Table 1.

Erythrocyte membrane gene defects in disorders of the erythrocyte membrane.

GeneDisorder1 Comment
Abbreviations: HS, hereditary spherocytosis; HE, hereditary elliptocytosis; HPP, hereditary pyropoikilocytosis; NIHF, nonimmune hydrops fetalis; SAO, Southeast Asian ovalocytosis. 
Reprinted with permission from Gallagher PG. Disorders of erythrocyte metabolism and shape. In Hematologic Problems in the Neonate. Christensen RD (ed). WB Saunders, Philadelphia, 1999. 
Ankyrin HS Most common cause of typical dominant HS. 
Band 3 HS, SAO, NIHF “Pincered” spherocytes seen on smear presplenectomy. SAO due to 9 AA deletion. 
α Spectrin HS, HE, HPP, NIHF Location of mutation in spectrin determines clinical phenotype. α spectrin mutations are most common cause of typical HE. 
β Spectrin HS, HE, HPP, NIHF “Acanthocytic” spherocytes seen on smear presplenectomy. Location of mutation in spectrin determines clinical phenotype. 
Protein 4.2 HS Common in recessively inherited, HS in Japan. 
Protein 4.1 HE An uncommon cause of HE. 
Glycophorin C HE Concomitant protein 4.1 deficiency is basis of HE in glycophorin C defects. 
GeneDisorder1 Comment
Abbreviations: HS, hereditary spherocytosis; HE, hereditary elliptocytosis; HPP, hereditary pyropoikilocytosis; NIHF, nonimmune hydrops fetalis; SAO, Southeast Asian ovalocytosis. 
Reprinted with permission from Gallagher PG. Disorders of erythrocyte metabolism and shape. In Hematologic Problems in the Neonate. Christensen RD (ed). WB Saunders, Philadelphia, 1999. 
Ankyrin HS Most common cause of typical dominant HS. 
Band 3 HS, SAO, NIHF “Pincered” spherocytes seen on smear presplenectomy. SAO due to 9 AA deletion. 
α Spectrin HS, HE, HPP, NIHF Location of mutation in spectrin determines clinical phenotype. α spectrin mutations are most common cause of typical HE. 
β Spectrin HS, HE, HPP, NIHF “Acanthocytic” spherocytes seen on smear presplenectomy. Location of mutation in spectrin determines clinical phenotype. 
Protein 4.2 HS Common in recessively inherited, HS in Japan. 
Protein 4.1 HE An uncommon cause of HE. 
Glycophorin C HE Concomitant protein 4.1 deficiency is basis of HE in glycophorin C defects. 
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