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New Physiological Importance of Two Classic Residual Products: Carbon Monoxide and Bilirubin 两种经典残留产物:一氧化碳和胆红素的新生理意义
Pub Date : 1997-08-01 DOI: 10.1006/bmme.1997.2610
Gilca Marilena

Heme oxygenase the rate-limiting step in the degradation of heme to bilirubin, generates carbon monoxide. This gaseous molecule plays important roles in neuronal signaling and modulation of vascular tone. Additionally, carbon monoxide is involved in some pathological conditions (e.g., ischemia, endotoxic shock, excitotoxicity) as a protective or toxic factor. Bilirubin, another heme metabolite, exhibits intriguing biological activities as an antioxidant, an antimutagen, and an anti-complement agent. Vital functions and the dual nature displayed by these two heme metabolites are discussed.

血红素加氧酶是血红素降解为胆红素的限速步骤,产生一氧化碳。这种气体分子在神经元信号传导和血管张力调节中起重要作用。此外,一氧化碳作为保护因子或毒性因子参与某些病理状态(例如,缺血、内源性休克、兴奋性毒性)。胆红素,另一种血红素代谢物,作为抗氧化剂、抗诱变剂和抗补体剂,表现出有趣的生物活性。讨论了这两种血红素代谢物的重要功能和双重性。
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引用次数: 70
An Evaluation of the Use of Dried Blood Spots from Newborn Screening for Monitoring the Prevalence of Cocaine Use among Childbearing Women 使用新生儿筛查干血斑监测育龄妇女可卡因使用情况的评价
Pub Date : 1997-08-01 DOI: 10.1006/bmme.1997.2609
L.Omar Henderson , Mary K. Powell , W.Harry Hannon , John T. Bernert Jr. , Kenneth A. Pass , Paul Fernhoff , Cynthia D. Ferre , Louise Martin , Elizabeth Franko , Roger W. Rochat , Mary D. Brantley , Eric Sampson

A collaborative March of Dimes study was designed to examine the utility of dried blood spot (DBS) materials routinely collected from newborns as a source for monitoring cocaine exposure and to assess the prevalence of cocaine use among childbearing women in Georgia. We used a modified urinary radioimmunoassay (RIA) to anonymously detect the cocaine metabolite benzoylecgonine (BE) in DBSs. Extensive efforts were undertaken to assure absolute nonlinkage of BE data to any individual. The positive results found by RIA were confirmed by a mass spectrometry (MS) method specifically developed to detect BE in DBSs. BE was measured in 23,141 DBSs collected during 2 months of routine newborn screening in Georgia. A good correlation was observed for RIA results versus MS results (r2= 0.97). The estimated minimal statewide BE prevalence was 4.8 per 1000 childbearing women. We demonstrated that immunoassay testing for cocaine without confirmatory testing can yield falsely elevated prevalence rates. When proper confirmatory testing is done, DBSs are a valuable source for population-based monitoring of substance abuse among childbearing women.

一项合作研究旨在检查从新生儿中常规收集的干血斑(DBS)材料作为监测可卡因暴露的来源的效用,并评估格鲁吉亚育龄妇女中可卡因使用的流行程度。我们采用改进的尿放射免疫分析法(RIA)匿名检测DBSs中可卡因代谢物苯甲酰茶碱(BE)。已作出广泛努力,以确保BE数据绝对不与任何个人联系。RIA发现的阳性结果被专门用于检测DBSs中BE的质谱(MS)方法证实。在格鲁吉亚2个月的常规新生儿筛查中收集了23141名DBSs,测量了BE。RIA结果与MS结果具有良好的相关性(r2= 0.97)。全州范围内的最低BE患病率估计为每1000名育龄妇女4.8例。我们证明,在没有确认性测试的情况下,可卡因的免疫分析测试可能会产生错误的患病率升高。当进行了适当的确证性检测时,DBSs是基于人口的育龄妇女药物滥用监测的宝贵来源。
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引用次数: 42
Acidic FGF Regulation of Hyperproliferation of Fibroblasts in Human Autosomal Dominant Polycystic Kidney Disease 酸性FGF对人常染色体显性多囊肾病成纤维细胞过度增殖的调控
Pub Date : 1997-08-01 DOI: 10.1006/bmme.1997.2583
Ning-Tsu Kuo , Jill T. Norman , Patricia D. Wilson

Autosomal dominant polycystic kidney disease (ADPKD) is characterized by cystic tubule enlargement and expansion of the interstitium associated with fibrosis. Our previous studies have analyzed the increased proliferation of cystic epithelial cells and this study examines the basis of increased proliferation of interstitial fibroblasts associated with ADPKD disease progression. ADPKD fibroblasts show phenotypic alterationsin vitro,have acquired the capacity to grow in soft agar, and show an increased mitogenic response to a variety of growth factors particularly acidic FGF (aFGF). ELISA, Western immunoblot analysis, and immunocytochemistry showed increased aFGF content in ADPKD tissues and fibroblasts in culture, and aFGF was secreted into the extracellular matrix and conditioned medium, respectively. No alterations in aFGF receptor number were found, but Scatchard analysis of125I-aFGF binding suggested an increased affinity of binding to the low affinity receptor, and covalent cross-linking analysis suggested the presence of novel putative receptors (120 kDa) in ADPKD fibroblasts. Signaling abnormalities were found, since aFGF incubation resulted in the tyrosine phosphorylation of additional substrates, more rapidly and for a more sustained duration in ADPKD fibroblasts than in normal fibroblasts. These findings suggest an important role for acidic FGF in the hyperproliferation of interstitial fibroblasts associated with disease progression in human ADPKD.

常染色体显性多囊肾病(ADPKD)的特征是囊小管增大和间质扩张,并伴有纤维化。我们之前的研究分析了囊性上皮细胞增殖的增加,本研究探讨了与ADPKD疾病进展相关的间质成纤维细胞增殖增加的基础。ADPKD成纤维细胞在体外表现出表型改变,已经获得了在软琼脂中生长的能力,并且对各种生长因子特别是酸性FGF (aFGF)表现出增强的有丝分裂反应。ELISA、Western免疫印迹分析和免疫细胞化学显示,培养的ADPKD组织和成纤维细胞中aFGF含量增加,aFGF分别分泌到细胞外基质和条件培养基中。没有发现aFGF受体数量的变化,但125i -aFGF结合的Scatchard分析表明与低亲和力受体的结合亲和力增加,共价交联分析表明在ADPKD成纤维细胞中存在新的假定受体(120 kDa)。由于aFGF孵育导致额外底物的酪氨酸磷酸化,因此发现信号异常,在ADPKD成纤维细胞中比在正常成纤维细胞中更快,持续时间更长。这些发现表明酸性FGF在与人类ADPKD疾病进展相关的间质成纤维细胞的过度增殖中起重要作用。
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引用次数: 31
Isolation and Partial Characterisation of Insulin-Mimetic Inositol Phosphoglycans from Human Liver 人肝脏中拟胰岛素肌醇磷酸聚糖的分离与部分表征
Pub Date : 1997-08-01 DOI: 10.1006/bmme.1997.2607
H.N. Caro , S. Kunjara , T.W. Rademacher , Y. León , D.R. Jones , M.A. Avila , I. Varela-Nieto

Extracts of human liver were found to contain activities which copurified and coeluted with the two major subtypes of mediators (type A and type P) isolated from insulin-stimulated rat liver. The putative type A mediator from human liver inhibited cAMP-dependent protein kinase from bovine heart, decreased phosphoenolpyruvate carboxykinase mRNA levels in rat hepatoma cells, and stimulated lipogenesis in rat adipocytes. The putative type P mediator stimulated bovine heart pyruvate dehydrogenase phosphatase. Both fractions were able to stimulate proliferation of EGFR T17 fibroblasts and the type A was able to support growth in organotypic cultures of chicken embryo cochleovestibular ganglia. Both activities were resistant to Pronase treatment and the presence of carbohydrates, phosphate, and free-amino groups were confirmed in the two fractions. These properties are consistent with the structure/function characteristics of the type A and P inositolphosphoglycans (IPG) previously characterized from rat liver. Further, the ability of the human-derived mediators to interact with rat adipocytes and bovine-derived metabolic enzymes suggests similarity in structure between the mediators purified from different species. Galactose oxidase-susceptible membrane-associated glycosylphosphatidylinositols (GPI) have been proposed to be the precursors of IPG. GPI was purified from human liver membranes followed by treatment with galactose oxidase and reduction with NaB3H4. Serial t.l.c. revealed three radiolabeled bands which comigrated with the putative GPI precursors found in rat liver. These galactose–oxidase-reactive lipidic compounds, however, were only partially susceptible to hydrolysis with phosphatidylinositol-specific phospholipase C fromBacillus thuringiensisand were resistant to glycosylphosphatidylinositol-specific phospholipase C fromTrypanosoma brucei.These data indicate that IPG molecules with insulin-like biological activities are present in human liver.

人肝提取物含有与胰岛素刺激大鼠肝脏中分离的两种主要亚型介质(A型和P型)共纯化和共洗脱的活性。来自人肝脏的推定A型介质抑制牛心脏camp依赖性蛋白激酶,降低大鼠肝癌细胞中磷酸烯醇丙酮酸羧激酶mRNA水平,并刺激大鼠脂肪细胞的脂肪生成。假定的P型介质刺激牛心脏丙酮酸脱氢酶磷酸酶。两种组分均能刺激EGFR T17成纤维细胞的增殖,A型组分能促进鸡胚耳蜗前庭神经节器官型培养物的生长。这两种活性都对Pronase具有抗性,并且在两个组分中证实了碳水化合物、磷酸盐和游离氨基的存在。这些特性与先前从大鼠肝脏中发现的A型和P型肌醇磷酸聚糖(IPG)的结构/功能特征一致。此外,人源介质与大鼠脂肪细胞和牛源代谢酶相互作用的能力表明,从不同物种纯化的介质在结构上是相似的。半乳糖氧化酶敏感膜相关糖基磷脂酰肌醇(GPI)被认为是IPG的前体。从人肝膜中纯化GPI,然后用半乳糖氧化酶处理,用NaB3H4还原。连续t.l.c.显示三个放射性标记带,它们与在大鼠肝脏中发现的假定的GPI前体同源。然而,这些半乳糖氧化酶反应性脂质化合物对苏云金芽孢杆菌的磷脂酰肌醇特异性磷脂酶C仅部分敏感,而对布氏锥虫的糖基磷脂酰肌醇特异性磷脂酶C具有抗性。这些数据表明,具有胰岛素样生物活性的IPG分子存在于人肝脏中。
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引用次数: 50
Transcription of the Amylin Gene in Newborn Dogs 新生犬胰淀素基因的转录
Pub Date : 1997-08-01 DOI: 10.1006/bmme.1997.2608
Bing-cheng Feng, Jixuan Li, Robert M. Kliegman

To understand the role of amylin, the novel pancreatic hormone, in fuel metabolism of neonatal mammals, the transcription of the amylin gene in newborn dogs was studied under different conditions, such as fasting, hyperinsulinemia, and hyper IGF-1. Our results showed (1) The amylin mRNA level decreased during a 24-h fasting period after birth, 59.1 ± 4.5% at 4 h, 80.1 ± 7.9% at 10 h, and 44.5 ± 3.0% at 24 h, compared to 0-h-fasted controls, respectively. In this period, the decreased mRNA level of the amylin gene and the increased mRNA levels of the gluconeogenic genes showed an inverse ratio relationship. (2) Euglycemic hyperinsulinemic clamp did not alter the amylin mRNA level, 39.6 ± 1.2% (hyperinsulinemia) vs 41.4 ± 3.1% (controls), in newborn dogs, but lowered the amylin mRNA by 35.3%, 64.7 ± 12.5% vs 100.0 ± 12.0%, in adult dogs. (3) Euglycemic hyper-IGF-1 clamp had no effect on the amylin mRNA levels of either newborn or adult dogs, 52.4 ± 9.1% (hyper IGF-1) vs 47.9 ± 4.3% (controls) in newborns and 95.2 ± 12.6% (hyper IGF-1) vs 100.0 ± 14.0% (controls) in adults. The data from the present study showed that amylin may be involved in carbohydrate homeostasis, but may not be able to stimulate gluconeogenesis in newborn dogs during a 24-h fasting period after birth. Whether amylin action may be another mechanism for neonatal hyperglycemia by inducing insulin resistance in peripheral tissues needs further investigation.

为了了解新型胰腺激素amylin在新生哺乳动物燃料代谢中的作用,研究了新生狗在不同条件下(如禁食、高胰岛素血症和高IGF-1)的amylin基因转录。结果显示:(1)出生后禁食24 h时,胰淀粉酶mRNA水平下降,与禁食0 h的对照组相比,禁食4 h时下降59.1±4.5%,禁食10 h时下降80.1±7.9%,禁食24 h时下降44.5±3.0%。这一时期胰淀素基因mRNA水平的降低与糖异生基因mRNA水平的升高呈反比关系。(2)正糖高胰岛素钳夹未改变新生犬胰淀粉酶mRNA水平,分别为高胰岛素血症组(39.6±1.2%)和对照组(41.4±3.1%),但使成年犬胰淀粉酶mRNA水平降低35.3%,分别为64.7±12.5%和100.0±12.0%。(3)正常血糖水平的高IGF-1钳夹对新生儿和成年狗的胰淀粉酶mRNA水平均无影响,新生儿为52.4±9.1%(高IGF-1)对47.9±4.3%(对照组),成年狗为95.2±12.6%(高IGF-1)对100.0±14.0%(对照组)。本研究的数据表明,在出生后24小时禁食期间,胰淀素可能参与碳水化合物稳态,但可能无法刺激新生狗的糖异生。胰淀素是否通过诱导外周组织胰岛素抵抗而成为新生儿高血糖的另一机制还有待进一步研究。
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引用次数: 0
Diabetes-Induced Apoptosis in Rat Kidney 糖尿病诱导大鼠肾脏细胞凋亡
Pub Date : 1997-06-01 DOI: 10.1006/bmme.1997.2592
Weiping Zhang , Peeyush Khanna , Lillian L. Chan , Gerald Campbell , Naseem H. Ansari

Oxidative stress has been suggested to play a crucial role in the pathogenesis of diabetic complications including nephropathy. However, the exact mechanism of diabetic nephropathy is still not clearly understood. Since oxidative stress is known to be a major component in the induction of apoptosis, we investigated the occurrence of apoptosis in diabetic rat kidney. The status of oxidative stress was determined as thiobarbituric acid reactive substances (TBARS). The TBARS in the control and diabetic rat kidney were 2.00 ± 0.963 and 3.83 ± 0.715 μmol/mg protein, respectively (P< 0.05). Apoptosis was determined by evaluating the DNA fragmentation using an enzyme-linked immunoassay andin situend labeling. DNA fragmentation increased approximately fourfold in diabetic rat kidney compared to the normal kidney (P< 0.05). Apoptagin situlabeling displayed negligible apoptosis in nondiabetic kidney while significant areas of apoptosis were observed in diabetic kidney. Our results suggest that increased oxidative stress in diabetic kidney could induce apoptosis, which may contribute to the development of diabetic nephropathy.

氧化应激已被认为在糖尿病并发症包括肾病的发病机制中起关键作用。然而,糖尿病肾病的确切机制尚不清楚。由于氧化应激是诱导细胞凋亡的主要成分,我们研究了糖尿病大鼠肾脏细胞凋亡的发生。以硫代巴比妥酸反应物质(TBARS)测定氧化应激状态。对照组和糖尿病大鼠肾脏TBARS分别为2.00±0.963和3.83±0.715 μmol/mg蛋白(P<0.05)。细胞凋亡是通过酶联免疫法和蛋白标记法评估DNA片段来确定的。与正常肾脏相比,糖尿病大鼠肾脏的DNA断裂增加了大约四倍(P<0.05)。Apoptagin情景标记在非糖尿病肾中可忽略凋亡,而在糖尿病肾中可观察到明显的凋亡区域。我们的研究结果表明,糖尿病肾脏氧化应激增加可诱导细胞凋亡,这可能有助于糖尿病肾病的发展。
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引用次数: 68
The Increased Skeletal Muscle Protein Turnover of the Streptozotozin Diabetic Rat Is Associated with High Concentrations of Branched-Chain Amino Acids 链脲佐菌素糖尿病大鼠骨骼肌蛋白周转增加与高浓度支链氨基酸有关
Pub Date : 1997-06-01 DOI: 10.1006/bmme.1997.2585
Teresa Rodrı́guez, Belén Alvarez, Sı́lvia Busquets, Neus Carbó, Francisco J. López-Soriano, Josep M. Argilés

Experimental streptozotozin-induced diabetes resulted in important changes in body weight which were associated with abnormalities in water and food intake. In addition, diabetic rats showed a clear muscle atrophy involving a decrease in both skeletal muscle size and protein content. This was accompanied by a marked loss of total carcass nitrogen. These changes were related to important alterations in protein turnover in skeletal muscle. Thus, the diabetic animals showed changes in the fractional protein rates of both synthesis (decreased by 37%) and degradation (increased by 140%). The increased protein degradation observed in the muscle of the diabetic animals was associated with important changes in the concentration of both circulating and muscle amino acids. Interestingly, the diabetic animals did not show important changes in either liver or kidney protein turnover rates, in spite of having a clear increase (over 50%) in kidney mass. In addition, and although the total amino acid concentration was not affected by the diabetic state, the chemically induced diabetic animals showed important elevations of branched-chain amino acids (leucine, isoleucine, and valine) in both blood and skeletal muscle. Similarly, important decreases in the blood concentrations of glutamate + glutamine, alanine, glycine, proline, serine, and threonine were also observed. These observations reinforce the idea of the association between muscle protein wasting, increased protein turnover, and alterations in branched-chain amino acids previously proposed by our group.

实验性链脲佐菌素诱导的糖尿病导致体重发生重大变化,这与水和食物摄入异常有关。此外,糖尿病大鼠表现出明显的肌肉萎缩,包括骨骼肌大小和蛋白质含量的减少。这伴随着胴体总氮的显著损失。这些变化与骨骼肌中蛋白质周转的重要改变有关。因此,糖尿病动物在合成(下降37%)和降解(增加140%)的分数蛋白率上都表现出变化。在糖尿病动物肌肉中观察到的蛋白质降解增加与循环氨基酸和肌肉氨基酸浓度的重要变化有关。有趣的是,尽管肾脏肿块明显增加(超过50%),但糖尿病动物的肝脏或肾脏蛋白质周转率均未出现重大变化。此外,虽然总氨基酸浓度不受糖尿病状态的影响,但化学诱导的糖尿病动物血液和骨骼肌中的支链氨基酸(亮氨酸、异亮氨酸和缬氨酸)均显著升高。同样,血液中谷氨酸+谷氨酰胺、丙氨酸、甘氨酸、脯氨酸、丝氨酸和苏氨酸的浓度也显著降低。这些观察结果强化了我们小组先前提出的肌肉蛋白质消耗、蛋白质周转增加和支链氨基酸改变之间的联系。
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引用次数: 51
Isolation and Characterization of the Murine Homolog of the Human EXT2 Multiple Exostoses Gene 人EXT2多外生基因小鼠同源物的分离与鉴定
Pub Date : 1997-06-01 DOI: 10.1006/bmme.1997.2588
Dominique Stickens, Glen A. Evans

Multiple exostoses is a polygenic disease of bone formation and development characterized by the presence of cartilage-capped osseous projections emanating from the end of the long bones. Two members of a recently defined multigene family of proteins (EXT1 and 2) were shown to be involved in this disease. To investigate the evolutionary relatedness of EXT genes across species we isolated the mouse EXT2 cDNA. As in the human counterpart, the mouse EXT2 cDNA contains an open reading frame of 2154 bp encoding a predicted protein of 718 amino acids. The nucleic acid sequence is 87% identical to the human EXT2 transcript, resulting in an amino acid sequence which is 95% identical to the human protein. The mouse EXT2 gene also shows significant sequence similarity to the mouse and human EXT1 gene. Northern blot analysis shows that this gene is expressed in early stages of embryonic development, andin situhybridizations suggest that EXT2 plays a role in limb development. The identification of the mouse EXT2 gene will allow functional analysis through insertional inactivation and reverse genetics in mice in order to better understand the formation of exostoses during bone formation.

多发性外生骨病是一种骨形成和发育的多基因疾病,其特征是存在从长骨末端发出的软骨覆盖的骨突出物。最近确定的多基因蛋白家族的两个成员(EXT1和2)被证明与这种疾病有关。为了研究EXT基因在不同物种间的进化亲缘性,我们分离了小鼠EXT2 cDNA。与人类基因一样,小鼠EXT2 cDNA包含一个2154 bp的开放阅读框,编码718个氨基酸的预测蛋白。其核酸序列与人EXT2转录本的一致性为87%,氨基酸序列与人EXT2蛋白的一致性为95%。小鼠的EXT2基因与小鼠和人类的EXT1基因也显示出显著的序列相似性。Northern blot分析表明,该基因在胚胎发育的早期阶段表达,而原位杂交表明EXT2在肢体发育中起作用。小鼠EXT2基因的鉴定将允许通过插入失活和反向遗传学对小鼠进行功能分析,以便更好地了解骨形成过程中外骨骼的形成。
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引用次数: 27
Mutation (Q456H) Is the Most Common Cause of Profound Biotinidase Deficiency in Children Ascertained by Newborn Screening in the United States 突变(Q456H)是美国新生儿筛查确定的儿童严重生物素酶缺乏的最常见原因
Pub Date : 1997-06-01 DOI: 10.1006/bmme.1997.2597
Karen J. Norrgard , Robert J. Pomponio , Katie L. Swango , Jeanne Hymes , Thomas R. Reynolds , Gregory A. Buck , Barry Wolf

Biotinidase deficiency is an autosomal recessive disorder that can result in neurologic and cutaneous symptoms if not treated with biotin supplementation. We have identified the most common cause of profound biotinidase deficiency in children ascertained by newborn screening in the United States. 1368A → C results in a substitution of histidine for glutamine 456 (Q456H) in exon D of the biotinidase gene. This mutation was found in at least one allele in 14 unrelated children from 27 different families or 15 of 54 alleles studied (28%). This mutation was not identified in 41 normal adults using SSCA, nor was it found in 296 normal newborns using allele-specific oligonucleotide analysis, suggesting that this change is not a polymorphism. In addition, biochemical data from a child homozygous for Q456H suggest that the aberrant enzyme has very low biotinyl-hydrolase activity, lacks biotinyl-transferase activity, and is not recognized by antibody prepared to purified, normal human biotinidase. The ethnic backgrounds of the parents contributing the Q456H allele are varied but are generally northern European.

生物素酶缺乏症是一种常染色体隐性遗传病,如果不补充生物素治疗,可导致神经系统和皮肤症状。我们已经确定了美国新生儿筛查确定的儿童严重生物素酶缺乏症的最常见原因。1368A→C导致生物素酶基因外显子D中组氨酸取代谷氨酰胺456 (Q456H)。该突变在来自27个不同家庭的14个无亲缘关系儿童的至少一个等位基因中被发现,或在所研究的54个等位基因中有15个(28%)被发现。使用SSCA在41名正常成年人中未发现该突变,使用等位基因特异性寡核苷酸分析在296名正常新生儿中也未发现该突变,这表明这种变化不是多态性。此外,来自Q456H儿童纯合子的生化数据表明,该异常酶具有非常低的生物素基水解酶活性,缺乏生物素基转移酶活性,并且无法被纯化的正常人类生物素酶制备的抗体识别。携带Q456H等位基因的父母的种族背景各不相同,但一般都是北欧人。
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引用次数: 48
Risk of Neural Tube Defect-Affected Pregnancy Is Associated with a Block in Maternal One-Carbon Metabolism at the Level ofN-5-Methyltetrahydrofolate:Homocysteine Methyltransferase 神经管缺陷影响妊娠的风险与母体n -5-甲基四氢叶酸:同型半胱氨酸甲基转移酶水平的单碳代谢阻滞有关
Pub Date : 1997-06-01 DOI: 10.1006/bmme.1997.2580
M.D. Lucock , J. Wild , C.H. Lumb , M. Oliver , R. Kendall , I. Daskalakis , C.J. Schorah , M.I. Levene

The disposition of whole blood mono- to hexaglutamyl methylfolate and plasma homocysteine (HCY) was used to evaluate potential lesion sites in one-carbon metabolism which could be responsible for neural tube defect(NTD)-affected pregnancies. An isocratic high-performance liquid chromatographic system (HPLC) with photodiode array detection was used to quantify and speciate whole-blood methylfolate into mono-, di-, tri-, tetra-, penta-, and hexaglutamate forms. This technique was also used with off-line radioassay to identify nonmethyl whole-blood folates. Isocratic HPLC with fluorescence detection was used to quantify SBDF derivatized homocysteine in plasma. The study investigated blood from 11 women who had experienced a previous NTD- affected pregnancy and 11 controls of similar age and social class. No subjects were pregnant. HCY levels were significantly higher in NTD subjects (P= 0.0486, 95% CI −2.799,0.001 using the Mann–Whitney test), as was the ratio of known intracellular (tri- to hexaglutamyl) methylfolate compared to extracellular (mono- and diglutamyl) methylfolate (P= 0.0062 95% CI −0.543, 3.862 using the Mann–Whitney test). Vitamin B12, red cell folate, circulating total methylfolate, and circulating mono- to hexaglutamyl methylfolates showed no difference between population groups. The disposition between individual and cumulative glutamate chain lengths of methylfolate showed significant trends which differed between population groups: (i) total blood methylfolate (Glu1–6) appears to be utilized byN-5-methyltetrahydrofolate:homocysteine methyltransferase (MS) in control blood but not NTD blood, where it appears to accumulate following a 45-min incubation; (ii) whole-blood hexaglutamyl methylfolate (5CH3-H4PteGlu6) becomes a larger proportion of the total blood methylfolate in NTD than in control populations; and (iii) the intermediate glutamate chains of methylfolate (Glu1–5) remain relatively constant as 5CH3-H4PteGlu6accumulates in NTD but appear to increase linearly with 5CH3-H4PteGlu6in controls. The significant elevation of HCY in the NTD population is associated with the increasing proportion of 5CH3-H4PteGlu6relative to the total methylfolate, since, when corrected for HCY level, the proportion of 5CH3-H4PteGlu6to total methylfolate is similar in NTD and control populations. These trends are consistent with a defect at the level of vitamin B12dependent MS which “traps” folate at the 5CH3-H4PteGlu6level.

利用全血单至六甲酰基甲基叶酸和血浆同型半胱氨酸(HCY)的分布来评估可能导致神经管缺陷(NTD)影响妊娠的单碳代谢的潜在病变部位。采用光电二极管阵列检测的等密度高效液相色谱系统(HPLC)对全血甲基叶酸进行定量和鉴定,并将其分为单、二、三、四、五和六谷氨酸酯形式。该技术也用于离线放射测定鉴定非甲基全血叶酸。采用荧光检测等密度高效液相色谱法定量测定血浆中SBDF衍生型同型半胱氨酸。这项研究调查了11名曾经患过NTD的孕妇和11名年龄和社会阶层相似的对照组的血液。没有受试者怀孕。NTD受试者的HCY水平显著较高(使用Mann-Whitney检验,P= 0.0486, 95% CI - 2.799,0.001),已知细胞内(三至六lutamyl)甲基叶酸与细胞外(单和二lutamyl)甲基叶酸的比例也较高(使用Mann-Whitney检验,P= 0.0062, 95% CI - 0.543, 3.862)。维生素B12、红细胞叶酸、循环总甲基叶酸和循环单至六甲酰基甲基叶酸在人群组之间没有差异。甲基叶酸在个体和累积谷氨酸链长度之间的配置表现出显著的趋势,但在人群组之间存在差异:(i)对照血中,总血甲基叶酸(Glu1-6)似乎被n -5-甲基四氢叶酸:同型半胱氨酸甲基转移酶(MS)利用,而在NTD血中,它似乎在45分钟孵育后积累;(ii) NTD患者全血甲基叶酸(5CH3-H4PteGlu6)在总血甲基叶酸中所占比例高于对照人群;(iii)随着5ch3 - h4pteglu6在NTD中积累,甲基叶酸的中间谷氨酸链(Glu1-5)保持相对恒定,但与5ch3 - h4pteglu6对照呈线性增加。NTD人群中HCY的显著升高与5ch3 - h4pteglu6相对于总甲基叶酸的比例增加有关,因为当校正HCY水平时,NTD和对照人群中5ch3 - h4pteglu6占总甲基叶酸的比例相似。这些趋势与维生素b12依赖的MS水平上的缺陷是一致的,它在5ch3 - h4pteglu6水平上“捕获”叶酸。
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引用次数: 23
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Biochemical and molecular medicine
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