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Spectrin alpha chain, erythrocytic 1 (SPTA1) is a principal cytoskeletal protein in red blood cells that forms a heterotetramer with beta spectrin, providing structural support for the erythrocyte membrane. It facilitates the connection between the plasma membrane and the actin cytoskeleton, contributing essentially to the shape, flexibility, and mechanical stability of erythrocytes. SPTA1 is made up of 22 spectrin repeats, yielding flexibility necessary for red blood cells to traverse capillaries. Defects or mutations in SPTA1 cause inherited red blood cell disorders such as hereditary elliptocytosis (elliptocytosis type 2), spherocytosis, and pyropoikilocytosis, characterized by defective cell morphology and varying degrees of hemolytic anemia[1][3][5][9]. SPTA1 is not currently recognized as a direct therapeutic target for small molecules or biologics.
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