Role of Serum Fetuin-A, a Major Inhibitor of Systemic Calcification, in Pseudoxanthoma Elasticum

Pseudoxanthoma elasticum (PXE) is a hereditary disorder of the connective tissue affecting the skin, retina, and cardiovascular system and characterized by progressive calcification of abnormal and fragmented elastic fibers in the extracellular matrix. The aim of the present study was to investigate...

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Veröffentlicht in:Clinical chemistry (Baltimore, Md.) Md.), 2006-02, Vol.52 (2), p.227-234
Hauptverfasser: Hendig, Doris, Schulz, Veronika, Arndt, Marius, Szliska, Christiane, Kleesiek, Knut, Gotting, Christian
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container_title Clinical chemistry (Baltimore, Md.)
container_volume 52
creator Hendig, Doris
Schulz, Veronika
Arndt, Marius
Szliska, Christiane
Kleesiek, Knut
Gotting, Christian
description Pseudoxanthoma elasticum (PXE) is a hereditary disorder of the connective tissue affecting the skin, retina, and cardiovascular system and characterized by progressive calcification of abnormal and fragmented elastic fibers in the extracellular matrix. The aim of the present study was to investigate the association of fetuin-A, a major systemic inhibitor of calcification, with PXE. Fetuin-A was measured by quantitative sandwich enzyme immunoassay in sera from 110 German patients with PXE, 53 unaffected first-degree family members, and 80 healthy blood donors. We determined the distribution of the fetuin-A polymorphisms c.742C>T (p.T248M) and c.766C>G (p.T256S) in these same 3 groups. The occurrences of the frequent ABCC6 gene mutations c.3421C>T (p.R1141X) and c.EX23_EX29del were also assessed. Serum fetuin-A concentrations in male and female PXE patients were lower than in unaffected first-degree relatives and controls [mean (SD) concentrations, 0.55 (0.11) g/L in patients; 0.70 (0.23) g/L in relatives; and 0.80 (0.23) g/L in controls (P
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The aim of the present study was to investigate the association of fetuin-A, a major systemic inhibitor of calcification, with PXE. Fetuin-A was measured by quantitative sandwich enzyme immunoassay in sera from 110 German patients with PXE, 53 unaffected first-degree family members, and 80 healthy blood donors. We determined the distribution of the fetuin-A polymorphisms c.742C&gt;T (p.T248M) and c.766C&gt;G (p.T256S) in these same 3 groups. The occurrences of the frequent ABCC6 gene mutations c.3421C&gt;T (p.R1141X) and c.EX23_EX29del were also assessed. Serum fetuin-A concentrations in male and female PXE patients were lower than in unaffected first-degree relatives and controls [mean (SD) concentrations, 0.55 (0.11) g/L in patients; 0.70 (0.23) g/L in relatives; and 0.80 (0.23) g/L in controls (P &lt;0.0001)]. Serum fetuin-A was higher in female PXE patients with cardiovascular involvement than in the corresponding male group (P &lt;0.05). The fetuin-A polymorphism frequencies did not differ among PXE patients, family members, and blood donors. A deficiency of multidrug resistance-associated protein 6 leads to alteration of circulating substrates, e.g., inhibitors of calcification as fetuin-A, leading to progressive mineralization of elastic fibers in PXE.</description><identifier>ISSN: 0009-9147</identifier><identifier>EISSN: 1530-8561</identifier><identifier>DOI: 10.1373/clinchem.2005.059253</identifier><identifier>PMID: 16384891</identifier><identifier>CODEN: CLCHAU</identifier><language>eng</language><publisher>Washington, DC: Am Assoc Clin Chem</publisher><subject>alpha-2-HS-Glycoprotein ; Analytical, structural and metabolic biochemistry ; Biological and medical sciences ; Blood ; Blood &amp; organ donations ; Blood Proteins - analysis ; Blood Proteins - genetics ; Blood Proteins - physiology ; Calcification ; Calcinosis - etiology ; Calcinosis - genetics ; Cardiovascular system ; Connective tissue ; DNA - analysis ; DNA Mutational Analysis ; Enzyme-Linked Immunosorbent Assay ; Extracellular matrix ; Female ; Fibers ; Fundamental and applied biological sciences. 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The aim of the present study was to investigate the association of fetuin-A, a major systemic inhibitor of calcification, with PXE. Fetuin-A was measured by quantitative sandwich enzyme immunoassay in sera from 110 German patients with PXE, 53 unaffected first-degree family members, and 80 healthy blood donors. We determined the distribution of the fetuin-A polymorphisms c.742C&gt;T (p.T248M) and c.766C&gt;G (p.T256S) in these same 3 groups. The occurrences of the frequent ABCC6 gene mutations c.3421C&gt;T (p.R1141X) and c.EX23_EX29del were also assessed. Serum fetuin-A concentrations in male and female PXE patients were lower than in unaffected first-degree relatives and controls [mean (SD) concentrations, 0.55 (0.11) g/L in patients; 0.70 (0.23) g/L in relatives; and 0.80 (0.23) g/L in controls (P &lt;0.0001)]. Serum fetuin-A was higher in female PXE patients with cardiovascular involvement than in the corresponding male group (P &lt;0.05). The fetuin-A polymorphism frequencies did not differ among PXE patients, family members, and blood donors. 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The aim of the present study was to investigate the association of fetuin-A, a major systemic inhibitor of calcification, with PXE. Fetuin-A was measured by quantitative sandwich enzyme immunoassay in sera from 110 German patients with PXE, 53 unaffected first-degree family members, and 80 healthy blood donors. We determined the distribution of the fetuin-A polymorphisms c.742C&gt;T (p.T248M) and c.766C&gt;G (p.T256S) in these same 3 groups. The occurrences of the frequent ABCC6 gene mutations c.3421C&gt;T (p.R1141X) and c.EX23_EX29del were also assessed. Serum fetuin-A concentrations in male and female PXE patients were lower than in unaffected first-degree relatives and controls [mean (SD) concentrations, 0.55 (0.11) g/L in patients; 0.70 (0.23) g/L in relatives; and 0.80 (0.23) g/L in controls (P &lt;0.0001)]. Serum fetuin-A was higher in female PXE patients with cardiovascular involvement than in the corresponding male group (P &lt;0.05). The fetuin-A polymorphism frequencies did not differ among PXE patients, family members, and blood donors. A deficiency of multidrug resistance-associated protein 6 leads to alteration of circulating substrates, e.g., inhibitors of calcification as fetuin-A, leading to progressive mineralization of elastic fibers in PXE.</abstract><cop>Washington, DC</cop><pub>Am Assoc Clin Chem</pub><pmid>16384891</pmid><doi>10.1373/clinchem.2005.059253</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; Oxford University Press Journals All Titles (1996-Current)
subjects alpha-2-HS-Glycoprotein
Analytical, structural and metabolic biochemistry
Biological and medical sciences
Blood
Blood & organ donations
Blood Proteins - analysis
Blood Proteins - genetics
Blood Proteins - physiology
Calcification
Calcinosis - etiology
Calcinosis - genetics
Cardiovascular system
Connective tissue
DNA - analysis
DNA Mutational Analysis
Enzyme-Linked Immunosorbent Assay
Extracellular matrix
Female
Fibers
Fundamental and applied biological sciences. Psychology
Genes
Germany
Glycoproteins
Humans
Investigative techniques, diagnostic techniques (general aspects)
Male
Males
Medical sciences
Metabolism
Middle Aged
Mineralization
Multidrug Resistance-Associated Proteins - genetics
Mutation
Patients
Pedigree
Polymorphism, Restriction Fragment Length
Proteins
Pseudoxanthoma Elasticum - blood
Pseudoxanthoma Elasticum - complications
Pseudoxanthoma Elasticum - genetics
Signal transduction
title Role of Serum Fetuin-A, a Major Inhibitor of Systemic Calcification, in Pseudoxanthoma Elasticum
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