Benzene induces gene-duplicating but not gene-inactivating mutations at the glycophorin A locus in exposed humans.

Occupational exposure to benzene is known to cause leukemia, but the mechanism remains unclear. Unlike most other carcinogens, benzene and its metabolites are weakly or nonmutagenic in most simple gene mutation assays. Benzene and its metabolites do, however, produce chromosomal damage in a variety of systems. Here, we have used the glycophorin A (GPA) gene loss mutation assay to evaluate the nature of DNA damage produced by benzene in 24 workers heavily exposed to benzene and 23 matched control individuals in Shanghai, China. The GPA assay identifies stem cell or precursor erythroid cell mutations expressed in peripheral erythrocytes of MN-heterozygous subjects, distinguishing the NN and N phi mutant variants. A significant increase in the NN GPA variant cell frequency (Vf) was found in benzene-exposed workers as compared with unexposed control individuals (mean +/- SEM, 13.9 +/- 1.7 per million cells vs. 7.4 +/- 1.1 per million cells in control individuals; P = 0.0002). In contrast, no significant difference existed between the two groups for the N phi Vf (9.1 +/- 0.9 vs. 8.8 +/- 1.8 per million cells; P = 0.21). Further, lifetime cumulative occupational exposure to benzene was associated with the NN Vf (P = 0.005) but not with the N phi Vf (P = 0.31), suggesting that NN mutations occur in longer-lived bone marrow stem cells. NN variants result from loss of the GPA M allele and duplication of the N allele, presumably through recombination mechanisms, whereas NO variants arise from gene inactivation, presumably due to point mutations and deletions. Thus, these results suggest that benzene produces gene-duplicating mutations but does not produce gene-inactivating mutations at the GPA locus in bone marrow cells of humans exposed to high benzene levels. This finding is consistent with data on the genetic toxicology of benzene and its metabolites and adds further weight to the hypothesis that chromosome damage and mitotic recombination are important in benzene-induced leukemia.

Biopharming the SimpliRED™ HIV diagnostic reagent in barley, potato and tobacco

This is the first report of an antibody-fusion protein expressed in transgenic plants for direct use in a medical diagnostic assay. By the use of gene constructs with appropriate promoters, high level expression of an anti-glycophorin single-chain antibody fused to an epitope of the HIV virus was obtained in the leaves and stems of tobacco, tubers of potato and seed of barley. This fusion protein replaces the SimpliRED™ diagnostic reagent, used for detecting the presence of HIV-1 antibodies in human blood. The reagent is expensive and laborious to produce by conventional means since chemical modifications to a monoclonal antibody are required. The plant-produced fusion protein was fully functional (by ELISA) in crude extracts and, for tobacco at least, could be used without further purification in the HIV agglutination assay. All three crop species produced sufficient reagent levels to be superior bioreactors to bacteria or mice, however barley grain was the most attractive bioreactor as it expressed the highest level (150 μg of reagent g-1), is inexpensive to produce and harvest, poses a minuscule gene flow problem in the field, and the activity of the reagent is largely undiminished in stored grain. This work suggests that barley seed will be an ideal factory for the production of antibodies, diagnostic immunoreagents, vaccines and other pharmaceutical proteins.

Selective block in erythropoietin-induced differentiation of growth factor-independent retrovirally-infected TF-1 cells

The erythroleukaemic cell line TF-1, infected with either the pBabe neo retrovirus or the retrovirus bearing the human erythropoietin (hEpo) gene, developed three growth factor-independent clones. Erythropoietin (Epo), interleukin-3 (IL-3) and granulocyte-macrophage colony stimulating factor (GM-CSF) accelerated the proliferation of these clones. Autonomous growth of the clones was independent of Epo because it was not altered by Epo anti-sense oligonucleotides, nor was Epo detectable in culture supernatants. Cells from the mutant clones could not be induced by Epo to express glycophorin A and haemoglobin synthesis was markedly reduced. Haemin reversed the block in Epo-induced haemoglobin synthesis. Acquisition of growth factor-independence appears to be linked with the selective loss of differentiation capacity. These cells may provide a useful model for the study of the mechanisms involved in leukaemic transformation.

Lonomia obliqua (Lepidoptera, Saturniidae) caterpillar bristle extract induces direct lysis by cleaving erythrocyte membrane glycoproteins

Lonomia obliqua caterpillar bristle extract induces hemolysis in vitro on washed human and rat erythrocytes, in either the absence or presence of exogenous lecithin. In the former condition, phospholipases A(2) are key enzymes involved in hemolysis. However, the mechanism whereby this extract causes direct hemolysis is not known. Thus, the aim of this study was to investigate the hemolytic mechanism of the crude extract of the caterpillar L obliqua on human erythrocytes in the absence of lecithin. The extract significantly increased the erythrocyte osmotic fragility and promoted the removal of glycophorins A and C, and band 3 from the erythrocyte membrane. The use of Ca(2+) and Mg(2+) ions significantly potentiated glycoprotein removal, remarkably of erythrocyte band 3. The composition of fatty acids was analyzed by HPLC in both L obliqua caterpillar bristle extract and human erythrocyte membranes incubated with the extract. The levels of unsaturated fatty acids were remarkably augmented in erythrocytes incubated with the extract than in control erythrocytes, modifying thereby the saturated/unsaturated fatty acid ratio. Altogether, evidence is provided here that the interplay of at least three mechanisms of action accounts for the direct activity of the bristle extract on erythrocyte membrane, leading to hemolysis: the removal of glycoproteins and band 3; the insertion of fatty acids; and the action of phospholipases. Such mechanisms might affect erythrocyte flexibility and deformability, which may induce hemolysis by increasing erythrocyte fragility. However, whether the direct hemolytic activity of L obliqua caterpillar is the major cause of intravascular hemolysis during envenomation still needs further investigation. (C) 2010 Elsevier Ltd. All rights reserved.

Plasmodium falciparum induces reorganization of host membrane proteins during intraerythrocytic growth

The virulence of the malaria parasite, Plasmodium falciparum, is due in large part to the way in which it modifies the membrane of its erythrocyte host. In this work we have used confocal microscopy and fluorescence recovery after photo-bleaching to examine the lateral mobility of host membrane proteins in erythrocytes infected with P falciparum at different stages of parasite growth. The erythrocyte membrane proteins band 3 and glycophorin show a marked decrease in mobility during the trophozoite stage of growth. Erythrocytes infected with a parasite strain that does not express the knob-associated histidine-rich protein show similar effects, indicating that this parasite protein does not contribute to the immobilization of the host proteins. Erythrocytes infected with ring-stage parasites exhibit intermediate mobility indicating that the parasite is able to modify its host prior to its active feeding stage.

Progesterone upregulates GATA-1 on erythroid progenitors cells in liquid culture

Steroids hormones modify the hematological features of homozygous sickle cell disease, including the levels of fetal hemoglobin. We used semi-quantitative RT-PCR analysis of GATA-1, GATA-2, NF-E2, and gamma-globin mRNA levels in a two-phase liquid culture system of human adult erythroid cells in order to assay the effect of progesterone upon gene expression. The levels of expression of GATA-1 and gamma-globin mRNA were significantly increased in cells treated with progesterone compared to untreated cells (1.7- to 2.0-fold). Progesterone treatment did not produce any stimulatory effect upon GATA-2 and NF-E2 mRNA expression. Differences in the synthesis of HbF protein could not be detected by flow cytometry, although we observed a small difference in mean intensity fluorescence between cells treated and cells untreated with progesterone on days 7 and 9. Using anti-transferrin receptor and anti-glycophorin A antibodies, we verified that addition of progesterone did not cause any change in erythroid proliferation and differentiation. In conclusion, it is possible that the increased expression of gamma-globin mRNA after progesterone treatment observed in this study may be related to the increased GATA-1 mRNA expression. Interactions of the steroid receptors with the basal transcriptional machinery and with transcription factors might mediate their transcriptional effects. (C) 2002 Elsevier B.V. (USA).

Aspectos estruturais da membrana eritrocitária

This article describes the structures and functions of the erythrocyte membrane and its importance in transfusional medicine. The erythrocyte membrane is one of the best known membranes in terms of structure, function and genetic disorders. As any other plasma membrane, it mediates transport functions. It also provides the erythrocytes with their resilience and deformability. According to the International Society of Blood Transfusion (ISBT), more than 500 antigens are expressed in the erythrocyte membrane, and around 270 are involved in transfusion reaction cases and hemolytic diseases of the fetus and newborn. In the ISBT classification, the high frequency series is represented by antigens in more than 99% of population (high prevalence antigen). In transfusion, the absence of these antigens determines severe problems as for example, one woman without the P antigen suffered 6 repetitive miscarriages due to placental insufficiency, which was caused by an antibody formed against the absent P antigen. Some important erythrocyte membrane proteins are described here including Band 3, Glycophorins and spectrin. The most abundant integral membrane protein is Band 3 and its main function is to mediate exchange of chloride and bicarbonate anions across the plasma membrane. The second most abundant integral membrane protein in the human erythrocyte is sialoglycoprotein glycophorin A (GPA). With its high sialic acid content, GPA is the main contributor to the net negative cell-surface charge and is thus critical for minimizing cell-cell interactions and preventing red cell aggregation. Glycophorin C (GPC) is the receptor for PfEBP-2 (baebl, EBA-140), the newly identified erythrocyte binding ligand of Plasmodium falciparum. The ternary complex of spectrin, actin and 4.1R defines the nodes of the erythrocyte membrane skeletal network, and is inseparable from membrane stability when under mechanical stress. This erythrocyte membrane review is important for a better understanding of transfusion reactions, where the antibody formation against high prevalence antigens makes compatible transfusions difficult. The study of antigen diversity and biochemical characterization of different proteins will contribute to healthcare, as well as diagnosis, development of technology such as monoclonal antibody production and the therapeutic conduct of many diseases.

Synthese und Konformationsanalyse von Glycopeptiden aus der homophilen Erkennungsregion des LI-Cadherins

Über die Sekundärstruktur von LI-Cadherin ist bislang wenig bekannt. Es gibt keine Röntgenanalysen und keine NMR-spektroskopische Untersuchungen. Man kann nur aufgrund der Sequenzhomologien zu den bereits untersuchten klassischen Cadherinen vermuten, daß im LI-Cadherin ähnliche Verhältnisse in der entscheidenden Wechselwirkungsdomäne vorliegen. In Analogie zum E-Cadherin wurde angenommen, daß es im LI-Cadherin eine „homophile Erkennungsregion“ gibt, die in einer typischen beta-Turn-Struktur mit anschließenden Faltblattbereichen vorliegen sollte. Um den Einfluß verschiedener Saccharid-Antigene auf die Turn-Bildung zu untersuchen, wurden im ersten Teil der vorliegenden Arbeit verschiedene Saccharid-Antigen-Bausteine synthetisiert, mit denen dann im zweiten Teil der Arbeit durch sequentielle Festphasensynthese entsprechende Glycopeptidstrukturen aus dieser Region des LI-Cadherins aufgebaut wurden. Zur Synthese sämtlicher Antigen-Bausteine ging man von D-Galactose aus, die über das Galactal und eine Azidonitratisierung in vier Stufen zum Azidobromid umgesetzt wurde. In einer Koenigs-Knorr-Glycosylierung wurde dieses dann auf die Seitenkette eines geschützten Serin-Derivats übertragen. Reduktion und Schutzgruppenmanipulationen lieferten den TN Antigen-Baustein. Ein TN-Antigen-Derivat war Ausgangspunkt für die Synthesen der weiteren Glycosyl-Serin-Bausteine. So ließ sich mittels der Helferich-Glycosylierung der T Antigen-Baustein herstellen, und der STN-Antigen-Baustein wurde durch eine Sialylierungsreaktion und weitere Schutzgruppenmanipulationen erhalten. Da die Route über das T-Antigen-Derivat den Hauptsyntheseweg für die weiteren komplexeren Antigene bildete, wurden verschiedene Schutzgruppenmuster getestet. Darauf aufbauend ließen sich durch verschiede Glycosylierungsreaktionen und Schutzgruppenmanipulationen der komplexe (2->6)-ST-Antigen-Baustein, (2->3)-Sialyl-T- und Glycophorin-Antigen-Baustein synthetisieren. Im nächsten Abschnitt der Doktorarbeit wurden die synthetisierten Saccharid-Antigen-Serin-Konjugate in Festphasen-Glycopeptidsynthesen eingesetzt. Zunächst wurde ein mit dem TN Antigen glycosyliertes Tricosapeptid hergestellt. Mittels NMR-spektroskopischen Untersuchungen und folgenden Energieminimierungsberechnungen konnte eine dreidimensionale Struktur ermittelt werden. Die Peptidsequenz des Turn-bildenden Bereichs wurde für die folgenden Synthesen gewählt. Die Abfolge der einzelnen Reaktionsschritte für die Festphasensynthesen mit den verschiedenen Saccharid-Antigen-Bausteinen war ähnlich. Insgesamt verlief die Festphasen-Glycopeptidsynthese in starker Abhängigkeit vom sterischen Anspruch der Saccharid-Bausteine. Sämtliche so synthetisierten Glycopeptide wurden NMR spektroskopisch charakterisiert und mittels NOE-Experimenten hinsichtlich ihrer Konformation untersucht. Durch diese Bestimmung der räumlichen Protonen-Protonen-Kontakte konnte mittels Rechnungen zur Energieminimierung, basierend auf MM2 Kraftfeldern, eine dreidimensionale Struktur für die Glycopeptide postuliert werden. Sämtliche synthetisierten Glycopeptide weisen eine schleifenartige Konformation auf. Der Einfluß der Saccharid-Antigene ist unterschiedlich, und läßt sich in drei Gruppen einteilen.

Einfluss membranmimetischer Umgebungen auf die Dimerisierung von Glykophorin A

Bei der Untersuchung von Membranproteinen bedarf es der Entwicklung von neuen Methoden, da Standardmethoden, entwickelt für lösliche Proteine, meist nicht auf Membranproteine angewendet werden können. Das größte Problem besteht in der schlechten Wasserlöslichkeit der Membranproteine, da diese sich in vivo in einer hydrophoben Umgebung, der Membran, befinden. Um dennoch isolierte Membranproteine und ihre Faltung in vitro charakterisieren zu können, sind membranmimetische Systeme notwendig um Membranproteine in Lösung zu bringen. In dieser Arbeit wurden Lysophosphocholin Detergenzien, die Copolymere Amphipol A8-35, p(HMPA)-co-p(LMA) sowie synthetische Membranen aus Phospholipiden auf Ihre Eigenschaften in wässriger Lösung untersucht, und deren Auswirkungen auf die Solubilisierung und Dimerisierung der Glykophorin A (GpA)-Transmembranhelix analysiert. Es wurde erstmals gezeigt, dass die Aggregtionszahl von Detergenzmizellen die Dimerisierung von GpA beeinflusst. Die Copolymere A8-35 und pHPMA-pLMA sind in der Lage die Sekundärstruktur von GpA sowie dessen Dimer zu stabilisieren. Allerdings ist dies bei pHPMA-pLMA Copolymeren erst ab einem LMA-Anteil von über 15% möglich. In synthetischen Membranen zeigte die Dimerisierung von GpA eine Abhängigkeit von negativ geladenen Lipiden, die die Dimerisierung zwar vermindern aber die Ausbildung der Transmembranhelix fördern. Eine Zugabe von physiologischen Konzentrationen an Calciumionen ändert die Membraneigenschaften drastisch aber die Dimerisierung von GpA wird nur geringfügig beeinflusst.

Eigenschaften heterotypisch interagierender Transmembranhelices ermittelt durch den Einsatz einer kombinatorischen DNS-Bibliothek

Membranproteine sind für Medizin und Forschung von großer Bedeutung. Allerdings gestaltet sich die Forschung an diesen Proteinen oft umständlich und schwierig. Da Membranproteine nur in geringem Maße wasserlöslich sind, können konventionelle biochemische Methoden zur Proteinanalyse nur begrenzt Anwendung finden. Im Rahmen dieser Dissertation wurde ein Reportersystem entwickelt, das zur Analyse von transmembranen Proteinen eingesetzt werden kann. Das System ermöglicht die Untersuchung von Interaktionstendenzen transmembraner, helicaler Proteinelemente in der biologischen Membran des Bakteriums Escherichia coli. Interaktionen transmembraner α-Helices sind bei der Signalweiterleitung über die zelluläre Membran von Bedeutung. So spielt beispielsweise bei vielen membranständigen Rezeptoren die Zusammenlagerung von einzelnen Einheiten zu Oligomeren für den Informationsfluss eine wichtige Rolle. Auch für die Faltung von Membranproteinen sind Interaktionen transmembraner α-Helices relevant. rnEine Validierung des Reportersystems wurde durch gezielte Untersuchungen an dem bakteriellen Aquaglyceroporin GlpF vorgenommen. Bereits vorliegende Strukturdaten für GlpF ließen eine Interaktion der Helices 1 und 2 sowie 1 und 4 des Kanals vermuten, was mit Hilfe des entwickelten Reportersystems bestätigt werden konnte. Eine moderate Interaktionstendenz konnte für beide Helix-Helix-Paarungen festgestellt werden. In der weiterführenden Anwendung des Systems wurden die Eigenschaften der Helix-Helix-Kontaktfläche von heterotypisch interagierenden Transmembranhelices in Bezug auf deren Aminosäurekomposition betrachtet. Dazu wurde zunächst eine auf Plasmiden basierende, kombinatorische DNS-Bibliothek angelegt, die für transmembrane Helices mit zufällig auftretenden Aminosäureresten codierte. Die Anordnung der variablen Seitenketten erfolgte so, dass in Verbindung mit dem Reportersystem eine Helix-Helix-Kontaktfläche randomisierter Aminosäurereste generiert wurde. Um Paare interagierender Helices zu erhalten, wurde ein Selektionsdruck auf E. coli-Zellen erzeugt, in denen die Expression der Transmembranhelices erfolgte. Nur in Zellen mit interagierenden Helices kam es zu einer Aktivierung von Stoffwechselgenen, die das Wachstum in einem Minimalmedium gestattete. Infolge konnten Aminosäurereste und Interaktionsmotive identifiziert werden, die für heterotypische Interaktionen von α-Helices in Membranen eine bedeutende Rolle spielen. Den höchsten Grad an Überrepräsentation an der Helix-Helix-Kontaktfläche zeigten Glycinseitenketten. Weiterhin überrepräsentiert waren Phenylalanin-, Cystein- und Alaninreste. Auch zeigte sich sowohl die Bedeutung des aus dem humanen Glycophorin A (GpA) bekannten Aminosäure-Sequenzmotivs GxxxG, als auch die des Interaktionsmotivs [klein]xxx[klein], in dem Glycin-, Alanin- oder Serinreste in Positionen getrennt durch drei unbestimmte Seitenketten enthalten sind. Weiterhin konnte gezeigt werden, dass bei der Ausbildung eines Helix-Helix-Dimers bestimmte Seitenketten häufiger als andere helixübergreifend in geringer Distanz zueinander auftraten. Hierbei hob sich in besonderem Maße die Paarung Glycin/Glycin hervor. Auch konnten die Paarungen Glycin/Cystein und Phenylalanin/Phenylalanin häufig vorgefunden werden. Darüber hinaus weist das häufige Auftreten von Glycinresten in geringer Distanz auf ein neuartiges Interaktionsmotiv hin. Anders als beim GxxxG-Motiv sind hierbei zwei Glycinreste nicht innerhalb einer Helix, sondern in zwei verschiedenen, interagierenden Transmembranhelices in geringem Abstand zueinander lokalisiert. Die Anwesenheit dieser kurzen Seitenketten in bestimmten Positionen könnte, ähnlich wie das GxxxG-Motiv, den Abstand zweier Helices zueinander verringern und so interhelicale Wechselwirkungen anderer Seitenketten begünstigen.

Mapping regions containing binding residues within functional domains of Plasmodium vivax and Plasmodium knowlesi erythrocyte-binding proteins

Invasion of erythrocytes by malaria parasites is mediated by specific molecular interactions. Whereas Plasmodium vivax and Plasmodium knowlesi use the Duffy blood group antigen, Plasmodium falciparum uses sialic acid residues of glycophorin A as receptors to invade human erythrocytes. P. knowlesi uses the Duffy antigen as well as other receptors to invade rhesus erythrocytes by multiple pathways. Parasite ligands that bind these receptors belong to a family of erythrocyte-binding proteins (EBP). The EBP family includes the P. vivax and P. knowlesi Duffy-binding proteins, P. knowlesi β and γ proteins, which bind alternate receptors on rhesus erythrocytes, and P. falciparum erythrocyte-binding antigen (EBA-175), which binds sialic acid residues of human glycophorin A. Binding domains of each EBP lie in a conserved N-terminal cysteine-rich region, region II, which contains around 330 amino acids with 12 to 14 conserved cysteines. Regions containing binding residues have now been mapped within P. vivax and P. knowlesi β region II. Chimeric domains containing P. vivax region II sequences fused to P. knowlesi β region II sequences were expressed on the surface of COS cells and tested for binding to erythrocytes. Binding residues of P. vivax region II lie in a 170-aa stretch between cysteines 4 and 7, and binding residues of P. knowlesi β region II lie in a 53-aa stretch between cysteines 4 and 5. Mapping regions responsible for receptor recognition is an important step toward understanding the structural basis for the interaction of these parasite ligands with host receptors.

Erythrocyte membrane vesiculation: Model for the molecular mechanism of protein sorting

Budding and vesiculation of erythrocyte membranes occurs by a process involving an uncoupling of the membrane skeleton from the lipid bilayer. Vesicle formation provides an important means whereby protein sorting and trafficking can occur. To understand the mechanism of sorting at the molecular level, we have developed a micropipette technique to quantify the redistribution of fluorescently labeled erythrocyte membrane components during mechanically induced membrane deformation and vesiculation. Our previous studies indicated that the spectrin-based membrane skeleton deforms elastically, producing a constant density gradient during deformation. Our current studies showed that during vesiculation the skeleton did not fragment but rather retracted to the cell body, resulting in a vesicle completely depleted of skeleton. These local changes in skeletal density regulated the sorting of nonskeletal membrane components. Highly mobile membrane components, phosphatidylethanolamine- and glycosylphosphatidylinositol-linked CD59 with no specific skeletal association were enriched in the vesicle. In contrast, two components with known specific skeletal association, band 3 and glycophorin A, were differentially depleted in vesicles. Increasing the skeletal association of glycophorin A by liganding its extrafacial domain reduced the fraction partitioning to the vesicle. We conclude that this technique of bilayer/skeleton uncoupling provides a means with which to study protein sorting driven by changes in local skeletal density. Moreover, it is the interaction of particular membrane components with the spectrin-based skeleton that determines molecular partitioning during protein sorting.

Dimerization of the Polymeric Immunoglobulin Receptor Controls Its Transcytotic Trafficking

Binding of dimeric immunoglobulin (Ig)A to the polymeric Ig receptor (pIgR) stimulates transcytosis of pIgR across epithelial cells. Through the generation of a series of pIgR chimeric constructs, we have tested the ability of ligand to promote receptor dimerization and the subsequent role of receptor dimerization on its intracellular trafficking. Using the cytoplasmic domain of the T cell receptor-ζ chain as a sensitive indicator of receptor oligomerization, we show that a pIgR:ζ chimeric receptor expressed in Jurkat cells initiates a ζ-specific signal transduction cascade when exposed to dimeric or tetrameric IgA, but not when exposed to monomeric IgA. In addition, we replaced the pIgR’s transmembrane domain with that of glycophorin A to force dimerization or with a mutant glycophorin transmembrane domain to prevent dimerization. Forcing dimerization stimulated transcytosis of the chimera, whereas preventing dimerization abolished ligand-stimulated transcytosis. We conclude that binding of dimeric IgA to the pIgR induces its dimerization and that this dimerization is necessary and sufficient to stimulate pIgR transcytosis.

Ligand-independent oligomerization of cell-surface erythropoietin receptor is mediated by the transmembrane domain

Binding of erythropoietin (Epo) to the Epo receptor (EpoR) is crucial for production of mature red cells. Although it is well established that the Epo-bound EpoR is a dimer, it is not clear whether, in the absence of ligand, the intact EpoR is a monomer or oligomer. Using antibody-mediated immunofluorescence copatching (oligomerizing) of epitope-tagged receptors at the surface of live cells, we show herein that a major fraction of the full-length murine EpoR exists as preformed dimers/oligomers in BOSC cells, which are human embryo kidney 293T-derived cells. This observed oligomerization is specific because, under the same conditions, epitope-tagged EpoR did not oligomerize with several other tagged receptors (thrombopoietin receptor, transforming growth factor β receptor type II, or prolactin receptor). Strikingly, the EpoR transmembrane (TM) domain but not the extracellular or intracellular domains enabled the prolactin receptor to copatch with EpoR. Preformed EpoR oligomers are not constitutively active and Epo binding was required to induce signaling. In contrast to tyrosine kinase receptors (e.g., insulin receptor), which cannot signal when their TM domain is replaced by the strongly dimerizing TM domain of glycophorin A, the EpoR could tolerate the replacement of its TM domain with that of glycophorin A and retained signaling. We propose a model in which TM domain-induced dimerization maintains unliganded EpoR in an inactive state that can readily be switched to an active state by physiologic levels of Epo.