1975
DOI: 10.1016/s0140-6736(75)92661-6
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Immunological Observations on Patents With Lesch-Nyhan Syndrome, and on the Role of De-Novo Purine Synthesis in Lymphocyte Transformation

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Cited by 133 publications
(48 citation statements)
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“…Fibroblasts from these patients showed a normal PRPP concentration and nucleotide pools were compensated by an increased de novo synthesis (30). Also, the proliferation of T lymphocytes from the patients in response to mitogenic and antigenic stimulation was normal (33). In the leukocytes from two gouty patients affected with a partial deficiency of HPRT, de novo synthesis was accelerated to more than 13 times that of normal controls (34).…”
Section: Discussionmentioning
confidence: 94%
“…Fibroblasts from these patients showed a normal PRPP concentration and nucleotide pools were compensated by an increased de novo synthesis (30). Also, the proliferation of T lymphocytes from the patients in response to mitogenic and antigenic stimulation was normal (33). In the leukocytes from two gouty patients affected with a partial deficiency of HPRT, de novo synthesis was accelerated to more than 13 times that of normal controls (34).…”
Section: Discussionmentioning
confidence: 94%
“…Unlike B and T lymphocytes, most other cell types express the IMPDHindependent salvage pathway, which allows purine production despite inhibition of IMPDH by MPA. This explains why MPA has found excellent use as an immunosuppressive pharmaceutical (2).…”
mentioning
confidence: 98%
“…In contrast to these observations, we found that children with inherited deficiencies in the major purine salvage pathway, mediated by hypoxanthine-guanine phosphoribosyltransferase, have essentially normal immune functions, although they have neurological deficits [12]. Our conclusion was that de novo synthesis of guanosine nucleotides is required for human lymphocytes to respond to antigenic stimulation.…”
Section: Biochemical Studies On Inherited Defects In Immunitymentioning
confidence: 79%