The kinetic properties of the NADH dehydrogenase of the mitochondrial respiratory
chain, assayed as NADH-dependent rotenone-sensitive cytochrome c reductase have
been studied in mitochondria isolated from mononuclear white blood cells in patients
affected by cystic fibrosis. Data reported here show that the apparent Km of the enzyme for
NADH is significantly decreased in cystic fibrosis mitochondria. These findings are independent
of the age or the clinical state of the disease and have also been obtained with mitochondria
isolated from cultured skin fibroblasts. These observations support the notion that
cystic fibrosis is possibly accompanied by alterations of intracellular membranes and these
are evident also in circulating cells and cultured fibroblasts.
The activity of γ-glutamyltranspeptidase and total alkaline phosphatase and its
isoenzymes has been determined in 261 amniotic fluid samples taken from pregnant women
with known normal outcome and in 30 amniotic fluid samples from pregnant women with a
1:4 risk for cystic fibrosis (CF). Preliminarily, 114 amniotic fluid samples were assayed in
parallel in three different laboratories, and a good correlation was found even though different
assays were used. From the results obtained in control amniotic fluids, normal range and
CF-predictive cutoff values were established. No false-negative results were found in this
study. Among the predicted affected pregnancies 7 were terminated, and 3 went to term: 1
resulting in a CF-affected child and the other 2 in healthy children. CF was confirmed in all
the aborted fetuses. In 1 case the results were inconclusive. In this study numerical results
obtained for samples with a 1:4 risk of CF analyzed in the three laboratories were always
virtually identical.
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