o l o m o n ,

J . M . ,

W a g g o n e r ,

R .  

L e y s h o n ,

W. C .

( 1 9 6 5 )

B l o o d

2 5 ,

4 7 0 - 4 8 5 .

9 .

L a r s e n ,

R . D . , E r n s t ,

L . K . , N a i r , R . P .

  L o w e ,

J .

B . ( 1 9 9 0 )

P r o c . N a t I . A c a d . S c i . USA

8 7 , 6 6 7 4 - 6 6 7 8 .

1 0 .

B r y a n t , J .

G . , L l o y d , B . , D a v i s ,

J .

  S h a f e r ,

A . W . ( 1 9 7 4 )

T r a n s f u s i o n

A 5 0 6

1 1 . A u s u b e l , J .   F r e d e r i c k ,

M . ,

e d s .

( 1 9 8 7 ) M o l e c u l a r

B i o l o g y :

L a b o r a t o r y

M a n u a l s

( W i l e y ,

New

Y o r k ) ,

V o l s . 1 a n d 2 .

1 2 .

R a j a n ,

V .

P . , L a r s e n ,

R . D . , A j m e r a , S . , E r n s t ,

L . K .   L o w e ,

J .

B .

( 1 9 8 9 )

J .

B i o l . C h e m .

2 6 4 , 1 1 1 5 8 - 1 1 1 6 7 .

1 3 . W a l k e r ,

R . H . ,

e d .

( 1 9 9 0 )

A m e r i c a n A s s o c i a t i o n

o f

B l o o d

B a n k s T e c h n i c a l

M a n u a l ( A m .

A s s o c . o f B l o o d B a n k s , A r l i n g -

t o n , V A ) .

1 4 .

H i g u c h i ,

R . ,

v o n B e r o l d i n g e n ,

C .

H . , S e n s a b a u g h ,

G .

F .

 

E r l i c h ,

H . A .

( 1 9 8 8 )

N a t u r e

( L o n d o n )

3 3 2 ,

5 4 3 - 5 4 6 .

1 5 .

R o t h ,

M . S . ,

A n t i n ,

J .

H . , B i n g h a m ,

E . L .   G i n s b u r g ,

( 1 9 9 0 ) T r a n s p l a n t a t i o n

4 9 ,

7 1 4 - 7 2 0 .

1 6 .

B h a t i a ,

H . M .  

S a t h e ,

M . S . ( 1 9 7 4 )

V o x

S a n g .

2 7 , 5 2 4 - 5 3 2 .

1 7 .

W e s t o n ,

B .

W . ,

S m i t h ,

P .

L . , K e l l y ,

R .

J .

  L o w e ,

J . B .

( 1 9 9 2 )

J . B i o l . C h e m . 2 6 7 ,

2 4 5 7 5 - 2 4 5 8 4 .

1 8 .

C h a n ,

L .

( 1 9 9 3 )

B i o e s s a y s 1 5 ,

3 3 - 4 1 .

1 9 . K o h l e r , M . ,

B u r n a s h e v , N . , S a k m a n n ,

B .

 

S e e b u r g ,

P . H .

( 1 9 9 3 )

N e u r o n 1 0 ,

4 9 1 - 5 0 0 .

2 0 .

B l a s z c z y k - T h u r i n ,

M . , S a r n e s t o ,

A . , T h u r i n , J . , H i n d s g a u l

0 .

 

K o p r o w s k i ,

H .

( 1 9 8 8 )

B i o c h e m .

B i o p h y s .

R e s . C o m m u n .

1 5 1 , 1 0 0 - 1 0 8 .

2 1 . L i n d e n b e r g ,

S . , S u n d b e r g , K . , K i m b e r ,

S .

J .

  L un d b l a d , A .

( 1 9 8 8 )

J .

R e p r o d .

F e r t i l . 8 3 ,

1 4 9 - 1 5 8 .

2 2 .

K u k o w s k a - L a t a l l o , J . F . , L a r s e n ,

R . D . , R a j a n ,

V . P .   L o w e ,

J .

B .

( 1 9 9 0 ) G e n e s

D e v .

4 , 1 2 8 8 - 1 3 0 3 .

2 3 .

Y a m a m o t o , F . - I . ,

C l a u s e n , H . , W h i t e ,

T . , M a r k e n , J .  

H a k o m o r i ,

S . - I .

( 1 9 9 0 )

N a t u r e ( L o n d o n )

3 4 5 , 2 2 9 - 2 3 3 .

2 4 .

K o l l e r ,

B . H .

S m i t h i e s ,

0 .

( 1 9 9 2 ) A n n u . R e v . I m m u n o l . 1 0 ,

7 0 5 - 7 3 0 .

M e d i c a l

S c i e n c e s :

K e l l y

e t

a l .


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