Increased Levels of Hemostatic Proteins are Independent of Inflammation in Glycogen Storage Disease Type Ia

OBJECTIVESGlycogen storage disease type Ia (GSD-Ia), a congenital deficiency of hepatic glucose-6-phosphatase activity, is often associated with hyperproteinemia. To document the mechanism of hyperproteinemia, the proteins of the hemostatic system were analyzed according to their site of synthesishe...

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Veröffentlicht in:Journal of pediatric gastroenterology and nutrition 2003-11, Vol.37 (5), p.566-570
Hauptverfasser: Marfaing-Koka, Anne, Wolf, Martine, Boyer-Neumann, Catherine, Meyer, Dominique, Odievre, Michel, Labrune, Philippe
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container_end_page 570
container_issue 5
container_start_page 566
container_title Journal of pediatric gastroenterology and nutrition
container_volume 37
creator Marfaing-Koka, Anne
Wolf, Martine
Boyer-Neumann, Catherine
Meyer, Dominique
Odievre, Michel
Labrune, Philippe
description OBJECTIVESGlycogen storage disease type Ia (GSD-Ia), a congenital deficiency of hepatic glucose-6-phosphatase activity, is often associated with hyperproteinemia. To document the mechanism of hyperproteinemia, the proteins of the hemostatic system were analyzed according to their site of synthesishepatocyte, endothelial cell, or both. The role of inflammation was investigated by the measurement of tumor necrosis factor alpha (TNF-α) and interleukin-6 (IL-6) levels in plasma. METHODSTwenty-seven patients with GSD-Ia were evaluated, as were 14 patients with other types of GSD and 30 healthy control subjects. Of the 41 patients with GSD, 15 also had hepatic adenoma (14 patients with GSD-Ia and 1 with GSD type III). RESULTSIn patients with GSD-Ia, there was a two-fold increase in all hepatocyte-synthesized proteins (i.e., factor VII, protein C, C4b binding protein) compared with control subjects and patients with other types of GSD. The proteins with mixed endothelial and hepatocyte origin (i.e., antithrombin and protein S) also were significantly increased but to a lesser extent. In contrast, the mean concentration of von Willebrand factor, which is exclusively synthesized in endothelial cells, was normal, as was the concentration of TNF-α and IL-6. CONCLUSIONSThese results suggest that the hyperproteinemia of GSD-Ia (including hemostatic proteins) is attributable to hepatocyte dysfunction and not related to an inflammatory process.
doi_str_mv 10.1097/00005176-200311000-00011
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To document the mechanism of hyperproteinemia, the proteins of the hemostatic system were analyzed according to their site of synthesishepatocyte, endothelial cell, or both. The role of inflammation was investigated by the measurement of tumor necrosis factor alpha (TNF-α) and interleukin-6 (IL-6) levels in plasma. METHODSTwenty-seven patients with GSD-Ia were evaluated, as were 14 patients with other types of GSD and 30 healthy control subjects. Of the 41 patients with GSD, 15 also had hepatic adenoma (14 patients with GSD-Ia and 1 with GSD type III). RESULTSIn patients with GSD-Ia, there was a two-fold increase in all hepatocyte-synthesized proteins (i.e., factor VII, protein C, C4b binding protein) compared with control subjects and patients with other types of GSD. The proteins with mixed endothelial and hepatocyte origin (i.e., antithrombin and protein S) also were significantly increased but to a lesser extent. In contrast, the mean concentration of von Willebrand factor, which is exclusively synthesized in endothelial cells, was normal, as was the concentration of TNF-α and IL-6. CONCLUSIONSThese results suggest that the hyperproteinemia of GSD-Ia (including hemostatic proteins) is attributable to hepatocyte dysfunction and not related to an inflammatory process.</description><identifier>ISSN: 0277-2116</identifier><identifier>EISSN: 1536-4801</identifier><identifier>DOI: 10.1097/00005176-200311000-00011</identifier><identifier>PMID: 14581798</identifier><identifier>CODEN: JPGND6</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams &amp; Wilkins, Inc</publisher><subject>Adolescent ; Adult ; Antithrombins - analysis ; Biological and medical sciences ; Blood Proteins - analysis ; Carbohydrates (enzymatic deficiencies). Glycogenosis ; Child ; Child, Preschool ; Complement Inactivator Proteins ; Endothelial Cells - metabolism ; Errors of metabolism ; Factor VII - analysis ; Glycogen Storage Disease Type I - blood ; Glycoproteins - blood ; Hemostasis ; Humans ; Inflammation - blood ; Interleukin-6 - analysis ; Liver - metabolism ; Medical sciences ; Metabolic diseases ; Plasminogen Activator Inhibitor 1 - blood ; Protein C - analysis ; Protein S - analysis ; Triglycerides - blood ; Tumor Necrosis Factor-alpha - analysis ; von Willebrand Factor - analysis</subject><ispartof>Journal of pediatric gastroenterology and nutrition, 2003-11, Vol.37 (5), p.566-570</ispartof><rights>2003 Lippincott Williams &amp; Wilkins, Inc.</rights><rights>2004 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4361-6b9c304ce0565e06f51a6d72fd10e4a1afabdc3c36294619b5ee5705c78986173</citedby><cites>FETCH-LOGICAL-c4361-6b9c304ce0565e06f51a6d72fd10e4a1afabdc3c36294619b5ee5705c78986173</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=15249169$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14581798$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Marfaing-Koka, Anne</creatorcontrib><creatorcontrib>Wolf, Martine</creatorcontrib><creatorcontrib>Boyer-Neumann, Catherine</creatorcontrib><creatorcontrib>Meyer, Dominique</creatorcontrib><creatorcontrib>Odievre, Michel</creatorcontrib><creatorcontrib>Labrune, Philippe</creatorcontrib><title>Increased Levels of Hemostatic Proteins are Independent of Inflammation in Glycogen Storage Disease Type Ia</title><title>Journal of pediatric gastroenterology and nutrition</title><addtitle>J Pediatr Gastroenterol Nutr</addtitle><description>OBJECTIVESGlycogen storage disease type Ia (GSD-Ia), a congenital deficiency of hepatic glucose-6-phosphatase activity, is often associated with hyperproteinemia. To document the mechanism of hyperproteinemia, the proteins of the hemostatic system were analyzed according to their site of synthesishepatocyte, endothelial cell, or both. The role of inflammation was investigated by the measurement of tumor necrosis factor alpha (TNF-α) and interleukin-6 (IL-6) levels in plasma. METHODSTwenty-seven patients with GSD-Ia were evaluated, as were 14 patients with other types of GSD and 30 healthy control subjects. Of the 41 patients with GSD, 15 also had hepatic adenoma (14 patients with GSD-Ia and 1 with GSD type III). RESULTSIn patients with GSD-Ia, there was a two-fold increase in all hepatocyte-synthesized proteins (i.e., factor VII, protein C, C4b binding protein) compared with control subjects and patients with other types of GSD. The proteins with mixed endothelial and hepatocyte origin (i.e., antithrombin and protein S) also were significantly increased but to a lesser extent. In contrast, the mean concentration of von Willebrand factor, which is exclusively synthesized in endothelial cells, was normal, as was the concentration of TNF-α and IL-6. CONCLUSIONSThese results suggest that the hyperproteinemia of GSD-Ia (including hemostatic proteins) is attributable to hepatocyte dysfunction and not related to an inflammatory process.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Antithrombins - analysis</subject><subject>Biological and medical sciences</subject><subject>Blood Proteins - analysis</subject><subject>Carbohydrates (enzymatic deficiencies). Glycogenosis</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Complement Inactivator Proteins</subject><subject>Endothelial Cells - metabolism</subject><subject>Errors of metabolism</subject><subject>Factor VII - analysis</subject><subject>Glycogen Storage Disease Type I - blood</subject><subject>Glycoproteins - blood</subject><subject>Hemostasis</subject><subject>Humans</subject><subject>Inflammation - blood</subject><subject>Interleukin-6 - analysis</subject><subject>Liver - metabolism</subject><subject>Medical sciences</subject><subject>Metabolic diseases</subject><subject>Plasminogen Activator Inhibitor 1 - blood</subject><subject>Protein C - analysis</subject><subject>Protein S - analysis</subject><subject>Triglycerides - blood</subject><subject>Tumor Necrosis Factor-alpha - analysis</subject><subject>von Willebrand Factor - analysis</subject><issn>0277-2116</issn><issn>1536-4801</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU1PGzEQhq2KqgToX6h8gdtSz_pr94hogUiRQCqcLcc7C1u8dmpvivLvcUgKp1qyRyM974z0mBAK7BxYq7-zciRoVdWMcYDSVeUCfCIzkFxVomFwQGas1rqqAdQhOcr5d0G0kOwLOQQhG9BtMyPP8-AS2owdXeBf9JnGnt7gGPNkp8HRuxQnHEKmNiGdhw5XWJ4wbbF56L0dx8LFQIdAr_3GxUcM9NcUk31E-mPI29H0frMqYXtCPvfWZ_y6r8fk4ern_eVNtbi9nl9eLConuIJKLVvHmXDIpJLIVC_Bqk7XfQcMhQXb22XnuOOqboWCdikRpWbS6aZtFGh-TM52c1cp_lljnsw4ZIfe24BxnY0GDrpmsoDNDnQp5pywN6s0jDZtDDCzFW3-iTbvos2b6BL9tt-xXo7YfQT3Zgtwugdsdtb3yQY35A9O1qIF1RZO7LiX6CdM-dmvXzCZJ7R-ejL_-2j-Ctf7lNc</recordid><startdate>200311</startdate><enddate>200311</enddate><creator>Marfaing-Koka, Anne</creator><creator>Wolf, Martine</creator><creator>Boyer-Neumann, Catherine</creator><creator>Meyer, Dominique</creator><creator>Odievre, Michel</creator><creator>Labrune, Philippe</creator><general>Lippincott Williams &amp; Wilkins, Inc</general><general>Lippincott</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200311</creationdate><title>Increased Levels of Hemostatic Proteins are Independent of Inflammation in Glycogen Storage Disease Type Ia</title><author>Marfaing-Koka, Anne ; Wolf, Martine ; Boyer-Neumann, Catherine ; Meyer, Dominique ; Odievre, Michel ; Labrune, Philippe</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4361-6b9c304ce0565e06f51a6d72fd10e4a1afabdc3c36294619b5ee5705c78986173</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Antithrombins - analysis</topic><topic>Biological and medical sciences</topic><topic>Blood Proteins - analysis</topic><topic>Carbohydrates (enzymatic deficiencies). Glycogenosis</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Complement Inactivator Proteins</topic><topic>Endothelial Cells - metabolism</topic><topic>Errors of metabolism</topic><topic>Factor VII - analysis</topic><topic>Glycogen Storage Disease Type I - blood</topic><topic>Glycoproteins - blood</topic><topic>Hemostasis</topic><topic>Humans</topic><topic>Inflammation - blood</topic><topic>Interleukin-6 - analysis</topic><topic>Liver - metabolism</topic><topic>Medical sciences</topic><topic>Metabolic diseases</topic><topic>Plasminogen Activator Inhibitor 1 - blood</topic><topic>Protein C - analysis</topic><topic>Protein S - analysis</topic><topic>Triglycerides - blood</topic><topic>Tumor Necrosis Factor-alpha - analysis</topic><topic>von Willebrand Factor - analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Marfaing-Koka, Anne</creatorcontrib><creatorcontrib>Wolf, Martine</creatorcontrib><creatorcontrib>Boyer-Neumann, Catherine</creatorcontrib><creatorcontrib>Meyer, Dominique</creatorcontrib><creatorcontrib>Odievre, Michel</creatorcontrib><creatorcontrib>Labrune, Philippe</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric gastroenterology and nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Marfaing-Koka, Anne</au><au>Wolf, Martine</au><au>Boyer-Neumann, Catherine</au><au>Meyer, Dominique</au><au>Odievre, Michel</au><au>Labrune, Philippe</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Increased Levels of Hemostatic Proteins are Independent of Inflammation in Glycogen Storage Disease Type Ia</atitle><jtitle>Journal of pediatric gastroenterology and nutrition</jtitle><addtitle>J Pediatr Gastroenterol Nutr</addtitle><date>2003-11</date><risdate>2003</risdate><volume>37</volume><issue>5</issue><spage>566</spage><epage>570</epage><pages>566-570</pages><issn>0277-2116</issn><eissn>1536-4801</eissn><coden>JPGND6</coden><abstract>OBJECTIVESGlycogen storage disease type Ia (GSD-Ia), a congenital deficiency of hepatic glucose-6-phosphatase activity, is often associated with hyperproteinemia. To document the mechanism of hyperproteinemia, the proteins of the hemostatic system were analyzed according to their site of synthesishepatocyte, endothelial cell, or both. The role of inflammation was investigated by the measurement of tumor necrosis factor alpha (TNF-α) and interleukin-6 (IL-6) levels in plasma. METHODSTwenty-seven patients with GSD-Ia were evaluated, as were 14 patients with other types of GSD and 30 healthy control subjects. Of the 41 patients with GSD, 15 also had hepatic adenoma (14 patients with GSD-Ia and 1 with GSD type III). RESULTSIn patients with GSD-Ia, there was a two-fold increase in all hepatocyte-synthesized proteins (i.e., factor VII, protein C, C4b binding protein) compared with control subjects and patients with other types of GSD. The proteins with mixed endothelial and hepatocyte origin (i.e., antithrombin and protein S) also were significantly increased but to a lesser extent. In contrast, the mean concentration of von Willebrand factor, which is exclusively synthesized in endothelial cells, was normal, as was the concentration of TNF-α and IL-6. CONCLUSIONSThese results suggest that the hyperproteinemia of GSD-Ia (including hemostatic proteins) is attributable to hepatocyte dysfunction and not related to an inflammatory process.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams &amp; Wilkins, Inc</pub><pmid>14581798</pmid><doi>10.1097/00005176-200311000-00011</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; Journals@Ovid Complete; Wiley Online Library All Journals
subjects Adolescent
Adult
Antithrombins - analysis
Biological and medical sciences
Blood Proteins - analysis
Carbohydrates (enzymatic deficiencies). Glycogenosis
Child
Child, Preschool
Complement Inactivator Proteins
Endothelial Cells - metabolism
Errors of metabolism
Factor VII - analysis
Glycogen Storage Disease Type I - blood
Glycoproteins - blood
Hemostasis
Humans
Inflammation - blood
Interleukin-6 - analysis
Liver - metabolism
Medical sciences
Metabolic diseases
Plasminogen Activator Inhibitor 1 - blood
Protein C - analysis
Protein S - analysis
Triglycerides - blood
Tumor Necrosis Factor-alpha - analysis
von Willebrand Factor - analysis
title Increased Levels of Hemostatic Proteins are Independent of Inflammation in Glycogen Storage Disease Type Ia
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