Hyperzincaemia and hypercalprotectinaemia: a new disorder of zinc metabolism

Calprotectin (complex of S100A8 and S100A9) is the major calcium and zinc-binding protein of phagocytes. We report a new syndrome with recurrent infections, inflammation, and hyperzincaemia associated with excessively high plasma concentrations of calprotectin. We measured calprotectin in plasma and...

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Veröffentlicht in:The Lancet (British edition) 2002-11, Vol.360 (9347), p.1742-1745
Hauptverfasser: Sampson, Barry, Fagerhol, Magne K, Sunderkötter, Cord, Golden, Barbara E, Richmond, Peter, Klein, Nigel, Kovar, Ilya Z, Beattie, John H, Wolska-Kusnierz, Beata, Saito, Yoshiaki, Roth, Johannes
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container_end_page 1745
container_issue 9347
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container_title The Lancet (British edition)
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creator Sampson, Barry
Fagerhol, Magne K
Sunderkötter, Cord
Golden, Barbara E
Richmond, Peter
Klein, Nigel
Kovar, Ilya Z
Beattie, John H
Wolska-Kusnierz, Beata
Saito, Yoshiaki
Roth, Johannes
description Calprotectin (complex of S100A8 and S100A9) is the major calcium and zinc-binding protein of phagocytes. We report a new syndrome with recurrent infections, inflammation, and hyperzincaemia associated with excessively high plasma concentrations of calprotectin. We measured calprotectin in plasma and protein fractions by ELISA assay and zinc by atomic absorption spectrometry. Plasma proteins were fractionated by size exclusion chromatography and electrophoresis. Mass spectra of purified proteins were determined by MALDI-TOFMS. We assessed five patients, two of whom are related. All patients had much the same biochemical findings of hyperzincaemia (77–200 μmol/L, reference range 11–18 μmol/L) and raised plasma calprotectin concentrations (1·4–6·5 g/L, reference range
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We report a new syndrome with recurrent infections, inflammation, and hyperzincaemia associated with excessively high plasma concentrations of calprotectin. We measured calprotectin in plasma and protein fractions by ELISA assay and zinc by atomic absorption spectrometry. Plasma proteins were fractionated by size exclusion chromatography and electrophoresis. Mass spectra of purified proteins were determined by MALDI-TOFMS. We assessed five patients, two of whom are related. All patients had much the same biochemical findings of hyperzincaemia (77–200 μmol/L, reference range 11–18 μmol/L) and raised plasma calprotectin concentrations (1·4–6·5 g/L, reference range &lt;1 mg/L). All patients presented with recurrent infections, hepatosplenomegaly, anaemia, and evidence of systemic inflammation. Three patients had cutaneous inflammation and three presented in infancy with severe growth failure. Size exclusion chromatography showed that zinc and calprotectin were associated in a broad fraction with molecular weight range 100–300 kDa. Analysis by electrophoresis and mass spectrometry showed that the patients' protein contained normal S100A8 and S100A9 subunits. 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subjects Adolescent
Adult
Atomic absorption spectroscopy
Calcium
Child
Chromatography
Electrophoresis
Female
Humans
Immune response
Isotope studies
Leukocyte L1 Antigen Complex - blood
Leukocyte L1 Antigen Complex - metabolism
Leukocyte L1 Antigen Complex - physiology
Lymphocytes
Male
Mass spectra
Mass spectrometry
Medical disorders
Medical research
Metabolism
Pathology
Proteins
Spectral analysis
Stable isotopes
Syndrome
Zinc
Zinc - blood
Zinc - metabolism
title Hyperzincaemia and hypercalprotectinaemia: a new disorder of zinc metabolism
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