Abstract

Research Article

Novel Mutation in Famous Gene Diseases in Red Blood Cells

Mahdi Nowroozi*

Published: 09 September, 2025 | Volume 9 - Issue 1 | Pages: 013-020

One of the most important and critical red blood cell disorders is dysfunction and deformation of the membrane structure, which affects the metabolic and biological red blood cell functions. On the other hand, the basic causes of these problems are the genetic mutations in the production of proteins that correlate to the structure and receptors of cells. The diagnosis methods and techniques are the other essential points that focus most scientists on. In this systematic review, the article pointed to the key title, which is the diagnosis of novel genes with different techniques and methods. The result of articles studies that were published in the last decades underlined the types of techniques such as Whole-Exome Sequencing, Quantitative Real-Time PCR, Targeted Next-Generation Sequencing, and Sulphate-Polyacrylamide Gel, which investigated the different membraned gene mutations that are novel and correlated to the genes that make the structures and functions of red blood cells such as hereditary spherocytosis, hereditary elliptocytosis, hereditary pyro poikilocytosis. In addition, the hereditary membrane disorders correlated to others, such as hereditary spherocytosis, have a relationship with vitamin B12, immunodeficiency.

Read Full Article HTML DOI: 10.29328/journal.niogb.1001023 Cite this Article Read Full Article PDF

Keywords:

Novel mutation; Red blood cell; Cytoskeletal; Laboratory diagnosis; Diseases

References

  1. Shih Y-H, Huang Y-C, Lin C-Y, Lin H-Y, Kuo S-F, Lin J-S, et al. A large family of hereditary spherocytosis and a rare case of hereditary elliptocytosis with a novel SPTA1 mutation underdiagnosed in Taiwan: A case report and literature review. Medicine (Baltimore). 2023;102(4):e32708. Available from: https://doi.org/10.1097/md.0000000000032708
  2. Donato H, Crisp RL, Rapetti MC, García E, Attie M. [Hereditary spherocytosis: Review. Part I. History, demographics, pathogenesis, and diagnosis]. Arch Argent Pediatr. 2015;113(1):69–80. Available from: https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_03250075_v113_n1_p69_Donato
  3. Ma S, Deng X, Liao L, Deng Z, Qiu Y, Wei H, et al. Analysis of the causes of the misdiagnosis of hereditary spherocytosis. Oncol Rep. 2018;40(3):1451–8. Available from: https://doi.org/10.3892/or.2018.6578
  4. Maillet P, Alloisio N, Morlé L, Delaunay J. Spectrin mutations in hereditary elliptocytosis and hereditary spherocytosis. Hum Mutat. 1996;8(2):97–107. Available from: https://doi.org/10.1002/(sici)1098-1004(1996)8:2%3C97::aid-humu1%3E3.0.co;2-m
  5. Niss O, Chonat S, Dagaonkar N, Almansoori MO, Kerr K, Rogers ZR, et al. Genotype-phenotype correlations in hereditary elliptocytosis and hereditary pyropoikilocytosis. Blood Cells Mol Dis. 2016;61:4–9. Available from: https://doi.org/10.1016/j.bcmd.2016.07.003
  6. Da Costa L, Galimand J, Fenneteau O, Mohandas N. Hereditary spherocytosis, elliptocytosis, and other red cell membrane disorders. Blood Rev. 2013;27(4):167–78. Available from: https://doi.org/10.1016/j.blre.2013.04.003
  7. Panarach C, Netsawang C, Nuchprayoon I, Leecharoenkiat K. Identification and functional analysis of novel SPTB and ANK1 mutations in hereditary spherocytosis patients. Sci Rep. 2024;14(1):27362. Available from: https://doi.org/10.1038/s41598-024-78622-w
  8. Kalfa TA. Diagnosis and clinical management of red cell membrane disorders. Hematology Am Soc Hematol Educ Program. 2021;2021(1):331–40. Available from: https://doi.org/10.1182/hematology.2021000265
  9. Agarwal AM, Nussenzveig RH, Reading NS, Patel JL, Sangle N, Salama ME, et al. Clinical utility of next-generation sequencing in the diagnosis of hereditary haemolytic anaemias. Br J Haematol. 2016;174(5):806–14. Available from: https://doi.org/10.1111/bjh.14131
  10. Boaro MP, Reggiani G, D’Agnolo M, Munaretto V, Pozzebon F, Trapanese R, et al. Hematological characteristics and hepatobiliary complications of hereditary spherocytosis in a tertiary care pediatric center: optimizing diagnosis and care through local and international networks. Front Pediatr. 2023;11. Available from: https://doi.org/10.3389/fped.2023.1269645
  11. Bolton-Maggs P, Langer J, Iolascon A, Tittensor P, King M-J. Guidelines for the diagnosis and management of hereditary spherocytosis—2011 update. Br J Haematol. 2011;156:37–49. Available from: https://doi.org/10.1111/j.1365-2141.2011.08921.x
  12. Glenthøj A, Brieghel C, Nardo-Marino A, van Wijk R, Birgens H, Petersen J. Facilitating EMA binding test performance using fluorescent beads combined with next-generation sequencing. EJHaem. 2021;2(4):716–28. Available from: https://doi.org/10.1002/jha2.277
  13. Chonat S, Risinger M, Sakthivel H, Niss O, Rothman JA, Hsieh L, et al. The spectrum of SPTA1-associated hereditary spherocytosis. Front Physiol. 2019;10:815. Available from: https://doi.org/10.3389/fphys.2019.00815
  14. Palek J. Hereditary elliptocytosis, spherocytosis and related disorders: consequences of a deficiency or a mutation of membrane skeletal proteins. Blood Rev. 1987;1(3):147–68. Available from: https://doi.org/10.1016/0268-960x(87)90031-2
  15. Wu Y, Liao L, Lin F. The diagnostic protocol for hereditary spherocytosis—2021 update. J Clin Lab Anal. 2021;35(12):e24034. Available from: https://doi.org/10.1002/jcla.24034
  16. Sarmah P, Ghanashyam C, Khanna R, Bankapur A. Unraveling biochemical differences in the membrane of functional RBCs and elliptocytes using vortex beam-based micro-Raman spectroscopy. Spectrochim Acta A Mol Biomol Spectrosc. 2025;334:125911. Available from: https://doi.org/10.1016/j.saa.2025.125911
  17. Gerber GF. Hereditary spherocytosis and hereditary elliptocytosis. MSD Manual Professional Edition: MSD Manual; 2024 [updated 2024 Apr]. Available from: https://www.msdmanuals.com/professional/hematology-and-oncology/anemias-caused-by-hemolysis/hereditary-spherocytosis-and-hereditary-elliptocytosis
  18. Ittiwut C, Natesirinilkul R, Tongprasert F, Sathitsamitphong L, Choed-Amphai C, Fanhchaksai K, et al. Novel mutations in SPTA1 and SPTB identified by whole exome sequencing in eight Thai families with hereditary pyropoikilocytosis presenting with severe fetal and neonatal anaemia. Br J Haematol. 2019;185(3):578–82. Available from: https://doi.org/10.1111/bjh.15559
  19. Dhermy D, Schrével J, Lecomte MC. Spectrin-based skeleton in red blood cells and malaria. Curr Opin Hematol. 2007;14(3):198–202. Available from: https://doi.org/10.1097/moh.0b013e3280d21afd
  20. Da Costa L, Galimand J, Fenneteau O, Mohandas N. Hereditary spherocytosis, elliptocytosis, and other red cell membrane disorders. Blood Rev. 2013;27(4):167–78. Available from: https://doi.org/10.1016/j.blre.2013.04.003
  21. Anil More T, Kedar P. Unravelling the genetic and phenotypic heterogeneity of SPTA1 gene variants in hereditary elliptocytosis and hereditary pyropoikilocytosis patients using next-generation sequencing. Gene. 2022;843:146796. Available from: https://doi.org/10.1016/j.gene.2022.146796
  22. Brancamp R, Hughes CE, Dar A, Polic A, Zuckerwise LC, Booth GS. Homozygous SPTA1-associated hereditary pyropoikilocytosis presenting as hydrops fetalis. Transfusion. 2024;64(1):189–93. Available from: https://doi.org/10.1111/trf.17617
  23. Gallagher PG. Hereditary elliptocytosis: spectrin and protein 4.1R. Semin Hematol. 2004;41(2):142–64. Available from: https://doi.org/10.1053/j.seminhematol.2004.01.003
  24. Andolfo I, Russo R, Gambale A, Iolascon A. Hereditary stomatocytosis: An underdiagnosed condition. Am J Hematol. 2018;93(1):107–21. Available from: https://doi.org/10.1002/ajh.24929
  25. Wallace MD, Falcone S, Castillo D, Williams TL, Davison LJ. Whole genome sequencing identifies novel candidate genetic variants in canine stomatocytosis. Gene. 2025;945:149314. Available from: https://doi.org/10.1016/j.gene.2025.149314
  26. Andolfo I, Martone S, Rosato BE, Marra R, Gambale A, Forni GL, et al. Complex modes of inheritance in hereditary red blood cell disorders: A case series study of 155 patients. Genes (Basel). 2021;12(7). Available from: https://doi.org/10.3390/genes12070958
  27. World Health Organization. Classification of Glucose-6-phosphate dehydrogenase (G6PD). Geneva (Switzerland): WHO Tctr.
  28. Liu Y, Jin S, Li Y, Xu R, Pang W, Wang K, et al. Treatment of asymptomatic gallstones in children with hereditary spherocytosis requiring splenectomy. J Pediatr Surg. 2023;58(4):756–61. Available from: https://doi.org/10.1016/j.jpedsurg.2022.11.012
  29. Bhargavi S, Jeniffer VN, Ramu SA. Hereditary spherocytosis with preserved eosin-5-maleimide binding. Karnataka Paediatr J. 2025;40(1):29–31. Available from: https://iap-kpj.org/content/113/2025/40/1/pdf/KPJ-40-029.pdf
  30. Turpaev K, Bovt E, Shakhidzhanov S, Sinauridze E, Smetanina N, Koleva L, et al. An overview of hereditary spherocytosis and the curative effects of splenectomy. Front Physiol. 2025;16:1497588. Available from: https://doi.org/10.3389/fphys.2025.1497588
  31. Sahile Kebede S, Aregawi Y, Tesfaye Y, Getachew MB, Tadesse D, Woldu B. The magnitude of hereditary spherocytosis among human immunodeficiency virus-infected adults attending University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia, 2021 GC: cross-sectional study design. Pathol Lab Med Int. 2022;14:15–23. Available from: https://doi.org/10.2147/PLMI.S366451
  32. Seedat F, Patel M, Waja F, Sigauke FR, Variava E. Hereditary spherocytosis and human immunodeficiency virus (HIV) infection: is there an association? Hematol Leuk. 2015;3:3. Available from: http://dx.doi.org/10.7243/2052-434X-3-3
  33. Aemro A, Workneh BS, Mekonen EG, Wassie M, Chekol B. Prevalence of anaemia and its associated factors among HIV-infected adults at the time of ART initiation at Debre Markos Comprehensive Specialized Hospital, Northwest Ethiopia: A retrospective cross-sectional study. BMJ Open. 2022;12(6):e057235. Available from: https://doi.org/10.1136/bmjopen-2021-057235
  34. Li X, Zhang T, Li X, Wang L, Li Q, Liu Q, et al. Identification of a novel SPTB gene splicing mutation in hereditary spherocytosis: A case report and diagnostic insights. Front Genet. 2025;15. Available from: https://www.frontiersin.org/journals/genetics/articles/10.3389/fgene.2024.1522204/full
  35. Jha SK. VSHEUFISITIFSPJ-Afh.
  36. Lichtman MA, Sham R. Acquired elliptocytosis in chronic myeloid neoplasms: An enigmatic relationship to acquired red cell membrane protein and genetic abnormalities. Blood Cells Mol Dis. 2023;103:102778. Available from: https://doi.org/10.1016/j.bcmd.2023.102778
  37. Brancamp R, Hughes C, Dar A, Polic A, Zuckerwise L, Booth G. Homozygous SPTA1-associated hereditary pyropoikilocytosis presenting as hydrops fetalis. Transfusion. 2023;64:189–93. Available from: https://doi.org/10.1111/trf.17617
  38. Bolton-Maggs PH. Hereditary spherocytosis: new guidelines. Arch Dis Child. 2004;89(9):809–12. Available from: https://doi.org/10.1136/adc.2003.034587
  39. Polizzi A, Dicembre L, Failla C, Matola TD, Moretti M, Ranieri SC, et al. Overview of hereditary spherocytosis diagnosis. Int J Lab Hematol. 2025;47(1):18–25. Available from: https://doi.org/10.1111/ijlh.14376
  40. Wu Y, Liao L, Lin F. The diagnostic protocol for hereditary spherocytosis—2021 update. J Clin Lab Anal. 2021;35(12):e24034. Available from: https://doi.org/10.1002/jcla.24034
  41. Häuser F, Rossmann H, Adenaeuer A, Shrestha A, Marandiuc D, Paret C, et al. Hereditary spherocytosis: Can next-generation sequencing of the five most frequently affected genes replace time-consuming functional investigations? Int J Mol Sci. 2023;24(23). Available from: https://doi.org/10.3390/ijms242317021
  42. Blecher TE. What happens to the microspherocytosis of hereditary spherocytosis in folate deficiency? Clin Lab Haematol. 1988;10(4):403–8. Available from: https://doi.org/10.1111/j.1365-2257.1988.tb01188.x

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