Summary
A severe hemolytic crisis was observed in a 5-yearold boy of Italian origin. Analysis of his hemolysate revealed a hemizygous deficiency of glucose-6-phosphate dehydrogenese (G6PD) and a heterozygous deficiency of glucosephosphate isomerase (GPI). According to the literature this is the fourth family with a combined deficiency of these two enzymes located on different chromosomes. Only the G6PD deficiency seems to be responsible for the hemolytic crisis.
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Amold H, Blume KG, Busch D, Lenkeit U, Löhr GW, Lübs E (1970) Klinische und biochemische Untersuchungen zur Glucosephosphatisomerase normaler menschlicher Erythrozyten und bei Glucosephosphatisomerase-Mangel. Klin Wochenschr 48:1299–1308
Arnold H, Engelhardt R, Löhr GW, Jacobi H, Liebold I (1973) Glucosephosphat-Isomerase Typ Reckinghausen: Eine neue Defektvariante mit hämolytischer Anämie. Klin Wochenschr 51:1198–1204
Arnold H (1979) Inherited glucosephosphate isomerase deficiency. A review of known variants and some aspects of the pathomechanism of the deficiency. Blut 39:305–417
Baughan MA, Valentine WN, Paglia DE, Ways PO, Simon ER, DeMarsh QB (1967) Hereditary hemolytic anemia associated with glucosephosphate isomerase (GPI) deficiency: A new enzyme defect of human erythrocytes. Blood 30:850
Beutler E, Duron O, Kelly BM (1963) Improved method for the determination of blood glutathione. J Lab Clin Med 61:882–890
Beutler E, Dern RJ, Flanagan CL, Alving AS (1955) The hemolytic effect of primaquine. VII. Biochemical studies of drug-sensitive erythrocytes. J Lab Clin Med 45:286–295
Brown EA (1957) The inheritance of an intrinsic abnormality of the red blood cell predisposing to drug induced hemolytic anemia. Johns Hopkins Med J 101:115
Carson PE, Flanagan CL, Ickes CE, Alving AS (1956) Enzymatic deficiency in primaquine sensitive erythrocytes. Science 124:484–485
Detter JC, Ways PO, Gibleit ER, Baughan MA, Hopkinson DA, Povey S, Harris H (1968) Inherited variations in human phosphohexose isomerase. Ann Hum Genet 31:329–338
Kattamis ChA, Kyriazakou M, Chaidas S (1969) Favism. Clinical and biochemical data. J Med Genet 6:34–41
Leger J, Bost M, Kolodie L, Schaerer R, Hollard D (1970) Anemie hemolytique congenitale et familiale avec deficit en phospho-hexoseisomerase (PHI) et elliptocytose. 13th Congress Intern Soc Hematol, München, Abstr Vol 293. J. F. Lehmanns Verlag, München
McMorris FA, Chen TR, Ricciuti F, Tischfield J, Ceagan R, Ruddle F (1973) Chromosome assignments in man of the genes for two hexosephosphate isomerase. Science 179:1129–1131
Oski F, Fuller E (1971) Glucose-phosphate isomerase (GPI) associated with abnormal osmotic fragility and spherocytes. Clin Res 19:427
Ruddle FH (1973) Linkage analysis in man by somatic cell hybrids. Nature 242:165–169
Sanpitak N, Supalert Y, Chayutimonkul L Flatz G (1973) Combined erythrocyte phosphohexose isomerase and glucose-6-phosphate dehydrogenase deficiency. Hum Hered 23:83–87
Schröter W, Brittinger G, Zimmerschitt E, König E, Schrader D (1971) Combined glucosephosphate isomerase and glucose-6-phosphate dehydrogenase deficiency of the erythrocytes: A new hemolytic syndrome. Br J Haematol 20:249–261
Schröter W, Tillmann W (1977) Congenital nonspherocytic hemolytic anemia associated with glucosephosphate isomerase deficiency: Variant Paderborn. Klin Wochenschr 55:393–396
Steiman I, Kaufmann S, Zaidmann JL, Leiba H (1978) Combined glucosephosphate isomerase and glucose-6-phosphate dehydrogenase deficiency of erythrocytes.Isr J Med Sci 14:1186–1190
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Dedicated to Prof. Dr. Walter Sandritter on occasion of his 60th birthday
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Arnold, H., Löhr, G.W., Hasslinger, K. et al. Combined erythrocyte glucosephosphate isomerase (GPI) and glucose-6-phosphate dehydrogenase (G6PD) deficiency in an italian family. Hum Genet 57, 226–229 (1981). https://doi.org/10.1007/BF00282031
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DOI: https://doi.org/10.1007/BF00282031