Skip to main content
Log in

Generalised glucosephosphate isomerase (GPI) deficiency causing haemolytic anaemia, neuromuscular symptoms and impairment of granulocytic function: a new syndrome due to a new stable GPI variant with diminished specific activity (GPI Homburg)

  • Original Investigations
  • Published:
European Journal of Pediatrics Aims and scope Submit manuscript

Abstract

A new glucosephosphate isomerase (GPI) variant is described which is characterised by very low specific activity in erythrocytes, granulocytes and muscle tissue, nearly normal stability, normal kinetic properties and a decreased electrophoretic mobility. The propositus suffers from a complex syndrome involving erythrocytes (congenital haemolytic anaemia), granulocytes (decreased production of superoxide anion and reduced bactericidal activity in vitro) and the neuromuscular system (myopathy, mental retardation). It is suggested that the clinical syndrome results from generalised GPI deficiency due to a decreased specific activity of the variant enzyme, which cannot be compensated by an increase of de-novo synthesis of GPI protein even in cells exhibiting active protein synthesis such as granulocytes and muscle cells.

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

Abbreviations

GPI:

glucosephosphate isomerase

References

  1. Arnold H, Blume KG, Engelhardt R, Löhr GW (1973) Glucosephosphate isomerase deficiency: evidence for in vivo instability of an enzyme variant with hemolysis. Blood 41:691–699

    Google Scholar 

  2. Arnold H, Blume KG, Löhr GW, Schröter W, Koch HH, Wonneberger B (1974) Glucosephosphate isomerase deficiency with congenital nonspherocytic hemolytic anemia: a new variant (type Nordhorn). II. Purification and biochemical properties of the defective enzyme. Pediatr Res 8:26–30

    Google Scholar 

  3. Bardosi A, Eber SW, Roessmann U (1984) Ultrastructural and histochemical abnormalities of the skeletal muscle in a patient with a new variant (type Homburg) of glucosephosphate isomerase (GPI) deficiency. Clin Neuropathol 4:72–76

    Google Scholar 

  4. Beutler E (1978) Hemolytic anemia in disorders of red cell metabolism. Plenum Publishing Corp, New York

    Google Scholar 

  5. Bücher TH, Luh W, Pette D (1964) Einfache und zusammengesetzte optische Tests mit Pyridinnucleotiden. In: Hoppe-Seyler, Thierfelder (eds) Handbuch der physiologischen und pathologisch-chemischen Analyse. Springer-Verlag, Berlin, pp 291–339

    Google Scholar 

  6. Coetzer T, Zail SS (1979) Erythrocyte membrane proteins in hereditary glucosephosphate isomerase deficiency. J Clin Invest 63:552–561

    Google Scholar 

  7. Cohen CM (1983) The molecular organization of the red cell membrane skeleton. Semin Hematol 20:141–158

    Google Scholar 

  8. Cohen HJ, Chovaniec ME (1978) Superoxide generation by digitonin-stimulated guinea pig granulocytes. A basis for a continuous assay for monitoring superoxide production and for the study of the activation of the generating system. J Clin Invest 61:1081–1087

    Google Scholar 

  9. Eber SW, Dünnwald M, Belohradsky BH, Bidlingmaier F, Schievelbein H, Weinmann HM, Krietsch WKG (1979) Hereditary deficiency of triosephosphate isomerase in four unrelated families. Eur J Clin Invest 9:195–202

    Google Scholar 

  10. Eber SW, Gahr M, Lakomek M, Prindull G, Schröter W (1985) Clinical symptoms and biochemical properties of three new glucosephosphate isomerase variants. Blut (in press)

  11. Fairbanks G, Steck THL, Wallach DFH (1971) Electrophoretic analysis of the major polypeptides of the human erythrocyte membrane. Biochemistry 10:2606–2617

    Google Scholar 

  12. van Furth R, van Zwet TL (1973) In vitro determination of phagocytosis and intracellular killing by polymorphonuclear phagocytes. In: Weir DM (ed) Cellular immunology, 2nd edn. Blackwell Scientific Publ, Oxford, pp 36.1–36.24

    Google Scholar 

  13. Krietsch WKG, Eber SW, Haas B, Ruppelt W, Kuntz GWK (1980) Characterization of a phosphoglycerate kinase deficiency variant not associated with hemolytic anemia. Am J Hum Genet 32:364–373

    Google Scholar 

  14. Lämmli UK (1970) Cleavage of structural proteins during the assembly of the head of bacteriophage T4. Nature 227:680–685

    Google Scholar 

  15. McMorris FA, Chen TR, Ricciuti F, Tischfield J, Creagan R, Ruddle F (1973) Chromosome assignments in man of the genes for two hexose phosphate isomerases. Science 179:1129

    Google Scholar 

  16. Minakami S, Suzuki CI, Saito T, Yoshikawa H (1965) Determination of the glycolytic intermediates in human erythrocytes. J Biochem 58:543–550

    Google Scholar 

  17. Schröter W, Tillmann W (1977) Decreased deformability of erythrocytes in haemolytic anaemia associated with glucosephosphate isomerase deficiency. Br J Haematol 36:475–484

    Google Scholar 

  18. Turner BM, Fischer A, Harris H (1974) The age related loss of activity of four enzymes in the human erythrocyte. Clin Chim Acta 50:85–95

    Google Scholar 

  19. Zanella A, Izzo C, Rebulla P, Perroni L, Mariani M, Canestri G, Sansone G, Sirchia G (1980) The first stable variant of erythrocyte glucose-phosphate isomerase associated with severe hemolytic anemia. Am J Hematol 9:1–11

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Schröter, W., Eber, S.W., Bardosi, A. et al. Generalised glucosephosphate isomerase (GPI) deficiency causing haemolytic anaemia, neuromuscular symptoms and impairment of granulocytic function: a new syndrome due to a new stable GPI variant with diminished specific activity (GPI Homburg). Eur J Pediatr 144, 301–305 (1985). https://doi.org/10.1007/BF00441768

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00441768

Key words

Navigation