Skip to main content
Log in

An association between α1-antitrypsin phenotype and chronic liver disease

  • Original Investigations
  • Published:
Human Genetics Aims and scope Submit manuscript

Summary

The phenotypes of alpha-1-antitrypsin have been analyzed by isoelectric focusing on polyacrylamide gels in 232 healthy Japanese blood donors and in 240 Japanese patients with chronic liver diseases: 69 with chronic active hepatitis, 122 with liver cirrhosis, 41 with hepatocellular carcinoma and 8 with primary biliary cirrhosis. The liver cirrhosis patients had a gene frequency of 0.07 forPI * M3, which was significantly higher (P<0.01) than that (0.03) in blood donors. The gene frequency of PI * M3 was significantly increased in cryptogenic liver cirrhosis (P<0.05), and there was a tendency toward an increased frequency of PI * M3 in post-transfusion groups, and in primary biliary cirrhosis. There were also tendenciestoward increased frequencies of PI * M3 in cryptogenic and post-transfusion groups of patients with chronic active hepatitis. The present study indicates that PI * M3 is a genetic or predisposing factor for chronic liver diseases, especially for cryptogenic and/or non A-non B viral chronic liver disease and also for primary biliary cirrhosis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Bassett ML, Bradbear RA, Kerlin P, Clark P (1986) α1-Antitrypsin phenotypes in chronic active hepatitis. J Gastroenterol Hepatol 1:207–211

    Google Scholar 

  • Berg NO, Eriksson S (1972) Liver disease in adults with alpha1-anti-trypsin deficiency. N Engl J Med 287:1264–1267

    Google Scholar 

  • Blenk H, Junge W (1978) Haptoglobintypen bei chronischen Leberer-krankungen. Klin Wochenschr 56:973–976

    Google Scholar 

  • Briscoe WA, Kueppers F, Davis AL, Bearn AG (1966) A case of inherited deficiency of serum alpha1-antitrypsin associated with pulmonary emphysema. Am Rev Respir Dis 94:529–539

    Google Scholar 

  • Carrel RW, Jeppsson JO, Laurell CB, Brennan SO, Owen MC, Vaughan L, Boswell DR (1982) Structure and variation of human α1-antitrypsin. Nature 298:329–334

    Google Scholar 

  • Charlionet R, Martin JP, Sesboué R, Ropartz C (1976) Is there a relationship between alpha-1-antitrypsin Pi MZ phenotype and hepatoma? Biomedicine 25:125–126

    Google Scholar 

  • Child CG 3rd, Turcotte JG (1964) Surgery and portal hypertension. In: Child CG (ed) The liver and portal hypertension. Saunders, Philadelphia, pp 1–85

    Google Scholar 

  • Eriksson S (1964) Pulmonary emphysema and alpha1-antitrypsin deficiency. Acta Med Scand 175:197–205

    Google Scholar 

  • Eriksson SG (1985) Liver disease in α1-antitrypsin deficiency. Aspects of incidence and prognosis. Scand J Gastroenterol 20:907–911

    Google Scholar 

  • Eriksson S, Hägerstrand I (1974) Cirrhosis and malignant hepatoma in α1-antitrypsin deficiency. Acta Med Scand 195:451–458

    Google Scholar 

  • Eriksson S, Carlson J, Velez R (1986) Risk of cirrhosis and primary liver cancer in alpha1-antitrypsin deficiency. N Engl J Med 314:736–739

    Google Scholar 

  • Fagerhol MK (1968) The Pi system: genetic variants of serum α1-anti-trypsin. Ser Haematol 11:153–161

    Google Scholar 

  • Fagerhol MK (1976) The genetics of alpha-1-antitrypsin and its implications. Postgrad Med J 52 [Suppl 2]:73–83

    Google Scholar 

  • Fagerhol MK, Cox DW (1981) The Pi polymorphism: genetic, biochemical, and clinical aspects of human α1-antitrypsin. In: Harris H, Hirschhorn K (eds) Advances in human genetics, vol 11. Plenum Press, New York, pp 1–62

    Google Scholar 

  • Fargion S, Klasen EC, Lalatta F, Sangalli G, Tommasini M, Fiorelli G (1981) α1-Antitrypsin in patients with hepatocellular carcinoma and chronic active hepatitis. Clin Genet 19:134–139

    Google Scholar 

  • Ganrot PO, Laurell CB, Eriksson S (1967) Obstructive lung disease and trypsin inhibitors in α1-antitrypsin deficiency. Scand J Clin Lab Invest 19:205–208

    Google Scholar 

  • Gedde-Dahl Jr T, Fagerhol MK, Cook PJL, Noades J (1972) Autosomal linkage between the Gm and Pi loci in man. Ann Hum Genet 35:393–399

    Google Scholar 

  • Gedde-Dahl Jr T, Cook PJL, Fagerhol MK, Pierce JA (1975) Improved estimate of the Gm-Pi linkage. Ann Hum Genet 39:43–50

    Google Scholar 

  • Govindarajan S, Ashcavai M, Peters RL (1981) α-1-Antitrypsin phenotypes in hepatocellular carcinoma. Hepatology 1:628–631

    Google Scholar 

  • Hirayama C, Nakamura M, Koga S (1975) Serum haptoglobin type and liver cirrhosis. Humangenetik 28:139–146

    Google Scholar 

  • Hodges JR, Millward-Sadler GH, Barbatis C, Wright R (1981) Heterozygous MZ alpha1-antitrypsin deficiency in adults with chronic active hepatitis and cryptogenic cirrhosis. N Engl J Med 304:557–560

    Google Scholar 

  • Kamboh MI (1985) Biochemical and genetic aspects of human serum α1-proteinase inhibitor protein. Disease Markers 3:135–154

    Google Scholar 

  • Kramps JA, Brouwers JW, Maesen F, Dijkman JH (1981) PiMheerlen, a PiM allele resulting in very low α1-antitrypsin serum levels. Hum Genet 59:104–107

    Google Scholar 

  • Kueppers F (1969) Identification of the heterozygous state for the α1-antitrypsin deficiency gene in man. Biochem Genet 3:283–288

    Google Scholar 

  • Labadie H, Sesboué R, Martin JP, Beaugrand M (1985) Carcinome hépatocellulaire et phénotype de l'α1-antitrypsine. Gastroenterol Clin Biol 9:881–885

    Google Scholar 

  • Larsson C (1978) Natural history and life expectancy in severe alpha1-antitrypsin deficiency, Pi Z. Acta Med Scand 204:345–351

    Google Scholar 

  • Laurell CB, Eriksson S (1963) The electrophoretic α1-globulin pattern of serum in α1-antitrypsin deficiency. Scand J Clin Lab Invest 15:132–140

    Google Scholar 

  • Mackay IR (1983) Immunological aspects of chronic active hepatitis. Hepatology 3:724–728

    Google Scholar 

  • Mareček Z, Hoenigová J (1970) Serum-Haptoglobintypen bei Leber-krankheiten. Experientia 26:1096–1097

    Google Scholar 

  • McCombe PA, Clark P, Frith JA, Hammond SR, Stewart GJ, Pollard JD, McLeod JG (1985) α-1-Antitrypsin phenotypes in demyelinating disease: an association between demyelinating disease and the allele PiM3. Ann Neurol 18:514–516

    Google Scholar 

  • Miyake K, Oka H, Oda T (1980) α1-Antitrypsin phenotypes in Japanese-classification of six M subtypes. Jinrui Idengaku Zasshi 25:183–184

    Google Scholar 

  • Nakamura H, Ogawa A, Hisano S, Fukuma M, Tachibana N, Tsuda K (1980) A family with a new deficient of alpha 1-antitrypsin PiMnchinan-with special reference to diastase-resistant, periodic acid-schiff positive globules in the liver cells. Nippon Naika Gakkai Zasshi 69:967–974

    Google Scholar 

  • Plaitano G, Guardascione F, Politi C (1979) L'alfa1 antitrypsina nelle cirrosi criptogenetiche. Quad Sclavo Diagn 15:165–169

    Google Scholar 

  • Rawlings W, Moss J, Cooper HS, Hamilton SR (1974) Hepatocellular carcinoma and partial deficiency of alpha-1 antitrypsin (MZ). Ann Intern Med 81:771–773

    Google Scholar 

  • Reintoft I, Hägerstrand IE (1979) Does the Z gene variant of alpha-1-antitrypsin predispose to hepatic carcinoma? Hum Pathol 10:419–424

    Google Scholar 

  • Sánchez EF, Ruiz VC, Berges CL, Fermoso J (1983) Niveles de alpha1-antitrypsina en el suero de pacientes neoplásicos. Med Clin (Barc) 81:752–754

    Google Scholar 

  • Sharp HL, Bridges RA, Krivit W, Freier EF (1969) Cirrhosis associted with alpha-1-antitrypsin deficiency: a previously unrecognized inherited disorder. J Lab Clin Med 73:934–939

    Google Scholar 

  • Talamo RC, Langley CE, Reed CE, Makino S (1973) α1-Antitrypsin deficiency: a variant with no detectable α1-antitrypsin. Science 181:70–71

    Google Scholar 

  • Tartaglino B, Macrì G, Molino G, Furlani D, Sansalvadore F (1980) Comportamento dell' α1 antitrypsina sierica in corso di epatopatie croniche e suo significato diagnostico. Quad Sclavo Diagn 16:451–458

    Google Scholar 

  • Vergalla J, Jones EA, Kew MC (1983) Alpha-1-antitrypsin deficiency and hepatocellular carcinoma. Determination of Pi phenotypes using iso-electric focusing. S Afr Med J 64:950–951

    Google Scholar 

  • Vischer TL (1979) Protease inhibitors reduce mitogen induced lymphocyte stimulation. Immunology 36:811–813

    Google Scholar 

  • Weidinger S, Jahn W, Cujnik F, Schwarzfischer F (1985) Alpha-1-antitrypsin: evidence for a fifth PI M subtype and a new deficiency allele PI*ZAugsburg. Hum Genet 71:27–29

    Google Scholar 

  • Xu S, Guan S, Wang P, Chen F (1983) Assay of serum A1-antitrypsin activity for the diagnosis of primary hepatocellular carcinoma. Chin Med J [Engl] 96:607–610

    Google Scholar 

  • Yuasa I, Suenaga K, Gotoh Y, Ito K, Yokoyama N, Okada K (1984) Pi(α1-antitrypsin) polymorphism in the Japanese: confirmation of PI*M4 and description of new PI variants. Hum Genet 67:209–212

    Google Scholar 

  • Zipprich B, Giebelmann R, Tolani K, Schmidt W, Königstedt B, Scheibe E, Nilius R (1986) Haptoglobin type and liver disease. Hepatogastroenterology 33:196–198

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kishimoto, Y., Yamada, S. & Hirayama, C. An association between α1-antitrypsin phenotype and chronic liver disease. Hum Genet 84, 132–136 (1990). https://doi.org/10.1007/BF00208927

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00208927

Keywords

Navigation