SummaryRed cell glycolytic intermediates and enzymes in term infants in the first year of life were correlated with the fetal hemoglobin concentration (%F), intra-and extracellular venous pH, plasma inorganic phosphorus (Pi) and pyruvate kinase (PK) activity.. .changes in the non-age-dependent enzymes phosphoglycerate kinase. enolase. and phosphofructokinase correlated most significantly with the postnatalhecline in %F ( P c 0.001), not the age of the red cell population, as reflected in PK activity. The agedependent enzymes, hexokinase and glucosedphosphate deh$drogenase, however, correlated well with PK activity ( P C 0.001). The concentration of glucosedphosphate did not correlate significantly with the postnatal decline in %F ( P > 0.05) or PK ( P > 0.10), but correlated significantly with the plasma Pi concentration (P < 0.001). "Total triose phosphate" and 2,3diphosphogIyceratedid not correlate with Pi.It appears from these studies that an extracellular factor, Pi, alters the pattern of glycolytic intermediates in term infants and that the postnatal changes in phosphoglycerate kinase, enolase, and phosphofructokinase are unique to the "fetal" red cell and reflect passage from fetal to "adult" erythropoiesis.
SpeculationIt is proposed that the rise in the glucosedphosphate concentration in red cells from term infants previously reported is secondary to a combination of stimulation of hexokinase activity by plasma inorganic phosphorus and a relative block in glycolysis at the phosphofructokinase (PFK) step secondary to both decreased enzyme activity and decreased activation of PFK by plasma inorganic phosphorus. It is speculated from these studies that the relative block in glycolysis at the PFK step previously described in term infants is probably greater at the in vivo level than that Analysis of red cell glywlytic intermediates (21). however, revealed that the wncentration of glucose-6-phosphate (G-6-P) continued to increase from day I to wk 3 to 4 despite PFK activity that remained essentially unchanged (22). This pattern of glycolytic intermediates was suggestive of a block in glywlysis at the PFK step that was modulated by factors other than enzyme activity alone.It has been well established that changes in the extracellular concentration of inorganic phosphorus (Pi) can profoundly affect the metabolism of the human red cell (8, 12-14, 16, 17, 19, 23). 13,16,23) and hyperphosphatemia (12,(14)(15)(16)(17)19) have been correlated with changes in the glycolytic rate and the pattern of red cell glycolytic intermediates and adenosine triphosphate (ATP) both in vitro and in vivo. The pattern of these changes in the intermediates is dependent on the pH of the medium (14). Because hyperphosphatemia is common in the newborn period (1,3,4,7,24) and acidosis has been reported, it would appear that both the plasma Pi wncentration and intracellular pH may modify the metabolism and, hence, the pattern of glywlytic intermediates in neonatal red cells.Thus, red cell intracellular and extracellular pH and the plasma Pi...