Inosine triphosphate pyrophosphohydrolase deficiency in a kindred with adenosine deaminase deficiency

A complete deficiency of inosine triphosphate pyrophosphohydrolase (ITPase) has been identified, together with high concentrations (mean 157 μmol/l) of the unusual nucleotide ITP, in the erythrocytes of 3 members of a consanguineous United Kingdom kindred. The defect has been noted previously in Nor...

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Veröffentlicht in:Clinica chimica acta 1990-05, Vol.188 (3), p.243-252
Hauptverfasser: Duley, John A., Simmonds, H.Anne, Hopkinson, David A., Levinsky, Roland J.
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container_issue 3
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container_title Clinica chimica acta
container_volume 188
creator Duley, John A.
Simmonds, H.Anne
Hopkinson, David A.
Levinsky, Roland J.
description A complete deficiency of inosine triphosphate pyrophosphohydrolase (ITPase) has been identified, together with high concentrations (mean 157 μmol/l) of the unusual nucleotide ITP, in the erythrocytes of 3 members of a consanguineous United Kingdom kindred. The defect has been noted previously in North America and Sweden, but even in presumed homozygotes some residual ITPase activity was reported. Homozygosity for the defect has not been associated previously with any clinical abnormality. In this kindred it was co-existent with adenosine deaminase (ADA) deficient severe combined immunodeficiency. Since the genes for both ITPase and ADA are localised on the same chromosome, segregation analysis of ITPase and ADA activity was undertaken in available kindred members. The results confirmed an autosomal recessive mode of inheritance for ITPase deficiency, but suggested that the co-existence with ADA deficiency was coincidental.
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The defect has been noted previously in North America and Sweden, but even in presumed homozygotes some residual ITPase activity was reported. Homozygosity for the defect has not been associated previously with any clinical abnormality. In this kindred it was co-existent with adenosine deaminase (ADA) deficient severe combined immunodeficiency. Since the genes for both ITPase and ADA are localised on the same chromosome, segregation analysis of ITPase and ADA activity was undertaken in available kindred members. The results confirmed an autosomal recessive mode of inheritance for ITPase deficiency, but suggested that the co-existence with ADA deficiency was coincidental.</abstract><cop>Shannon</cop><pub>Elsevier B.V</pub><pmid>2167185</pmid><doi>10.1016/0009-8981(90)90206-8</doi><tpages>10</tpages></addata></record>
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source MEDLINE; Elsevier ScienceDirect Journals
subjects Adenosine Deaminase - blood
Adenosine Deaminase - deficiency
Biological and medical sciences
Consanguinity
Errors of metabolism
Erythrocytes - enzymology
Female
Humans
Immunodeficiency
Infant, Newborn
Inosine Triphosphatase
Inosine triphosphate pyrophosphohydrolase deficiency
ITP
Male
Medical sciences
Metabolic diseases
Metabolism, Inborn Errors - blood
Metabolism, Inborn Errors - enzymology
Metabolism, Inborn Errors - genetics
Miscellaneous hereditary metabolic disorders
Nucleoside Deaminases - deficiency
Nucleotides - blood
Pedigree
Pyrophosphatases - blood
Pyrophosphatases - deficiency
title Inosine triphosphate pyrophosphohydrolase deficiency in a kindred with adenosine deaminase deficiency
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