1993
DOI: 10.1006/geno.1993.1396
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A Leucine-to-Proline Substitution Causes a Defective α1-Antichymotrypsin Allele Associated with Familial Obstructive Lung Disease

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Cited by 92 publications
(54 citation statements)
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“…1 Since the first structure of cleaved human a 1 -proteinase inhibitor, 2 X-ray and other structural studies of different serpins and serpins complexes have revealed remarkable similarities of secondary and tertiary structures for all serpins. In the metastable native conformation, serpins contain three antiparallel b-sheets (A, B, and C) and nine a-helices (1)(2)(3)(4)(5)(6)(7)(8)(9). b-sheet A is composed of five strands, while b-Sheets B and C are shorter and contained six and four strands, respectively.…”
Section: Introductionmentioning
confidence: 99%
“…1 Since the first structure of cleaved human a 1 -proteinase inhibitor, 2 X-ray and other structural studies of different serpins and serpins complexes have revealed remarkable similarities of secondary and tertiary structures for all serpins. In the metastable native conformation, serpins contain three antiparallel b-sheets (A, B, and C) and nine a-helices (1)(2)(3)(4)(5)(6)(7)(8)(9). b-sheet A is composed of five strands, while b-Sheets B and C are shorter and contained six and four strands, respectively.…”
Section: Introductionmentioning
confidence: 99%
“…1a) allow the aberrant opening of the A-sheet, with the risk of the insertion, into its lower half, of the reactive loop of another molecule to give intermolecular linkage and polymerization of the serpin. Even minor changes in the shutter region of ␣ 1 -antitrypsin (8) and antichymotrypsin (9) result in their polymerization and intracellular aggregation with consequent lung and liver disease and similarly with C1-inhibitor (10) and antithrombin mutations (11) resulting in angioedema and thrombosis. But the best example of the critical function of this region comes from recent investigations of a novel form of familial neurodegenerative disease due to the aggregation within neurons of a brain-specific serpin, neuroserpin (12).…”
mentioning
confidence: 99%
“…However the prevalence of the Pro 227 →Ala mutation may vary in different populations, since it was not detected in 102 Russian COPD patients [80]. A second amino acid substitution, Leu 55 →Pro, was reported by POLLER and co-workers [79] in three out of 200 unrelated COPD patients and none of 100 controls. Mean α 1 -ACT serum levels in the heterozygotes was 80% of normal, and the mutant protein had an altered pattern on isoelectric focusing and defective function.…”
Section: Alpha 1 -Antichymotrypsinmentioning
confidence: 95%
“…In cases where hereditary deficiency has been shown, transmission follows an autosomal dominant inheritance pattern [75,76]. No consistent clinical phenotype is associated with α 1 -ACT deficiency, although an increased prevalence has been reported in patients with childhood asthma [77] and COPD [78,79]. In two other studies, deficient patients had increased values of residual volume (RV) and of the RV/total lung capacity (TLC) ratio [75,76].…”
Section: Alpha 1 -Antichymotrypsinmentioning
confidence: 99%