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两名红细胞丙酮酸激酶缺乏杂合子患者的慢性溶血性贫血。红细胞和肝脏丙酮酸激酶的等电聚焦及免疫学研究。

Chronic haemolytic anaemia in two patients heterozygous for erythrocyte pyruvate kinase deficiency. Electrofocusing and immunological studies of erythrocyte and liver pyruvate kinase.

作者信息

Kahn A, Marie J, Galand C, Boivin P

出版信息

Scand J Haematol. 1976 Apr;16(4):250-7. doi: 10.1111/j.1600-0609.1976.tb01146.x.

DOI:10.1111/j.1600-0609.1976.tb01146.x
PMID:935808
Abstract

Two patients with mild chronic haemolytic anaemia, a mother and her son, were found to be heterozygous for erythrocyte pyruvate kinase deficiency. In the red blood cells the enzymatic activity was reduced by about 50% and the residual PK had normal kinetic properties, stability and electrofocusing pattern. The PK antigen concentration was also decreased by half, so that the ratio of the enzymatic activity to the immunological reactivity (i.e. the molecular specific activity) was normal. In the son's liver PK enzymatic activity was slightly reduced and, above all, an abnormal active form, more anodic than normal PK, was detected by electrofocusing. The propositus's liver PK was also slightly thermo-unstable. It is suggested that the patients were heterozygous for an unstable PK variant which is found in liver, nucleated tissue actively synthesizing proteins, but which disappeared from the erythrocytes because of its unstability.

摘要

两名患有轻度慢性溶血性贫血的患者,一位母亲和她的儿子,被发现红细胞丙酮酸激酶缺乏呈杂合子状态。在红细胞中,酶活性降低了约50%,残余的丙酮酸激酶具有正常的动力学特性、稳定性和等电聚焦图谱。丙酮酸激酶抗原浓度也减半,因此酶活性与免疫反应性的比值(即分子比活性)正常。在儿子的肝脏中,丙酮酸激酶酶活性略有降低,最重要的是,通过等电聚焦检测到一种异常的活性形式,比正常丙酮酸激酶更偏向阳极。先证者的肝脏丙酮酸激酶也略有热不稳定性。有人提出,这些患者是一种不稳定的丙酮酸激酶变体的杂合子,这种变体存在于肝脏、积极合成蛋白质的有核组织中,但由于其不稳定性而从红细胞中消失。

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Chronic haemolytic anaemia in two patients heterozygous for erythrocyte pyruvate kinase deficiency. Electrofocusing and immunological studies of erythrocyte and liver pyruvate kinase.两名红细胞丙酮酸激酶缺乏杂合子患者的慢性溶血性贫血。红细胞和肝脏丙酮酸激酶的等电聚焦及免疫学研究。
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引用本文的文献

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A red cell pyruvate kinase mutant with normal L-type PK in the liver.一种肝脏中L型丙酮酸激酶正常的红细胞丙酮酸激酶突变体。
Hum Genet. 1982;61(3):256-8. doi: 10.1007/BF00296454.
2
Pyruvate kinase "Göttingen 1,2": congenital hemolytic anemia, evidence of double heterozygosity, and lack of enzyme cooperativity.丙酮酸激酶“哥廷根1,2”:先天性溶血性贫血、双重杂合性证据及酶协同性缺失
Hum Genet. 1982;60(4):381-6. doi: 10.1007/BF00569226.
3
Hemolytic anemia with pyruvate kinase deficiency presenting as paravertebral myelolipoma.表现为椎旁骨髓脂肪瘤的丙酮酸激酶缺乏所致溶血性贫血。
Klin Wochenschr. 1984 Feb 1;62(3):133-7. doi: 10.1007/BF01738704.
4
A new pyruvate kinase mutation with hyperactivity in the mouse.小鼠中一种具有高活性的新型丙酮酸激酶突变。
Biochem Genet. 1984 Dec;22(11-12):1103-17. doi: 10.1007/BF00499635.
5
Heterozygous pyruvate kinase deficiency and severe hemolytic anemia in a pregnant woman with concomitant, glucose-6-phosphate dehydrogenase deficiency.一名患有葡萄糖-6-磷酸脱氢酶缺乏症的孕妇,同时存在杂合子丙酮酸激酶缺乏症和严重溶血性贫血。
Ann Hematol. 1991 May;62(5):190-3. doi: 10.1007/BF01703148.
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Pyruvate kinase isozymes in man. II. L type and erythrocyte-type isozymes. Electrofocusing and immunologic studies.人类丙酮酸激酶同工酶。II. L型和红细胞型同工酶。等电聚焦和免疫学研究。
Hum Genet. 1976 Jul 7;33(1):35-46. doi: 10.1007/BF00447284.
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