The Kell blood group protein is a zinc endopeptidase that yields endothelin
-3, a potent bioactive peptide, by cleavage of big endothelin-3, a larger i
ntermediate precursor. On red cells, Kell protein is linked by a single dis
ulfide bond to XK, a protein that traverses the membrane 10 times and whose
absence, as occurs in the McLeod phenotype, is associated with a set of cl
inical symptoms that include nerve and muscle disorders and red cell acanth
ocytosis. Previous studies Indicated that Kell is primarily expressed in er
ythroid tissues, whereas XK has a wider tissue distribution. The tissue dis
tribution of Kelt protein has been further investigated by Northern blot an
alysis, PCR-screening of tissue complementary DNAs (cDNAs), and Western imm
unoblots. Screening of an RNA dot-blot panel confirmed that Kell is primari
ly expressed in erythroid tissues but is also expressed in a near equal amo
unt in testis, with weaker expression in a large number of other tissues. P
CR-screening of cDNAs from different tissues and DNA sequencing of the prod
ucts gave similar results. In 2 of the nonerythroid tissues tested, testis
end skeletal muscle, Kell protein was detected by Western immunoblotting. I
n skeletal muscle, isolation of XK with a specific antibody coisolated Kell
protein. These studies demonstrate that Kell is expressed in both erythroi
d and nonerythroid tissues and is associated with XK. (Blood. 2000;96:340-3
46) (C) 2000 by The American Society of Hematology.