1967
DOI: 10.1172/jci105688
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Carbon Monoxide Production Associated with Ineffective Erythropoiesis*

Abstract: Abstract. The rate of endogenous carbon monoxide production (Vco), determined by the closed rebreathing system technique, was elevated above the normal range in four of five patients studied with ineffective erythropoiesis (four patients with primary refractory anemia, one with thalassemia). The mean molar ratio of Vco to Vheme (rate of circulating heme catabolism, determined from 51Cr red cell survival curves) was 3.0 ± 0.6 (SE), indicating that most of the CO originated from sources other than circulating er… Show more

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Cited by 52 publications
(30 citation statements)
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“…The administration of glycine-2-14C to a dog was not followed by the appearance of 14CO in the present study, but the amount of glycine injected was small and the experiment was short. Analogous to our experiments with man (29), a small amount of 14CO probably was formed but could not be detected in rebreathing gas by the ionization chambers. A comment is required regarding the baseline Vco in anesthetized dogs.…”
Section: Introductionsupporting
confidence: 82%
See 1 more Smart Citation
“…The administration of glycine-2-14C to a dog was not followed by the appearance of 14CO in the present study, but the amount of glycine injected was small and the experiment was short. Analogous to our experiments with man (29), a small amount of 14CO probably was formed but could not be detected in rebreathing gas by the ionization chambers. A comment is required regarding the baseline Vco in anesthetized dogs.…”
Section: Introductionsupporting
confidence: 82%
“…It is possible that protoporphyrin served as a precursor of heme, which was then degraded to CO. Others have demonstrated the conversion of hemin and protoporphyrin to bile pigment in animals (26)(27)(28). The present experiments demonstrate that degradation of hemoglobin precursors can give rise to CO, and it is thus possible that the CO and bile pigment that appear shortly after the injection of glycine-2-14C in man (29) may arise from these compounds rather than from hemoglobin. The administration of glycine-2-14C to a dog was not followed by the appearance of 14CO in the present study, but the amount of glycine injected was small and the experiment was short.…”
Section: Introductionmentioning
confidence: 55%
“…The catabolism of circulating red cell hemoglobin heme (VhemeJ was calculated in micromoles per hr per kg using the formula of White et al (33).…”
Section: Methodsmentioning
confidence: 99%
“…A negative correlation between the excess a chain synthesis and the red cell survival was demonstrated. Interpretation of the 14.6-day erythrocyte 51Cr half-life in the proposita with hemoglobin E-Pthalassemia was complicated by a lack of elution data on hemoglobin E. Pearson (25) (33) reported a decrease in Vco/Vh,,,., from 4.1 to 3.1 postsplenectomy; VCO fell from 94.2 to 64.7 pmol/hr. Similayly, in the proposita with hemoglobin E-P-thalassemia, a drop in VCO from 2.00 to 1.54 pmol/hr/kg was observed after splenectomy.…”
Section: Cr Red Cell Studiesmentioning
confidence: 99%
“…Biological production of carbon monoxide has been reported in algae (3,7), in fungi (16), in higher plants (10,18), in siphonophores (19), and in man (12,17). It is now well established that during the breakdown of hemoglobin in senescent erythrocytes in humans, the heme ring is cleaved by removal of the a-methyne bridge carbon which is then oxidized to CO with the concomitant formation of bile pigment and iron (13).…”
mentioning
confidence: 99%