HPRT‐Deficiency associated with normal PRPP concentration and APRT activity

Deficiencies of HPRT are usually associated with increased concentrations of PRPP and increased levels of APRT activity in erythrocytes. We report the case of a male with a partial deficiency of HPRT in whom these two parameters were normal. The clinical features of this patient were those associate...

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Veröffentlicht in:Journal of inherited metabolic disease 1987-03, Vol.10 (1), p.82-88
Hauptverfasser: Gordon, R. B., Keough, D. T., Emmerson, B. T.
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container_title Journal of inherited metabolic disease
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creator Gordon, R. B.
Keough, D. T.
Emmerson, B. T.
description Deficiencies of HPRT are usually associated with increased concentrations of PRPP and increased levels of APRT activity in erythrocytes. We report the case of a male with a partial deficiency of HPRT in whom these two parameters were normal. The clinical features of this patient were those associated with severe hyperuricaemia and gout. Studies of intact erythrocytes showed rates of incorporation of [14C]hypoxanthine and of [14C]adenine into purine nucleotides which were almost indistinguishable from normal. However, HPRT activity in erythrocyte lysates was only 9% of normal. In cell extracts of cultured lymphoblasts, the HPRT activity was 20% of control values and the APRT activity was normal. The PRPP concentration and the rate ofde novo purine synthesis in cultured lymphoblasts were both intermediate between controls and lymphoblasts from patients with the Lesch‐Nyhan syndrome.
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B.</creatorcontrib><creatorcontrib>Keough, D. T.</creatorcontrib><creatorcontrib>Emmerson, B. T.</creatorcontrib><title>HPRT‐Deficiency associated with normal PRPP concentration and APRT activity</title><title>Journal of inherited metabolic disease</title><addtitle>J Inherit Metab Dis</addtitle><description>Deficiencies of HPRT are usually associated with increased concentrations of PRPP and increased levels of APRT activity in erythrocytes. We report the case of a male with a partial deficiency of HPRT in whom these two parameters were normal. The clinical features of this patient were those associated with severe hyperuricaemia and gout. Studies of intact erythrocytes showed rates of incorporation of [14C]hypoxanthine and of [14C]adenine into purine nucleotides which were almost indistinguishable from normal. However, HPRT activity in erythrocyte lysates was only 9% of normal. In cell extracts of cultured lymphoblasts, the HPRT activity was 20% of control values and the APRT activity was normal. The PRPP concentration and the rate ofde novo purine synthesis in cultured lymphoblasts were both intermediate between controls and lymphoblasts from patients with the Lesch‐Nyhan syndrome.</description><subject>Adenine Phosphoribosyltransferase - blood</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Erythrocytes - analysis</subject><subject>Female</subject><subject>Humans</subject><subject>Hypoxanthine Phosphoribosyltransferase - deficiency</subject><subject>Kinetics</subject><subject>Lymphocytes - analysis</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Metabolic diseases</subject><subject>Middle Aged</subject><subject>Other metabolic disorders</subject><subject>Pentosephosphates - blood</subject><subject>Pentosyltransferases - blood</subject><subject>Phosphoribosyl Pyrophosphate - blood</subject><subject>Purines and pyrimidines (gout, hyperuricemia...)</subject><issn>0141-8955</issn><issn>1573-2665</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1987</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMtOwkAUhidGg4hu3Jt0YVyYVOfS6XSWCCIYiITgujmdSxxTWuwUCTsfwWf0SSyB4M7VWfzf-c_Jh9AlwXcEY3H_MMBESBlJdoTahAsW0jjmx6iNSUTCRHJ-is68f8cYy4TzFmrRiAmWJG00GU5n85-v776xTjlTqE0A3pfKQW10sHb1W1CU1QLyYDqbTgNVFsoUdQW1K4sACh10m_0AVO0-Xb05RycWcm8u9rODXgeP894wHL88jXrdcagYpzTklDEdWaZBxKA1Y5mxlgqaZJaIjGFIslhag3UsYgMKmCLcSpJpLiIpNWcddLPrXVblx8r4Ol04r0yeQ2HKlU-F4LjxQBrwdgeqqvS-MjZdVm4B1SYlON26S__cNfDVvnWVLYw-oHtZTX69z8EryG0FhXL-gImIsiTePod32NrlZvPPwfR5NOljnFD2C_r8hIY</recordid><startdate>198703</startdate><enddate>198703</enddate><creator>Gordon, R. 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B.</creatorcontrib><creatorcontrib>Keough, D. T.</creatorcontrib><creatorcontrib>Emmerson, B. T.</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 inherited metabolic disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gordon, R. B.</au><au>Keough, D. T.</au><au>Emmerson, B. T.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>HPRT‐Deficiency associated with normal PRPP concentration and APRT activity</atitle><jtitle>Journal of inherited metabolic disease</jtitle><addtitle>J Inherit Metab Dis</addtitle><date>1987-03</date><risdate>1987</risdate><volume>10</volume><issue>1</issue><spage>82</spage><epage>88</epage><pages>82-88</pages><issn>0141-8955</issn><eissn>1573-2665</eissn><coden>JIMDDP</coden><abstract>Deficiencies of HPRT are usually associated with increased concentrations of PRPP and increased levels of APRT activity in erythrocytes. We report the case of a male with a partial deficiency of HPRT in whom these two parameters were normal. The clinical features of this patient were those associated with severe hyperuricaemia and gout. Studies of intact erythrocytes showed rates of incorporation of [14C]hypoxanthine and of [14C]adenine into purine nucleotides which were almost indistinguishable from normal. However, HPRT activity in erythrocyte lysates was only 9% of normal. In cell extracts of cultured lymphoblasts, the HPRT activity was 20% of control values and the APRT activity was normal. The PRPP concentration and the rate ofde novo purine synthesis in cultured lymphoblasts were both intermediate between controls and lymphoblasts from patients with the Lesch‐Nyhan syndrome.</abstract><cop>Dordrecht</cop><pub>Kluwer Academic Publishers</pub><pmid>2437388</pmid><doi>10.1007/BF01799493</doi><tpages>7</tpages></addata></record>
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subjects Adenine Phosphoribosyltransferase - blood
Adult
Biological and medical sciences
Erythrocytes - analysis
Female
Humans
Hypoxanthine Phosphoribosyltransferase - deficiency
Kinetics
Lymphocytes - analysis
Male
Medical sciences
Metabolic diseases
Middle Aged
Other metabolic disorders
Pentosephosphates - blood
Pentosyltransferases - blood
Phosphoribosyl Pyrophosphate - blood
Purines and pyrimidines (gout, hyperuricemia...)
title HPRT‐Deficiency associated with normal PRPP concentration and APRT activity
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