Kefalides N A
Departments of Medicine and Biochemistry, University of Pennsylvania and Philadelphia General Hospital, Philadelphia, Pennsylvania 19104, USA.
J Clin Invest. 1974 Feb;53(2):403-7. doi: 10.1172/JCI107573.
To determine the presence of any significant structural abnormalities in the glomerular basement membrane (GBM) of diabetic individuals, GBM from normal and diabetic human kidneys were isolated and analyzed chemically and structurally. The amino acid composition of the normal GBM revealed the presence of significant amounts of hydroxyproline, hydroxylysine, glycine, and carbohydrate suggesting the presence of a collagen-like protein. There was no significant increase in the amount of hydroxylysine, hydroxyproline, or in the hydroxylysine-linked glycoside glucosyl-galactose in the diabetic kidneys. There was, however, a significant decrease in the cystine and sialic acid content of GBM from diabetic kidneys. It was further shown that the alpha-chains isolated from the collagens of normal and diabetic basement membranes had similar amino acid and carbohydrate compositions. The hydroxylysine, hydroxyproline, glycine, and hexose contents were higher by 82, 56, 74, and 94%, respectively in the alpha-chains compared with the intact basement membranes from both the normal and diabetic kidneys. The results indicate that the slight increases in hydroxylysine and hexose content observed occasionally in diabetic GBM preparations are of no statistical significance and cannot be attributed to increases in the activities of enzymes which hydroxylate lysine or glycosylate hydroxylysine, respectively.
为了确定糖尿病患者肾小球基底膜(GBM)中是否存在任何显著的结构异常,从正常人和糖尿病患者的肾脏中分离出GBM,并进行化学和结构分析。正常GBM的氨基酸组成显示存在大量的羟脯氨酸、羟赖氨酸、甘氨酸和碳水化合物,提示存在一种类胶原蛋白。糖尿病肾脏中羟赖氨酸、羟脯氨酸的含量或羟赖氨酸连接的糖苷葡萄糖基 - 半乳糖的含量没有显著增加。然而,糖尿病肾脏GBM中的胱氨酸和唾液酸含量显著降低。进一步表明,从正常和糖尿病基底膜的胶原蛋白中分离出的α链具有相似的氨基酸和碳水化合物组成。与来自正常和糖尿病肾脏的完整基底膜相比,α链中的羟赖氨酸、羟脯氨酸、甘氨酸和己糖含量分别高出82%、56%、74%和94%。结果表明,在糖尿病GBM制剂中偶尔观察到的羟赖氨酸和己糖含量的轻微增加没有统计学意义,不能归因于分别使赖氨酸羟化或使羟赖氨酸糖基化的酶活性增加。