1993
DOI: 10.1007/bf01695868
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GPI Mount Scopus — a variant of glucosephosphate isomerase deficiency

Abstract: Glucosephosphate isomerase (GPI) deficiency is an unusual cause of hereditary nonspherocytic hemolytic anemia. The disease, inherited as an autosomal recessive disorder, is most often manifested by symptoms and signs of chronic hemolysis, ameliorated by splenectomy. We recently diagnosed GPI deficiency in a 23-year-old Ashkenazi Jewish man who displayed the typical clinical course of this disorder. The biophysical characteristics of the GPI variant are slow electrophoretic mobility, presence of only one of the… Show more

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Cited by 18 publications
(16 citation statements)
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“…The reduced potency of GPI as a cytokine has been proposed to account for this (57). Alternatively, the marked hyperbilirubinemia and tissue hypoxia as a result of severe anemia have been implicated (58). Given the data presented here, we must also consider the effect of GPI deficiency on glycerolipid biosynthesis.…”
Section: Discussionmentioning
confidence: 87%
“…The reduced potency of GPI as a cytokine has been proposed to account for this (57). Alternatively, the marked hyperbilirubinemia and tissue hypoxia as a result of severe anemia have been implicated (58). Given the data presented here, we must also consider the effect of GPI deficiency on glycerolipid biosynthesis.…”
Section: Discussionmentioning
confidence: 87%
“…Patients with GPI deficiency present different degrees of non-spherocytic hemolytic anemia (NSHA). In some cases, these patients manifest neuromuscular dysfunctions characterized by muscle weakness and mental retardation [2, 3843]. The molecular basis for these symptoms has not been established [2].…”
Section: Discussionmentioning
confidence: 99%
“…In a bioassay it was shown that the dimer is responsible for catalytic activity (GPI) and the monomer for neurotrophic (NLK) activity (Mizrachi 1989). Besides our patient I (GPI Homburg), neurological symptoms have also been found in patients with the variants GPI Utrecht (Helleman and van Biervliet 1975), GPI Paris (Kahn et al 1978), GPI Mount Scopus (Shalev et al 1993), and with a GPI variant described by Zanella et al (1980). Until now, only GPI Mount Scopus has been characterized at the molecular level (Beutler et al 1997).…”
Section: Discussionmentioning
confidence: 74%
“…Similarly, the patients harbouring the other GPI mutations exhibit no neurological symptoms. In the case of GPI Mount Scopus (R347C) it was impossible to ascertain whether the sensineural deficits of the patient were directly related to the enzyme deficiency, or were secondary to neonatal hyperbilirubinaemia and tissue hypoxia due to profound anaemia (Shalev et al 1993). In contrast, our investigations revealed that the neuromuscular symptoms of patient I are directly related to enzyme deficiency (Schröter et al 1985).…”
Section: Discussionmentioning
confidence: 89%
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