The hereditary spherocytosis syndromes are a heterogeneous group of disorders characterized by anemia, intermittent jaundice, splenomegaly, and sphere-shaped (spherocytic) erythrocytes on peripheral blood smear (
1). Hereditary spherocytosis affects patients in all ethnic groups worldwide and is the most common cause of inherited anemia in people of Northern European ancestry. The primary biochemical defects in spherocytosis erythrocytes are qualitative or quantitative abnormalities of proteins of the erythrocyte membrane. Mutations in the gene encoding the membrane protein ankyrin-1 (ANK1; OMIM 182900), primarily frameshift or nonsense mutations, are the most common cause of hereditary spherocytosis (
2–
4).
Sequence variations have been identified in the region upstream of ankyrin erythroid exon 1 (1E) in the erythroid promoter region in patients with both dominant and recessively inherited ankyrin-deficient hereditary spherocytosis (
1,
5). Two linked variants, –108 T→C and –153 G→A, were discovered in several kindreds with ankyrin-deficient spherocytosis who lacked other causative mutations (
5–
7). Neither variant is located in known critical regions of promoter function, e.g., transcription initiation sites or transcription factor–binding sites (
8). Transgenic mice with a wild-type ankyrin gene erythroid promoter linked to a
Aγ-globin reporter gene exhibit erythroid-specific, position-independent, uniform expression of the
Aγ-globin reporter gene (
9). In contrast, mice carrying a mutant –108/–153 ankyrin gene promoter exhibit significantly lower levels of
Aγ-globin mRNA, loss of position-independent expression, and loss of uniform γ-globin protein expression in erythrocytes (
10). These data indicated that the –108/–153 allele is associated with perturbations in ankyrin expression, but did not reveal the mechanism of these abnormalities.
Insulators are DNA sequences and their associated binding proteins that establish and/or maintain boundaries between regions of active and silenced chromatin domains (
11,
12). They often flank gene clusters or loci, or are tightly associated with gene promoters (
13), but do not themselves cause an increase in the rate of transcription (
11). One type of insulator, known as an enhancer-blocking insulator, establishes chromatin domains to separate enhancers and promoters, preventing their interaction (
12,
14). A second type of insulator, known as a barrier insulator, creates a barrier to protect against heterochromatin-mediated gene silencing. Defined by their functional characteristics, barrier insulators are thought to function by preventing the spread of heterochromatic proteins into adjoining euchromatin domains (
15–
18). Despite their role as critical regulators of tissue-specific gene expression, mechanisms controlling barrier insulator structure and function in mammalian cells are poorly understood (
19,
20). Only a few barriers have been described in vertebrates (
16,
21–
23), with most of our knowledge coming from detailed studies of the well-characterized chicken β-globin 5′HS4 (cHS4) barrier insulator (
24–
27).
Based on the remarkable position-independent (25 of 25), uniform expression conferred by the minimal wild-type ankyrin gene erythroid promoter in transgenic mouse lines (
9,
10), we hypothesized that a region of the ankyrin erythroid promoter functions as a barrier insulator and that the –108/–153 mutations alter this barrier activity, leading to a reduction in ankyrin expression. In this report, we show that the –282 to –101 region upstream of the ankyrin gene erythroid promoter is a barrier insulator in erythroid cells, exhibiting both functional and structural characteristics of a barrier, including prevention of gene silencing in an in vivo functional assay, appropriate chromatin configuration, and occupancy of barrier-associated proteins. Upstream promoter fragments with the –108/–153 spherocytosis-associated mutations, which are contained in this upstream region, fail to function as a barrier insulator in vivo and demonstrate perturbations in barrier-associated chromatin configuration and binding of barrier-associated proteins. In transgenic mice, flanking the mutant –108/–153 ankyrin erythroid promoter transgene with the cHS4 barrier insulator completely restored position-independent, uniform expression at levels comparable to wild-type. These studies are the first to our knowledge to identify disruption of a barrier insulator as a pathogenetic mechanism of human disease.