hematopoietic system
• mice exhibit splenomegaly from a young age
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• mice show an increased spleen/body weight ratio
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• mice exhibit hemolytic anemia as early as 4 weeks of age
• anemia is primarily due to shortened lifespan of mature erythrocytes
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• at 8 weeks of age, most mature CD71low/Ter119high (P6) fraction is decreased in splenocytes, bone marrow cells, and peripheral blood
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• at 8 weeks of age, immature CD71high/Ter119high (P4) and CD71middle/Ter119high (P5) fractions are markedly increased in splenocytes and peripheral blood
• a larger immature P4 fraction is also observed in bone marrow cells
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• mature erythrocytes show markedly decreased ATP levels, leading to dehydration and abnormal spiked shape
• most RBCs appear as acanthocytes or echinocytes with abnormal spiked membrane projections
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• at 8 weeks of age, erythropoiesis is significantly increased to compensate for the decrease in mature erythrocytes
• however, peripheral erythroid maturation is largely normal
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• RBC numbers are decreased at 12 weeks of age
• however, WBC and platelet numbers are normal
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• lower hematocrit at 12 weeks of age
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• lower hemoglobin concentration at 12 weeks of age
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• reticulocyte numbers are markedly increased at 12 weeks of age
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• spleens exhibit increased iron deposits (hemosiderin)
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• mature erythrocytes show blockage of the glycolytic pathway at a glyceraldehyde 3-phosphate dehydrogenase (GAPDH) step due to depletion of the nicotinamide adenine dinucleotide (NAD) pool
• glycolytic flow is shifted to the pentose phosphate pathway and the blockade at GAPDH results in a reverse flow into fructose 1,6-bisphosphate from glyceraldehyde 3-phosphate (GAP), leading to ATP production failure and ultimately hemolytic anemia
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• average lifespan of mature erythrocytes is only ~10 days relative to 50-60 days in wild-type controls
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immune system
• mice exhibit splenomegaly from a young age
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• mice show an increased spleen/body weight ratio
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• spleens exhibit increased iron deposits (hemosiderin)
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homeostasis/metabolism
• spleens exhibit increased iron deposits (hemosiderin)
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• mature erythrocytes show a drastic reduction of the nicotinamide adenine dinucleotide (NAD) pool
• however, NAD levels are normal in erythroid precursor cells and other tissues (liver, heart, and skeletal muscle)
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growth/size/body
• mice exhibit splenomegaly from a young age
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• mice show an increased spleen/body weight ratio
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