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Correction of metabolic deficiencies in the leukocytes of patients with chronic granulomatous disease

Robert L. Baehner, +2 more
- 01 May 1970 - 
- Vol. 49, Iss: 5, pp 865-870
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TLDR
Evidence is strengthened that the fundamental metabolic lesion in CGD cells during phagocytosis is indeed deficient production of hydrogen peroxide, probably, as previously shown, due to diminished oxidase for reduced nicotinamide adenine dinucleotide.
Abstract
Polymorphonuclear leukocytes from patients with chronic granulomatous disease (CGD) exhibit metabolic and bactericidal deficiencies that may be the result of inadequate production of H2O2. A hydrogen peroxide-generating system was, therefore, inserted into CGD leukocytes. This was accomplished by allowing the cells to phagocytize latex spherules coated with glucose oxidase. This produced an amelioration in the known metabolic deficiencies of these cells during phagocytosis: (a) intracellular (catalatic) formate oxidation dependent upon hydrogen peroxide production was enhanced fourfold; and (b) hexose monophosphate shunt activity, which other workers have shown to be at least partially dependent upon the availability of H2O2, was markedly stimulated. These data strengthen the evidence that the fundamental metabolic lesion in CGD cells during phagocytosis is indeed deficient production of hydrogen peroxide, probably, as previously shown, due to diminished oxidase for reduced nicotinamide adenine dinucleotide.

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Journal ArticleDOI

Improvement of Polymorphonuclear Leucocyte Oxidative and Bactericidal Functions in Chronic Granulomatous Disease with 4‐Amino‐4′‐4 Hyndroxylaminodiphenyl Sulphone

TL;DR: In this paper, a dapsone derivative, 4-amino-4'-hydroxylaminodiphenyl sulphone (DDS-NOH), was used to restore oxidant-dependent capabilities to chronic granulomatous disease (CGD) polymorphonuclear leucocytes (PMN).
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Acid phosphatase cytochemistry of phagocytizing leukocytes from patients with chronic granulomatous disease.

TL;DR: Studies of neutrophils and eosinophils from normal individuals, patients with chronic granulomatous disease of childhood, and their heterozygous mothers demonstrate degranulation and vacuolization during phagocytosis of opsonized Escherichia coli.
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Oxidative metabolism in cord-blood polymorphonuclear leucocytes.

TL;DR: An aberration of leucocyte function may indicate a deficiency of metabolic reserve and could be related to the increased susceptibility of newborns to bacterial infections.
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Stimulation of neutrophil oxidative metabolism by the alternate pathway of complement activation: a mechanism for the spontaneous NBT test.

TL;DR: It is concluded from these results that biologically active fragments generated through the alternative pathway of complement activation can stimulate neutrophil metabolism in the absence of phagocytosis.
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Use of the Nitroblue Tetrazolium Dye Test: An Aid in Managing Patients With Cystic Fibrosis

TL;DR: The NBT test is a valuable adjunct in the surveillance of patients with cystic fibrosis and Serial determinations in 16 instances of bacterial infection were helpful in evaluating response to therapy.
References
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Journal Article

Protein Measurement with the Folin Phenol Reagent

TL;DR: Procedures are described for measuring protein in solution or after precipitation with acids or other agents, and for the determination of as little as 0.2 gamma of protein.
Journal ArticleDOI

In Vitro Bactericidal Capacity of Human Polymorphonuclear Leukocytes: Diminished Activity in Chronic Granulomatous Disease of Childhood

TL;DR: The deficiency of bactericidal capacity and the minimal degranulation after active phagocytosis by the PMN of these children with an inherited syndrome suggest that separate metabolic processes are involved in phagocytetosis and in intracellular digestion.
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Quantitative Nitroblue Tetrazolium Test in Chronic Granulomatous Disease

TL;DR: Chronic granulomatous disease is an X-linked defect in the killing of certain bacteria by peripheral blood granulocytes and may be detected with the nitroblue tetrazolium (NBT) test.
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Myeloperoxidase-Halide-Hydrogen Peroxide Antibacterial System

TL;DR: Myeloperoxidase, at high concentrations, exerted an antibacterial effect on L. acidophilus in the absence of added halide, which also was temperature- and catalase-sensitive, and suggests that, under the conditions employed, the antibacterial properties of a weak acid extract of guinea pig leukocytes is due, in part, to its peroxid enzyme content, particularly if a halide is present in the reaction mixture.
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