Camakaris J, Mann J R, Danks D M
Biochem J. 1979 Jun 15;180(3):597-604. doi: 10.1042/bj1800597.
The copper content of various organs of ;brindled' female heterozygotes and male mice affected by this X-linked mutation are documented at the last day of intrauterine development, at 1 day after birth and at 11 days of age. The findings indicate defective placental transfer of copper in utero, and an even more marked defect in intestinal absorption of copper after birth. In addition there is an abnormal distribution of copper among the tissues of the body once it is absorbed. The mutation produces abnormal accumulation of copper in kidney, in gut mucosa and in testis, whereas liver, brain, plasma and most other organs show diminished copper concentrations. The intestinal malabsorption of copper is accompanied by accumulation of abnormal amounts of the metal in the intestinal-mucosa cells. Copper concentrations in both mucosa and luminal contents rise progressively from duodenum to ileum. Defective upper-intestinal absorption, consequent progressive increase in luminal copper concentration and pinocytosis in the ileum would seem to explain the findings. Radioisotopic studies eliminated the possibility of excessive excretion of copper in bile or across the intestinal mucosa. Detailed comparison with findings in humans with Menkes' syndrome is difficult because of the different stages of development at which the studies have been performed, but the results seem in general to conform very satisfactorily. Those differences seen are probably explicable by known species differences. All the findings are in accord with a hypothesis that the basic defect involves accumulation and retention of copper in the cells of affected tissues such as kidney, gut mucosa and placenta.
记录了受这种X连锁突变影响的“花斑”雌性杂合子和雄性小鼠在子宫内发育的最后一天、出生后1天和11日龄时各个器官的铜含量。研究结果表明,子宫内铜的胎盘转运存在缺陷,出生后肠道对铜的吸收缺陷更为明显。此外,铜一旦被吸收,在体内各组织中的分布也异常。该突变导致肾脏、肠道黏膜和睾丸中铜异常蓄积,而肝脏、大脑、血浆和大多数其他器官的铜浓度降低。肠道对铜的吸收不良伴随着肠道黏膜细胞中异常量金属的蓄积。从十二指肠到回肠,黏膜和肠腔内容物中的铜浓度均逐渐升高。上段肠道吸收缺陷、肠腔铜浓度随之逐渐升高以及回肠中的胞饮作用似乎可以解释这些研究结果。放射性同位素研究排除了胆汁或肠道黏膜过度排泄铜的可能性。由于研究是在不同发育阶段进行的,因此很难将其结果与患有门克斯综合征的人类患者的结果进行详细比较,但总体结果似乎非常吻合。所观察到的差异可能可以用已知的物种差异来解释。所有研究结果均符合这样一种假说,即基本缺陷涉及铜在受影响组织(如肾脏、肠道黏膜和胎盘)的细胞中蓄积和潴留。