Homozygous type I plasminogen deficiency has been identified as a cause of ligneous conjunctivitis. In this study, 5 additional patients with ligneous conjunctivitis are examined. Three unrelated patients (1 boy, 1 elderly woman, and 1 man) had plasminogen antigen levels of less than 0.4, less than 0.4, and 2.4 mg/dL, respectively, but had plasminogen functional residual activity of 17%, 18%, and 17%, respectively. These subjects were compound-heterozygotes for different missense mutations in the plasminogen gene: Lys19 → Glu/Arg513 → His, Lys19 → Glu/Arg216 → His, and Lys19 → Glu/Leu128 → Pro, respectively. The other 2 patients, a 14-year-old boy and his 19-year-old sister, who both presented with a severe course of the disease, exhibited plasminogen antigen and functional activity levels below the detection limit (<0.4 mg/dL and <5%, respectively). These subjects were compound-heterozygotes for a deletion mutation (del Lys212) and a splice site mutation in intron Q (Ex17 + 1del-g) in the plasminogen gene. These findings show that certain compound-heterozygous mutations in the plasminogen gene may be associated with ligneous conjunctivitis. Our findings also suggest that the severity of clinical symptoms of ligneous conjunctivitis and its associated complications may depend on the amount of plasminogen functional residual activity.
Analytical tools for quantitative
measurements of glutamate, the
principal excitatory neurotransmitter in the brain, are lacking. Here,
we introduce a new enzyme-based amperometric sensor technique for
the counting of glutamate molecules stored inside single synaptic
vesicles. In this method, an ultra-fast enzyme-based glutamate sensor
is placed into a solution of isolated synaptic vesicles, which stochastically
rupture at the sensor surface in a potential-dependent manner at a
constant negative potential. The continuous amperometric signals are
sampled at high speed (10 kHz) to record sub-millisecond spikes, which
represent glutamate release from single vesicles that burst open.
Glutamate quantification is achieved by a calibration curve that is
based on measurements of glutamate release from vesicles pre-filled
with various glutamate concentrations. Our measurements show that
an isolated single synaptic vesicle encapsulates about 8000 glutamate
molecules and is comparable to the measured exocytotic quantal glutamate
release in amperometric glutamate sensing in the nucleus accumbens
of mouse brain tissue. Hence, this new methodology introduces the
means to quantify ultra-small amounts of glutamate and to study synaptic
vesicle physiology, pathogenesis, and drug treatments for neuronal
disorders where glutamate is involved.
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