Significance of cerebrospinal fluid adenosine deaminase isoenzymes in tuberculous (TB) meningitis

Adenosine deaminase (ADA) exists as two isoenzymes, ADA1 and ADA2. It appears that the ADA2 isoenzyme originates mainly from monocytes and macrophages. In tuberculous pleural effusions most of the ADA activity consists of ADA2. The aim of this prospective study was to analyse ADA isoenzymes in the C...

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Veröffentlicht in:Journal of clinical laboratory analysis 2001, Vol.15 (5), p.236-238
Hauptverfasser: Schutte, C.-M., Ungerer, J.P.J., du Plessis, H., van der Meyden, C.H.
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container_end_page 238
container_issue 5
container_start_page 236
container_title Journal of clinical laboratory analysis
container_volume 15
creator Schutte, C.-M.
Ungerer, J.P.J.
du Plessis, H.
van der Meyden, C.H.
description Adenosine deaminase (ADA) exists as two isoenzymes, ADA1 and ADA2. It appears that the ADA2 isoenzyme originates mainly from monocytes and macrophages. In tuberculous pleural effusions most of the ADA activity consists of ADA2. The aim of this prospective study was to analyse ADA isoenzymes in the CSF of patients with meningitis to investigate whether the expected rise of the ADA2 isoenzyme would occur in tuberculous meningitis. ADA isoenzyme analysis was performed on the CSF of 15 patients with tuberculous and 11 patients with bacterial meningitis by an automated kinetic enzyme coupled assay in the presence and absence of a specific ADA inhibitor. The ratio of ADA2/ADATotal was >0.8 in 14/15 patients with tuberculous meningitis. In bacterial meningitis the ratio was ≥0.8 in 10/11 patients. The ADA2 isoenzyme is the major contributor to increased ADA activity in the CSF of patients with tuberculous meningitis, probably reflecting the monocyte–macrophage origin of the ADA. J. Clin. Lab. Anal. 15:236–238, 2001. © 2001 Wiley‐Liss, Inc.
doi_str_mv 10.1002/jcla.1033
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It appears that the ADA2 isoenzyme originates mainly from monocytes and macrophages. In tuberculous pleural effusions most of the ADA activity consists of ADA2. The aim of this prospective study was to analyse ADA isoenzymes in the CSF of patients with meningitis to investigate whether the expected rise of the ADA2 isoenzyme would occur in tuberculous meningitis. ADA isoenzyme analysis was performed on the CSF of 15 patients with tuberculous and 11 patients with bacterial meningitis by an automated kinetic enzyme coupled assay in the presence and absence of a specific ADA inhibitor. The ratio of ADA2/ADATotal was &gt;0.8 in 14/15 patients with tuberculous meningitis. In bacterial meningitis the ratio was ≥0.8 in 10/11 patients. The ADA2 isoenzyme is the major contributor to increased ADA activity in the CSF of patients with tuberculous meningitis, probably reflecting the monocyte–macrophage origin of the ADA. J. Clin. Lab. Anal. 15:236–238, 2001. © 2001 Wiley‐Liss, Inc.</description><identifier>ISSN: 0887-8013</identifier><identifier>EISSN: 1098-2825</identifier><identifier>DOI: 10.1002/jcla.1033</identifier><identifier>PMID: 11574950</identifier><language>eng</language><publisher>New York: John Wiley &amp; Sons, Inc</publisher><subject>Adenosine Deaminase - cerebrospinal fluid ; Adolescent ; Adult ; chronic meningitis ; diagnosis ; Female ; Humans ; Isoenzymes - cerebrospinal fluid ; Male ; Middle Aged ; Original ; tuberculosis ; Tuberculosis, Meningeal - cerebrospinal fluid ; Tuberculosis, Meningeal - enzymology</subject><ispartof>Journal of clinical laboratory analysis, 2001, Vol.15 (5), p.236-238</ispartof><rights>Copyright © 2001 Wiley‐Liss, Inc.</rights><rights>Copyright 2001 Wiley-Liss, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4493-3dc74b2f09bf686b3dfd95b9b56d07ab799ee68f8166da3eb91541b4ec865a303</citedby><cites>FETCH-LOGICAL-c4493-3dc74b2f09bf686b3dfd95b9b56d07ab799ee68f8166da3eb91541b4ec865a303</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6807738/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6807738/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,1411,4010,27900,27901,27902,45550,45551,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11574950$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Schutte, C.-M.</creatorcontrib><creatorcontrib>Ungerer, J.P.J.</creatorcontrib><creatorcontrib>du Plessis, H.</creatorcontrib><creatorcontrib>van der Meyden, C.H.</creatorcontrib><title>Significance of cerebrospinal fluid adenosine deaminase isoenzymes in tuberculous (TB) meningitis</title><title>Journal of clinical laboratory analysis</title><addtitle>J. Clin. Lab. Anal</addtitle><description>Adenosine deaminase (ADA) exists as two isoenzymes, ADA1 and ADA2. It appears that the ADA2 isoenzyme originates mainly from monocytes and macrophages. In tuberculous pleural effusions most of the ADA activity consists of ADA2. The aim of this prospective study was to analyse ADA isoenzymes in the CSF of patients with meningitis to investigate whether the expected rise of the ADA2 isoenzyme would occur in tuberculous meningitis. ADA isoenzyme analysis was performed on the CSF of 15 patients with tuberculous and 11 patients with bacterial meningitis by an automated kinetic enzyme coupled assay in the presence and absence of a specific ADA inhibitor. The ratio of ADA2/ADATotal was &gt;0.8 in 14/15 patients with tuberculous meningitis. In bacterial meningitis the ratio was ≥0.8 in 10/11 patients. The ADA2 isoenzyme is the major contributor to increased ADA activity in the CSF of patients with tuberculous meningitis, probably reflecting the monocyte–macrophage origin of the ADA. J. Clin. Lab. Anal. 15:236–238, 2001. © 2001 Wiley‐Liss, Inc.</description><subject>Adenosine Deaminase - cerebrospinal fluid</subject><subject>Adolescent</subject><subject>Adult</subject><subject>chronic meningitis</subject><subject>diagnosis</subject><subject>Female</subject><subject>Humans</subject><subject>Isoenzymes - cerebrospinal fluid</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Original</subject><subject>tuberculosis</subject><subject>Tuberculosis, Meningeal - cerebrospinal fluid</subject><subject>Tuberculosis, Meningeal - enzymology</subject><issn>0887-8013</issn><issn>1098-2825</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU1v1DAQhi1ERZfCgT-AfEL0kNaO468LUruipbAsEhTBzbKdyeKSOIudFJZf36x2VeDAyZbmmWfGfhF6RskJJaQ8vfGtnW6MPUAzSrQqSlXyh2hGlJKFIpQdosc53xBClKbiETqklMtKczJD9lNYxdAEb6MH3DfYQwKX-rwO0ba4acdQY1tD7HOIgGuw3VTIgEPuIf7edJBxiHgYHSQ_tv2Y8cvr82PcQQxxFYaQn6CDxrYZnu7PI_T54vX1_E2x-HB5NT9bFL6qNCtY7WXlyoZo1wglHKubWnOnHRc1kdZJrQGEahQVorYMnKa8oq4CrwS3jLAj9GrnXY-ug9pDHJJtzTqFzqaN6W0w_1Zi-GZW_a0RikjJ1CR4sRek_scIeTBdyB7a1kaY3mUkLQnncjvpeAf66Z9yguZ-CCVmG4jZBmK2gUzs87-3-kPuE5iA0x3wM7Sw-b_JvJ0vzvbKYtcR8gC_7jts-m6EZJKbL8tLw_jy60fxfmnesTusFqeU</recordid><startdate>2001</startdate><enddate>2001</enddate><creator>Schutte, C.-M.</creator><creator>Ungerer, J.P.J.</creator><creator>du Plessis, H.</creator><creator>van der Meyden, C.H.</creator><general>John Wiley &amp; Sons, Inc</general><scope>BSCLL</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><scope>5PM</scope></search><sort><creationdate>2001</creationdate><title>Significance of cerebrospinal fluid adenosine deaminase isoenzymes in tuberculous (TB) meningitis</title><author>Schutte, C.-M. ; Ungerer, J.P.J. ; du Plessis, H. ; van der Meyden, C.H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4493-3dc74b2f09bf686b3dfd95b9b56d07ab799ee68f8166da3eb91541b4ec865a303</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Adenosine Deaminase - cerebrospinal fluid</topic><topic>Adolescent</topic><topic>Adult</topic><topic>chronic meningitis</topic><topic>diagnosis</topic><topic>Female</topic><topic>Humans</topic><topic>Isoenzymes - cerebrospinal fluid</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Original</topic><topic>tuberculosis</topic><topic>Tuberculosis, Meningeal - cerebrospinal fluid</topic><topic>Tuberculosis, Meningeal - enzymology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schutte, C.-M.</creatorcontrib><creatorcontrib>Ungerer, J.P.J.</creatorcontrib><creatorcontrib>du Plessis, H.</creatorcontrib><creatorcontrib>van der Meyden, C.H.</creatorcontrib><collection>Istex</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><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of clinical laboratory analysis</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schutte, C.-M.</au><au>Ungerer, J.P.J.</au><au>du Plessis, H.</au><au>van der Meyden, C.H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Significance of cerebrospinal fluid adenosine deaminase isoenzymes in tuberculous (TB) meningitis</atitle><jtitle>Journal of clinical laboratory analysis</jtitle><addtitle>J. Clin. Lab. Anal</addtitle><date>2001</date><risdate>2001</risdate><volume>15</volume><issue>5</issue><spage>236</spage><epage>238</epage><pages>236-238</pages><issn>0887-8013</issn><eissn>1098-2825</eissn><abstract>Adenosine deaminase (ADA) exists as two isoenzymes, ADA1 and ADA2. It appears that the ADA2 isoenzyme originates mainly from monocytes and macrophages. In tuberculous pleural effusions most of the ADA activity consists of ADA2. The aim of this prospective study was to analyse ADA isoenzymes in the CSF of patients with meningitis to investigate whether the expected rise of the ADA2 isoenzyme would occur in tuberculous meningitis. ADA isoenzyme analysis was performed on the CSF of 15 patients with tuberculous and 11 patients with bacterial meningitis by an automated kinetic enzyme coupled assay in the presence and absence of a specific ADA inhibitor. The ratio of ADA2/ADATotal was &gt;0.8 in 14/15 patients with tuberculous meningitis. In bacterial meningitis the ratio was ≥0.8 in 10/11 patients. The ADA2 isoenzyme is the major contributor to increased ADA activity in the CSF of patients with tuberculous meningitis, probably reflecting the monocyte–macrophage origin of the ADA. J. Clin. Lab. Anal. 15:236–238, 2001. © 2001 Wiley‐Liss, Inc.</abstract><cop>New York</cop><pub>John Wiley &amp; Sons, Inc</pub><pmid>11574950</pmid><doi>10.1002/jcla.1033</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record>
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subjects Adenosine Deaminase - cerebrospinal fluid
Adolescent
Adult
chronic meningitis
diagnosis
Female
Humans
Isoenzymes - cerebrospinal fluid
Male
Middle Aged
Original
tuberculosis
Tuberculosis, Meningeal - cerebrospinal fluid
Tuberculosis, Meningeal - enzymology
title Significance of cerebrospinal fluid adenosine deaminase isoenzymes in tuberculous (TB) meningitis
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