Allsop J, Watts R W
Clinical Research Centre, Harrow, UK.
Enzyme. 1990;43(3):155-9. doi: 10.1159/000468723.
Extreme degrees of hypoxanthine phosphoribosyltransferase (HPRT) deficiency in man are associated with gross sex-linked neurological dysfunction, gout and urinary stones (the Lesch-Nyhan or 'complete HPRT-deficiency' syndrome). The less severe degrees of enzyme deficiency (sex-linked recessive gout and/or urolithiasis or the 'partial HPRT-deficiency' syndrome) may be associated with minor neurological manifestations. Whole body purine synthesis de novo is accelerated in both these groups of patients. A strain of mice with an experimentally produced mutation at the HPRT locus showed some residual 'apparent HPRT activity' in brain, liver, testicular, splenic, kidney and ovarian tissues but not in erythrocyte haemolysates. The mutation removes exons 1 and 2 of the coding region of the gene together with the promotor and about 10 kb of upstream sequence from the gene. It is therefore possible that the observed 'apparent HPRT activity' in these mice is due to the operation of an alternative metabolic pathway. Purine synthesis de novo was markedly accelerated in their brain, testicular, splenic and kidney tissues. It was not accelerated in the liver tissue of male mice hemizygous for the mutation and the degree of acceleration in the female homozygotes only just reached statistical significance at the p = 0.02 level. This observation casts doubt on the importance of modulations in the rate of hepatic purine synthesis de novo as a mechanism for maintaining a steady supply of purines for translocation to other organs.
人类次黄嘌呤磷酸核糖转移酶(HPRT)严重缺乏与严重的性连锁神经功能障碍、痛风和尿路结石(莱施-奈恩综合征或“完全HPRT缺乏”综合征)相关。酶缺乏程度较轻(性连锁隐性痛风和/或尿石症或“部分HPRT缺乏”综合征)可能与轻微的神经表现有关。这两组患者的全身嘌呤从头合成均加速。在HPRT基因座经实验产生突变的小鼠品系,在脑、肝、睾丸、脾、肾和卵巢组织中显示出一些残留的“表观HPRT活性”,但在红细胞溶血产物中未显示。该突变去除了基因编码区的外显子1和2以及启动子和基因上游约10 kb的序列。因此,这些小鼠中观察到的“表观HPRT活性”可能是由于另一种代谢途径的作用。它们的脑、睾丸、脾和肾组织中嘌呤从头合成明显加速。在该突变的半合子雄性小鼠的肝组织中未加速,而雌性纯合子中的加速程度仅在p = 0.02水平刚刚达到统计学显著性。这一观察结果对肝脏嘌呤从头合成速率调节作为维持嘌呤向其他器官转运稳定供应机制的重要性提出了质疑。