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J. Biol. Chem., Vol. 277, Issue 15, 12499-12502, April 12, 2002
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§,
From the Departments of
Pathology and Laboratory
Medicine and ¶ Physiology, University of Pennsylvania, School of
Medicine, Philadelphia, Pennsylvania 19104
Received for publication, January 29, 2002, and in revised form, February 21, 2002
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ABSTRACT |
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The Rh blood group proteins are well known as the
erythrocyte targets of the potent antibody response that causes
hemolytic disease of the newborn. These proteins have been
described in molecular detail; however, little is known about their
function. A transport function is suggested by their predicted
structure and from phylogenetic analysis. To obtain evidence for a role in solute transport, we expressed Rh proteins in Xenopus
oocytes and now demonstrate that the erythroid Rh-associated
glycoprotein mediates uptake of ammonium across cell membranes.
Rh-associated glycoprotein carrier-mediated uptake, characterized with
the radioactive analog of ammonium [14C]methylamine (MA),
had an apparent EC50 of 1.6 mM and a maximum uptake rate (Vmax) of 190 pmol/oocyte/min.
Uptake was independent of the membrane potential and the
Na+ gradient. MA transport was stimulated by raising
extracellular pH or by lowering intracellular pH, suggesting that
uptake was coupled to an outwardly directed H+ gradient. MA
uptake was insensitive to additions of amiloride, amine-containing compounds tetramethyl- and tetraethylammonium chloride, glutamine, and urea. However, MA uptake was significantly antagonized by ammonium chloride with inhibition kinetics
(IC50 = 1.14 mM) consistent with the hypothesis
that the uptake of MA and ammonium involves a similar
H+-coupled counter-transport mechanism.
The human Rh blood group proteins have been known for decades to
cause hemolytic disease of the newborn, which can result in severe
fetal morbidity and mortality (1). Despite their clinical importance,
these multipass membrane proteins were not successfully isolated until
the late 1980s (2), and little progress was made in their
characterization until the genes were cloned (3). Database searches for
protein sequences with similarities to Rh proteins were not informative
until the Caenorhabditis elegans sequencing initiative
revealed that homologs exist in that species. These homologs, in turn,
revealed a distant similarity between Rh proteins and ammonium
transporters from bacteria and yeast. Since then additional Rh homologs
have been found in many organisms (4), and nonerythroid Rh homologs
were detected in human and mouse kidney, testis, brain, and liver (5,
6).
The erythrocyte Rh blood group antigens are carried on two 417-amino
acid polypeptides, RhD and RhCE, which are 97% identical. Rh-negative
individuals carry a deletion or mutation in RHD and lack RhD
protein (for reviews, see Refs. 7 and 8). A related 409-amino acid
Rh-associated glycoprotein
(RhAG)1 shares 37% amino
acid identity with RhD and RhCE. RhAG and the RhD and RhCE proteins are
predicted to span the membrane 12 times and associate in
heterotetramers (9). RhAG is important for the trafficking of RhD and
RhCE to the plasma membrane as mutations in RHAG,
independent of RH, result in Rhnull
erythrocytes, which lack RhAG, RhD, and RhCE (8). Rhnull
erythrocytes have structural defects, characterized morphologically as
stomatocytes and spherocytes, as well as cation content abnormalities.
Affected individuals have a compensated hemolytic anemia (10, 11).
The low levels of endogenous expression of Rh proteins in mammalian
cells, and the inability to express sufficient levels of recombinant
forms, have hampered functional studies. Weak complementation by Rh
proteins of a yeast ammonium mutant (12) has been criticized because
ammonium uptake was not detected, and indirect evidence suggested that
RhAG was involved in export, which contradicted the complementation
results (13). We have used the Xenopus oocyte expression
system to determine the function of Rh and RhAG proteins. Here we
demonstrate successful expression of fully glycosylated RhAG protein
and provide the first direct evidence for RhAG-mediated ammonium uptake.
cRNA Synthesis--
Human RhAG and RhCE cDNAs were obtained
by PCR from reticulocyte RNA. cDNAs were cloned into a pSP64 vector
(provided by B. Skach, Oregon Health Sciences University, Portland, OR)
or the pBF vector (provided by F. Ashcroft, Oxford, UK) for transcripts with a poly(A) tail. Capped cRNA was synthesized with SP6 RNA polymerase from plasmid DNA with mMessage mMachine (Ambion, Inc., Austin, TX).
Oocyte Injection and [14C]Methylammonium Uptake
Assay--
Stage V and VI defolliculated oocytes were injected with 34 nl (1 ng/nl) of cRNA, or water for controls, and placed in individual wells in 96-well plates containing 200 µl of SOS in mM
(100 NaCl, 2 KCl, 1.8 CaCl2, 1 MgCl2, 10 HEPES,
pH 7.6, 200 mosM) with 2.5 mM sodium pyruvate,
100 µg/ml gentamicin, and 100 µM
N-acetyl-Leu-Leu-norleucinal at 16 °C. Radiolabeled
[14C]methylammonium
(CH3NH3+) (ICN, Irvine, CA) uptake
was measured 3 days postinjection. Experiments were performed at room
temperature by placing groups of six to eight oocytes in 200 µl of
low K+ (0.2 mM) SOS uptake buffer containing 1 µCi/ml [14C]methylammonium (MA) and various
concentrations of unlabeled MA (20 µM-50 mM)
with or without competitors or inhibitors. For some experiments, NaCl
in SOS was replaced by KCl or
N-methyl-D-glucamine. For acidification
experiments, the internal oocyte pH (pHi) was altered using
sodium acetate (14, 15). Briefly, oocytes were preincubated for 25 min
before uptake assay in buffers containing in mM 55 NaCl, 60 sodium acetate, 1.8 CaCl2, 1 MgCl2, 10 HEPES and adjusted to a final pH between 6.3 and 8.2. After 20-25 min, pHi achieves steady state, and recovery on removal requires 15 min (14, 15). Fluxes were measured between 1 and 15 min. For all
experiments, washing the oocytes seven times with 1.2 ml of ice-cold
unlabeled uptake buffer stopped radiotracer uptake. Oocytes were
solubilized in 200 µl of 5% SDS and analyzed for radioactivity in 5 ml of CytoSinct (ICN) by liquid scintillation counting. Water-injected
control oocytes were evaluated in parallel in all assays, and control
uptake values were subtracted from experimental values for
cRNA-injected oocytes.
Two-electrode Voltage Clamp--
Two-electrode voltage clamp was
used to measure membrane currents in either cRNA-injected oocytes or
water-injected control oocytes. Three days postinjection, single
oocytes were perfused with solution containing in mM 96 NaCl, 0.2 CaCl2, 0.2 MgCl2, 10 HEPES, pH 7.5 by
NaOH or with a solution containing 83 NaCl and 20 NH4Cl in
place of 96 NaCl. Whole-oocyte membrane conductance was determined as
described previously (16).
Western Analysis--
Recombinant protein expression in oocytes
was analyzed 3 days after cRNA injection by placing oocytes in 200 µl
of oocyte extraction buffer in mM (150 NaCl, 100 Tris-HCl,
10 EDTA, pH 8.0) with protease inhibitors (1 mM
phenylmethylsulfonyl fluoride, 1 µM pepstatin A, 1 µM leupeptin, 10 µM E-64) and homogenizing. The homogenate was placed on ice for 30 min and centrifuged for 5 min,
and the supernatant was removed and centrifuged again at top speed for
30 min. The pellet was resuspended in sample loading buffer with 8 M urea, heated at 37 °C for 15 min, analyzed by SDS-PAGE
followed by immunoblotting with monoclonal antibody 2D10 (17), and
visualized with secondary horseradish peroxidase-conjugated anti-mouse
IgG followed by ECL chemiluminescence (Amersham Biosciences).
Data Analysis--
Experimental data were analyzed with Igor
software (WaveMetrics, Lake Oswego, OR). Initial uptake rates were
determined from slopes of linear fits to uptake measured over short
periods (15 min) during which efflux was considered negligible.
Apparent EC50 (Km) and
Vmax values were derived by fitting experimental data with a simple Michaelis-Menten or Hill equation using a nonlinear least-squares fitting algorithm. IC50 of inhibition by
ammonium was obtained by similar fitting of data with an inhibition
Michaelis-Menton equation. Statistical significance was evaluated by
two-tailed paired t test. A p value <0.05 was
considered significant. Means are given as ±S.E.
Expression of Erythrocyte Rh Proteins in Xenopus Oocytes--
To
test the hypothesis that Rh proteins are transporters or channels, we
expressed Rh proteins in Xenopus oocytes by microinjection of cRNA for RhAG and/or RhCE and performed flux measurements on cRNA-injected and water-injected control oocytes. Expressed RhAG was detected in oocyte membrane-enriched fractions as a single band
(Fig. 1A), corresponding to
the largest molecular weight band seen in native red blood cell
membranes, suggesting that the expressed RhAG was fully glycosylated
and properly trafficked to the plasma membrane. The detected protein
was absent in water-injected oocytes. Expression of epitope-tagged RhCE
was inconsistent and was only detected in membrane fractions when
co-expressed with RhAG (data not shown).
RhAG-mediated Uptake of [14C]MA--
The
characterization of ammonium ion transport is hindered by the
lack of a convenient tracer for transport studies. Because 13N label has a short half-life, is only measured by NMR,
and is generally not available, we used the radioactive analog tracer MA,
[14C]CH3NH3+,
which has been used in studies of ammonium transport in yeast and
plants (18-20). As Xenopus oocytes have an endogenous
ammonium uptake system (21), water-injected control oocytes were
evaluated in parallel. Expression of RhAG enhanced the rate of
[14C]MA uptake compared with controls (Fig.
1B). RhAG-mediated uptake was 8-10-fold greater at 15-30
min and was still 4-5-fold greater at 2 h compared with the
linear rate of uptake seen in controls. RhCE cRNA-injected oocytes did
not demonstrate uptake, and co-expression of RhCE with RhAG did not
alter uptake (data not shown).
RhAG-mediated MA Uptake Is Not Dependent on Membrane Potential and
Is Not Driven by the Na+ Gradient--
To characterize the
mechanisms of RhAG-induced MA uptake, we first examined the effects of
modulating the membrane potential. When Na+ buffer (100 mM Na+, 1 mM K+) was
replaced by high K+ buffer (1 mM
Na+, 100 mM K+), the oocytes
depolarized almost immediately, and the plasma membrane resting voltage
went from an average of Kinetics of Uptake--
The rate of RhAG-mediated MA uptake was a
saturable function of MA concentration, suggesting that the process was
carrier-mediated. The data were well fitted with a Michaelis-Menten
equation with the EC50 (Km) = 1.6 mM and Vmax = 190 pmol/oocyte/min (Fig. 3).
RhAG-mediated MA Uptake Is pH Gradient-sensitive--
We
previously observed that weak complementation of the yeast ammonium
transport deletion mutant by RhAG was
pH-dependent.2 MA
uptake by oocytes in buffers with pH ranging from 5.5 to 8.5 revealed a significant increase in the RhAG-expressing oocytes at
alkaline pH values (Fig. 4A).
Although elevated pH also enhanced MA uptake in control oocytes, the
enhancement in RhAG-expressing oocytes was always at least 2-fold
greater than in the controls. Uptake rates at pH 6.5 and below were low
and not different from rates observed in the controls. Because the
pKa of MA is 10.6, there was little change in the
concentration of protonated MA over the range of pH values studied. The
increased uptake rate observed at alkaline pH suggested that an
outwardly directed proton gradient might be involved in MA uptake. To
further clarify the observed pH dependence of MA uptake, the
intracellular pH (pHi) of injected oocytes was manipulated. We
reasoned that if an outwardly directed H+ ion gradient is
involved in ammonium uptake, then acidification of the oocyte cytoplasm
should enhance unidirectional RhAG-mediated MA uptake. A strategy that
has been well documented for acidifying oocytes uses acetate-buffered
solutions. In the presence of 60 mM sodium acetate, the
lipophilic protonated form of acetic acid crosses the membrane
and dissociates, acidifying intracellular pHi (14, 15). After
20-25 min of incubation in acetate buffer the pHi reaches
steady state and recovers on removal in ~15 min (14). Oocytes were
preincubated for 25 min in acetate buffers adjusted from pH 6.1 to 7.4 and then moved to MA uptake buffer at pH 7.5 or 8.5, a treatment that
is expected to lower pHi to approximately pH 5.9-6.8
(14). A decrease in pHi increased RhAG-specific MA uptake
(Fig. 4B), whereas control uptake rates were unaffected.
In summary, RhAG-mediated MA uptake increased when either pHo
was increased or when pHi was reduced. These results suggest
that RhAG-specific MA uptake may be coupled to an outwardly directed
proton gradient. Taken together with the lack of significant effect of
RhAG expression on plasma membrane conductance and the lack of effect
of changes in membrane potential on RhAG-mediated MA uptake, these data
are consistent with uptake being mediated by MA-H+
counter-transport.
Effect of Organic Ions on RhAG-mediated MA Uptake--
The
Na+/H+ antiport inhibitor amiloride was without
effect on uptake (Fig. 5A). To
characterize substrate specificity the effects of several
amine-containing compounds were examined. RhAG-specific MA uptake was
not affected by addition of the quaternary ammonium compounds
tetramethyl- and tetraethylammonium chloride (Fig. 5A), and
neither urea nor glutamine inhibited MA uptake (Fig. 5B). However, ammonium chloride was a strong competitor (Fig.
5B).
To compare relative affinities of NH4 and MA for the
transport pathway, the inhibitor constant IC50 was
determined by varying the concentration of NH4 and
assessing the effects on RhAG-specific MA uptake (Fig. 5C).
The IC50 value for NH4 (1.1 mM) is
close to the EC50 (1.6 mM) for MA uptake. This
result suggests that NH4 may be the biologically relevant
substrate for RhAG-mediated transport and that MA is an appropriate
substrate analog for studying NH4 transport by Rh proteins.
Although NH4Cl can acidify oocytes (21), which could affect
the uptake of MA, the maximally inhibiting concentration of
NH4 in our experiments was 2-fold lower than those normally
used to acidify oocytes, and the half-maximal concentration was 1 mM, a concentration that is unlikely to produce significant pHi changes. However, a small intracellular acidification at
these lower concentrations would result in an underestimation of the
ability of NH4 to block MA uptake because acidification stimulates uptake.
This report describes the first functional characterization of a
human erythrocyte Rh protein. When expressed in Xenopus
oocytes, RhAG was fully glycosylated, suggesting that it was processed appropriately and trafficked correctly to the oocyte plasma membrane. This result is important because erythrocyte Rh proteins have been
notoriously difficult to express in heterologous cells. Indeed the
recent expression of RhAG in the yeast ammonium transport mutant
revealed that RhAG protein is not N-glycosylated and
migrates at a lower molecular weight than that found in the native
erythrocyte membrane (12). RhAG expression in those studies was shown
to weakly complement the transport mutant, but it was not possible to
demonstrate uptake of ammonium as the mechanism of complementation. We
reasoned that the lack of glycosylation and weak complementation probably reflected inadequate processing and trafficking, which reduced
the value of the yeast system for functional studies of Rh
proteins.2
Oocytes expressing RhAG demonstrated an 8-10-fold increase in uptake
of ammonium, measured with the radioactive analog
[14C]MA, over water-injected controls. RhAG-mediated
uptake of ammonium was unaffected by changes in the plasma membrane
potential suggesting that the uptake pathway conferred by the
expression of RhAG is not conductive. Uptake was independent of the
plasma membrane Na+ gradient, but it was affected by a
H+ gradient. Raising external pH or acidifying the oocyte
cytoplasm increased the accumulation of the radioactive tracer. These
results suggest some possible models for RhAG-mediated MA uptake and, by extension, for ammonium uptake. First, uptake may be coupled to
proton extrusion. For mammalian cells, uptake of
NH4+ would be predicted to acidify cells
because the transported NH4+ can dissociate
into NH3 and H+ in the cytoplasm. Uptake
mediated by MA-H+ counter-transport would therefore be an
attractive mechanism to accumulate ammonium without compromising pH.
Second, our observed effects of pH on RhAG-mediated MA uptake might
possibly be accounted for by changes in the concentration of the
unprotonated NH3 molecule when pH is altered with the
unprotonated molecule being the transported species. However, if the
unprotonated molecule was the transported species, we would expect that
the inhibition kinetics measured at pH 7.5 and pH 8.5 should be very
different since the pKa of ammonium (9.25) dictates
that the unprotonated form (NH3) is less than 2% of the
total ammonium concentration at pH 7.5 but increases to ~15% at pH
8.5. In contrast, the same IC50 (1.1 mM) was
measured at both pH values, arguing that the transported species is not
the unprotonated molecule. Third, the effects of pH on the observed MA
uptake rates could possibly be the result of allosteric effects of
H+. However, this possibility seems unlikely since the pH
gradient, rather than the pH on either side of the membrane, appears to be most important. We conclude therefore that the most reasonable model
that can account for our results is one in which RhAG-specific MA
uptake is mediated by an exchange of cationic MA (and by extension NH4+) with H+. Further studies are
underway to conclusively determine whether RhAG is an antiporter.
Transport across membranes is required to efficiently scavenge
NH4+ for use as a nitrogen source in bacteria,
yeast, and higher plants; however, little is known about the
requirements for NH4+ transport in mammals. It
was long assumed that high passive membrane permeability of ammonia
(NH3) would obviate the need for specific transport
pathways in mammalian cells (19). Water and urea permeation were
originally thought to occur by passive movement through the lipid
bilayer but are now known to be mediated by specific proteins. Similarly, rates of passive diffusion are not sufficient to account for
the movement of NH4+ in a number of organs
(22-24). NH4+ movement in the kidney tubular
segments is transport-mediated. Uptake is thought to be due, in part,
to the ability of NH4+ to substitute for
K+ on the Na+-K+-2Cl The involvement of Rh proteins in membrane transport has been suspected
recently based on predicted topology and weak similarity to ammonium
transporters. However, until now direct demonstration of the movement
of a specific substrate by Rh proteins has not been shown. Here we show
that ammonium is a biologically relevant substrate for RhAG-mediated
transport and that MA is an appropriate substrate analog for studying
transport by the growing family of Rh-related proteins. Although
ascribing a role for NH4+ transport by
erythrocytes is somewhat speculative at present, the large total
erythrocyte mass may enable these cells to carry a significant amount
of ammonium or ammonia possibly to be exchanged in the liver and kidney
where other Rh-related proteins are expressed. Indeed physiologic
ammonium concentrations in blood plasma are low, 0.1-0.2
mM, but erythrocyte ammonia levels average 3 times greater
(28). The erythrocyte RhAG-mediated membrane transport of
NH4+ might have implications in metabolic
disorders, especially those associated with hyperammonemia.
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INTRODUCTION
TOP
ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
REFERENCES
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EXPERIMENTAL PROCEDURES
TOP
ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
REFERENCES
![]()
RESULTS
TOP
ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
REFERENCES

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Fig. 1.
Functional expression of RhAG. A,
Western blot analysis of RhAG expressed in native erythrocytes
(RBC) and in oocyte membranes probed with antibody 2D10,
specific for the carbohydrate-dependent epitope of the
protein. In addition to the RhAG-specific band, cross-reactive high
molecular weight material was seen in all oocytes, including
water-injected controls. B, RhAG-mediated uptake of 20 µM [14C]MA. RhAG cRNA-injected oocytes are
compared with water-injected controls. Groups of eight oocytes were
analyzed at each time point in uptake buffer at pH 7.5, and uptake is
reported as pmol/oocyte. Data shown are representative of three
independent experiments.
35 to
9 mV. However, uptake of MA was
unaffected (Fig. 2). This result
suggested that uptake may not be a conductive process and furthermore
that the transport mechanism is not coupled to the Na+
gradient. To verify that uptake was independent of the Na+
gradient, 100 mM Na+ in the uptake buffer was
substituted with equimolar N-methyl-D-glucamine. RhAG-mediated uptake of MA was unaffected (data not shown).
Two-electrode voltage clamp experiments were undertaken to determine
the effects of RhAG expression on plasma membrane conductance
properties. Perfusion with solutions containing 20 mM
NH4Cl caused a small, albeit reproducible, increase in
membrane conductance of ~4-6 microsiemens greater than that
observed in the water-injected controls (data not shown). The small
enhancement of membrane conductance, taken together with the lack of
effect of plasma membrane depolarization on MA uptake, suggests that
RhAG-mediated MA uptake is not conductive.

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Fig. 2.
Effect of oocyte membrane depolarization on
RhAG-mediated MA uptake. Uptake of MA by RhAG cRNA-injected
oocytes in standard Na+ buffer and in buffer with high
K+. Groups of eight oocytes were analyzed at each time
point in the presence of 5 mM MA with radioactive tracer at
pH 7.5. Uptake is reported as pmol/oocyte. Uptake values calculated for
the water-injected controls have been subtracted. Data shown are
representative of three independent experiments.

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Fig. 3.
Kinetics of MA uptake.
Circles represent experimental data, and the
curve represents the Michaelis-Menten fit with the tabulated
parameters. The fit was indistinguishable from a Hill equation fit with
a Hill coefficient of 1.

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Fig. 4.
Effects of external and internal pH on
RhAG-mediated MA uptake. A, effect of external pH.
Uptake rates (pmol/oocyte/min measured at 15 min) in water- and RhAG
cRNA-injected oocytes in the presence of 500 µM MA with
radioactive tracer at pH 5.5-8.5. Net uptake at each pH value is also
shown. Values are means ± S.E. (n = 3-4) for
groups of six to eight oocytes. B, effect of cytoplasmic
acidification. Uptake rates (as above) after treatment of oocytes with
membrane-permeable acetate buffers adjusted to the pH indicated. Values
are means ± S.E. (n = 3-4) for groups of six to
eight oocytes. Water-injected control uptake values did not vary in
these experiments and have been subtracted. * denotes p < 0.05.

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Fig. 5.
Effect of organic ions on RhAG-mediated MA
uptake and inhibition kinetics by ammonium. A, initial
uptake rates (measured at pH 8.5 and 7.5) in the presence of 10 mM tetraethylammonium chloride (TEA), 10 mM tetramethylammonium chloride (TMA), or 100 µM amiloride. Values are means ± S.E.
(n = 3), and water-injected controls have been
subtracted. B, as above but in the presence of 5-10
mM urea, glutamine, or NH4Cl, pH 8.5. * denotes
p < 0.05. C, symbols represent
experimental data, and the curve represents a fit of the
inhibition by NH4 on MA uptake.
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DISCUSSION
TOP
ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
REFERENCES
co-transporter (25) and the Na+,K+-ATPase (26)
or to be carried by the Na+/H+ exchanger (27).
Our results suggest that ammonium transport may also be mediated
specifically by Rh proteins.
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ACKNOWLEDGEMENTS |
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We thank A. E. von dem Borne, Netherlands Red Cross, Amsterdam for monoclonal antibody 2D10 and Don Siegel for access to laboratory space and equipment.
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FOOTNOTES |
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* This work was supported in part by the National Blood Foundation and by NIDDK, National Institutes of Health Grant DK02751 (to C. M. W.).The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
§ To whom correspondence should be addressed: Dept. of Pathology and Laboratory Medicine, University of Pennsylvania, 510 Stellar Chance, Philadelphia, PA 19104. Tel.: 215-898-0468; Fax: 215-573-8944; E-mail: westhoff@mail.med.upenn.edu.
Published, JBC Papers in Press, February 22, 2002, DOI 10.1074/jbc.C200060200
2 C. M. Westhoff, C. Burd, and J. K. Foskett, manuscript in preparation.
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ABBREVIATIONS |
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The abbreviations used are: RhAG, Rh-associated glycoprotein; MA, methylamine.
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