Molecular abnormality of erythrocyte pyruvate kinase deficiency in the Amish

We describe the cellular and molecular biologic studies of the erythrocyte pyruvate kinase (PK) deficiency of the Amish deme in Pennsylvania. Nucleotide sequencing of the patient's PK gene showed a point mutation, CGC to CAC, corresponding to no. 1436 from the translational initiation site of t...

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Veröffentlicht in:Blood 1994-04, Vol.83 (8), p.2311-2316
Hauptverfasser: KANNO, H, BALLAS, S. K, MIWA, S, FUJII, H, BOWMAN, H. S
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container_end_page 2316
container_issue 8
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container_title Blood
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creator KANNO, H
BALLAS, S. K
MIWA, S
FUJII, H
BOWMAN, H. S
description We describe the cellular and molecular biologic studies of the erythrocyte pyruvate kinase (PK) deficiency of the Amish deme in Pennsylvania. Nucleotide sequencing of the patient's PK gene showed a point mutation, CGC to CAC, corresponding to no. 1436 from the translational initiation site of the R-type PK (R-PK) mRNA, and it caused a single amino acid substitution from Arg to His at the 479th amino acid residue of the R-PK. The substituted Arg residue is located in the C domain of PK subunit, that is essential for both the intersubunit contact and the allosteric regulation. Because this enzyme shows the catalytic activity only as a dimer or tetramer, it is rational that the structural alteration would result in severe PK deficiency. To elucidate the effect of the PK deficiency on red blood cell (RBC) membrane, we performed the cellular studies of the patients' RBCs. Ouabain-insensitive K+ efflux was increased to 142% to 145% of normal controls and not inhibited by furosemide, as previously observed in HbSC disease RBCs.
doi_str_mv 10.1182/blood.v83.8.2311.2311
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source MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
subjects Adult
Amino Acid Sequence
Anemias. Hemoglobinopathies
Base Sequence
Biological and medical sciences
Diseases of red blood cells
Erythrocytes - enzymology
Ethnic Groups
Female
Hematologic and hematopoietic diseases
Humans
Male
Medical sciences
Molecular Sequence Data
Pedigree
Point Mutation
Polymerase Chain Reaction
Potassium - metabolism
Pyruvate Kinase - deficiency
Pyruvate Kinase - genetics
Structure-Activity Relationship
title Molecular abnormality of erythrocyte pyruvate kinase deficiency in the Amish
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