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Updated: Jun 22, 2026

A Comprehensive Pipeline to Assess the Efficiency of Human Erythropoiesis In Vitro and Ex Vivo
Published on: January 10, 2025
Mutations affecting the secretory COPII coat component SEC23B cause congenital dyserythropoietic anemia type II
Klaus Schwarz1, Achille Iolascon, Fatima Verissimo
1Institute for Transfusion Medicine, University of Ulm, Ulm, Germany. klaus.schwarz@uni-ulm.de
Insights
Mutations in the SEC23B gene cause Congenital Dyserythropoietic Anemia type II (CDAI). This secretory protein is crucial for normal red blood cell maturation and cytokinesis.
Area of Science:
- Hematology
- Cell Biology
- Genetics
Background:
- Congenital dyserythropoietic anemias (CDAs) are a group of inherited blood disorders.
- CDA type II (CDAII) is the most common form, characterized by ineffective red blood cell production and specific cellular abnormalities.
- These abnormalities include multinucleated erythroblasts, suggesting a defect in cell division (cytokinesis).
Purpose of the Study:
- To identify the genetic cause of CDAII.
- To investigate the role of SEC23B in erythropoiesis and cytokinesis.
Main Methods:
- Genetic analysis of CDAII patients.
- Short hairpin RNA (shRNA)-mediated gene silencing in cell cultures.
- Zebrafish model for in vivo gene knockdown studies.
Main Results:
- Mutations in the SEC23B gene were identified as the cause of CDAII.
- SEC23B suppression in cell cultures mimicked the cytokinesis defect observed in CDAII.
- Knockdown of the zebrafish sec23b gene resulted in abnormal red blood cell development.
Conclusions:
- SEC23B is essential for proper erythrocyte maturation and cytokinesis.
- SEC23B plays a specific, non-redundant role in red blood cell development, distinct from its paralog SEC23A.
- These findings elucidate the molecular basis of CDAII and highlight SEC23B's importance in erythropoiesis.
Abstract:
Congenital dyserythropoietic anemias (CDAs) are phenotypically and genotypically heterogeneous diseases. CDA type II (CDAII) is the most frequent CDA. It is characterized by ineffective erythropoiesis and by the presence of bi- and multinucleated erythroblasts in bone marrow, with nuclei of equal size and DNA content, suggesting a cytokinesis disturbance. Other features of the peripheral red blood cells are protein and lipid dysglycosylation and endoplasmic reticulum double-membrane remnants. Development of other hematopoietic lineages is normal. Individuals with CDAII show progressive splenomegaly, gallstones and iron overload potentially with liver cirrhosis or cardiac failure. Here we show that the gene encoding the secretory COPII component SEC23B is mutated in CDAII. Short hairpin RNA (shRNA)-mediated suppression of SEC23B expression recapitulates the cytokinesis defect. Knockdown of zebrafish sec23b also leads to aberrant erythrocyte development. Our results provide in vivo evidence for SEC23B selectivity in erythroid differentiation and show that SEC23A and SEC23B, although highly related paralogous secretory COPII components, are nonredundant in erythrocyte maturation.
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