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1.
J Fish Biol ; 80(6): 2345-56, 2012 May.
Article in English | MEDLINE | ID: mdl-22551186

ABSTRACT

Miniaturized acceleration data loggers were attached to the lower mandible of common carp Cyprinus carpio to remotely identify feeding behaviour. Whether the acceleration signal could distinguish the quantity and quality of food was also investigated. The frequency and amplitude of the lower mandible stroke, calculated from surging acceleration determined by continuous wavelet transformation, significantly increased during the feeding period compared to that during the non-feeding period. These characteristic movement patterns were maintained for mean ±s.e. 187·3 ± 38·2 s when the fish were fed a single item of food and for mean ±s.e. 419·3 ± 28·6 s when they consumed multiple items. The dominant cycle and amplitude calculated according to feeding event duration, however, did not differ significantly between the two types of diets the fish consumed. Surging acceleration could detect mean ±s.e. 89·8 ± 13·5% of feeding events, although the false detection rate was mean ±s.e. 25·9 ± 10·9%. The results indicate that the mandible acceleration measurement method could be utilized to detect and record the feeding events in fishes that use a suction feeding mode similar to C. carpio.


Subject(s)
Acceleration , Carps/physiology , Data Collection/instrumentation , Feeding Behavior , Fisheries/instrumentation , Animals , Diet , Mandible/physiology
2.
Diabetes ; 49(12): 2079-86, 2000 Dec.
Article in English | MEDLINE | ID: mdl-11118010

ABSTRACT

Peptidic glucagon antagonists have been shown to lower blood glucose levels in diabetic models (1-3), but attempts to identify small molecular weight glucagon receptor-binding antagonists have met with little success. Skyrin, a fungal bisanthroquinone, exhibits functional glucagon antagonism by uncoupling the glucagon receptor from adenylate cyclase activation in rat liver membranes (1). We have examined the effects of skyrin on cells transfected with the human glucagon receptor and on isolated rat and human hepatocytes. The skyrin used was isolated from Talaromyces wortmanni American Type Culture Collection 10517. In rat hepatocytes, skyrin (30 micromol/l) inhibited glucagon-stimulated cAMP production (53%) and glucose output (IC50 56 micromol/l). There was no detectable effect on epinephrine or glucagon-like peptide 1 (GLP-1) stimulation of these parameters, which demonstrates skyrin's selective activity. Skyrin was also evaluated in primary cultures of human hepatocytes. Unlike cell lines, which are largely unresponsive to glucagon, primary human hepatocytes exhibited glucagon-dependent cAMP production for 14 days in culture (EC50 10 nmol/l). Skyrin (10 micromol/l) markedly reduced glucagon-stimulated cAMP production (55%) and glycogenolysis (27%) in human hepatocytes. The inhibition of glucagon stimulation was a specific property displayed by skyrin and oxyskyrin but not shared by other bisanthroquinones. Skyrin is the first small molecular weight nonpeptidic agent demonstrated to interfere with the coupling of glucagon to adenylate cyclase independent of binding to the glucagon receptor. The data presented in this study indicate that functional uncoupling of the human glucagon receptor from cAMP production results in metabolic effects that could reduce hepatocyte glucose production and hence alleviate diabetic hyperglycemia.


Subject(s)
Anthraquinones/pharmacology , Glucagon/antagonists & inhibitors , Hepatocytes/drug effects , Animals , CHO Cells , Cells, Cultured , Cricetinae , Cyclic AMP/antagonists & inhibitors , Cyclic AMP/biosynthesis , Epinephrine/pharmacology , Glucagon/pharmacology , Glucagon-Like Peptide 1 , Glucose/metabolism , Glycogen/metabolism , Humans , Male , Peptide Fragments/pharmacology , Protein Precursors/pharmacology , Rats , Rats, Sprague-Dawley , Receptors, Glucagon/genetics , Transfection
3.
Neurology ; 38(4): 602-5, 1988 Apr.
Article in English | MEDLINE | ID: mdl-2965317

ABSTRACT

We report a 5-month-old boy with recurrent vomiting, lethargy, and poor weight gain. He had profound metabolic acidosis and nonketotic dicarboxylic aciduria. The serum and muscle carnitine levels were significantly low (60% and 10% of the control means, respectively), suggesting that the patient had a systemic carnitine deficiency syndrome. The patient showed apparent clinical improvement on oral carnitine administration. A quadriceps muscle biopsy revealed a slight increase in intrafiber lipid droplets and mild accumulation of glycogen in the subsarcolemmal portion. An anaerobic glycolysis in vitro study showed a block after glucose-1-phosphate and before glucose-6-phosphate. Direct measurement of individual glycolytic enzymes in muscle of the patient demonstrated a marked decrease in phosphoglucomutase (PGM) activity (13% of the control mean). The specific defect of PGM activity in this patient suggests that the block in the anaerobic glycolytic pathway is the primary abnormality. PGM deficiency can be added as a newly recognized cause of secondary systemic carnitine deficiency syndromes.


Subject(s)
Carnitine/analysis , Glycogen Storage Disease/pathology , Muscles/pathology , Phosphoglucomutase/deficiency , Carnitine/blood , Glycogen Storage Disease/blood , Glycogen Storage Disease/enzymology , Humans , Infant , Male , Muscles/enzymology , Muscles/metabolism
4.
Clin Chim Acta ; 236(1): 81-6, 1995 Apr 30.
Article in English | MEDLINE | ID: mdl-7664468

ABSTRACT

We report molecular genetic analysis of 11 Japanese patients with myophosphorylase deficiency (McArdle's disease). Four reported mutations, frequently observed in patients with McArdle's disease, in exons 1, 5, 14 and 17 were investigated. Seven patients out of 11 were homozygous for a single-codon deletion at codon 708/709 in exon 17 and one patient was heterozygous for a single-codon deletion with an unknown mutant allele. In contrast, the predominant mutation reported in US and UK patients (CGA to TGA at codon 49 in exon 1), accounting for 75% and 83% of the cases, respectively, was not found in any of the Japanese patients. Results suggest that the predominant mutation in Japanese patients is a single-codon deletion at codon 708/709 in exon 17 (found in 73% of our patients) and differs from the most common mutation in US or UK patients.


Subject(s)
Codon , DNA/analysis , Glycogen Storage Disease Type V/genetics , Phosphorylases/genetics , Sequence Deletion , Adolescent , Adult , Base Sequence , Electrophoresis, Polyacrylamide Gel , Exons , Female , Gene Deletion , Humans , Japan , Male , Molecular Sequence Data , Muscles/enzymology , Mutation , Phosphorylases/analysis , Phosphorylases/deficiency
5.
J Child Neurol ; 4(2): 95-9, 1989 Apr.
Article in English | MEDLINE | ID: mdl-2715616

ABSTRACT

We report the case of an 11-year-old mentally retarded boy with recurrent myoglobinuria precipitated after a generalized tonic-clonic convulsion. No hemolysis was noted. Ischemic forearm test revealed no rise of venous lactate, suggesting a metabolic defect in an anaerobic glycolytic pathway. Histochemistry studies of the quadriceps muscle showed a normal appearance, but electron microscopy confirmed a moderate increase of the glycogen content in muscle. Direct measurement of glycolytic enzymes demonstrated a marked decrease of phosphoglycerate kinase (PGK) activity in muscle (4.4% of control mean) and hemolysate (8% of control mean). Enzyme characteristics of PGK from our patient (PGK Hamamatsu) using hemolysate demonstrated that it had normal Michaelis constants (Km), normal thermal stability, and a normal pH curve. The reason that hemolytic anemia was absent is uncertain. We concluded that a systematic enzyme analysis of the glycolytic pathway, especially of PGK, should be performed on myoglobinuric patients who are males, or who have an X-linked inheritance as suggested by the family history.


Subject(s)
Intellectual Disability/enzymology , Myoglobinuria/enzymology , Phosphoglycerate Kinase/deficiency , Rhabdomyolysis/enzymology , Biopsy , Child , Glycolysis , Humans , Intellectual Disability/genetics , Male , Microscopy, Electron , Muscles/pathology , Myoglobinuria/genetics , Recurrence
6.
Brain Dev ; 7(5): 513-5, 1985.
Article in English | MEDLINE | ID: mdl-4083388

ABSTRACT

We report a 3-year-old boy with proximal painful muscle weakness associated with Kawasaki disease. The muscle biopsy revealed inflammatory cell infiltration with vasculopathy. This unique coexistence of polymyositis and Kawasaki disease is quite uncommon and suggests a newly recognized complication during Kawasaki disease.


Subject(s)
Mucocutaneous Lymph Node Syndrome/complications , Muscles/pathology , Myositis/complications , Biopsy, Needle , Child, Preschool , Humans , Male , Myositis/pathology
7.
Brain Dev ; 16(4): 315-9, 1994.
Article in English | MEDLINE | ID: mdl-7818028

ABSTRACT

Microphotometric enzyme assay in single muscle fibers was performed on two patients with lactic acidosis. Neither case showed ragged red fibers upon histochemical evaluation. Biochemical analysis of mitochondrial enzymes demonstrated low normal cytochrome c oxidase (COX) activity in Case 1 and deficient COX in Case 2. Quantitative single muscle fiber analysis in patients showed marked variation in COX activity in Case 1, reflecting mosaic distribution of fibers with near-normal COX activity and with defective COX activity. These data suggest that this microphotometric assay may be valuable for elucidating the significance of 'partial enzyme deficiency'. In addition, this assay method may be applied to needle biopsy specimens.


Subject(s)
Acidosis, Lactic/pathology , Mitochondria, Muscle/enzymology , Muscle Fibers, Skeletal/enzymology , Acidosis, Lactic/enzymology , Adolescent , Child, Preschool , Cytochrome-c Oxidase Deficiency , Electron Transport Complex IV/metabolism , Female , Histocytochemistry , Humans , Infant , Male , Photometry , Succinate Dehydrogenase/deficiency , Succinate Dehydrogenase/metabolism
8.
J Antibiot (Tokyo) ; 50(10): 833-9, 1997 Oct.
Article in English | MEDLINE | ID: mdl-9402988

ABSTRACT

Seven new phthalide compounds with anti-Helicobacter pylori activities were isolated from the basidiomycete Phanerochaete velutina CL6387. The two most potent phthalide compounds, CJ-12,954 and CJ-13,014, have MICs of 5 ng/ml. The structure-activity relationship shows that the presence of a spiroketal part in addition to the phthalide part, greatly enhances the activity. The phthalide compounds appear to be specific for H. pylori, since they did not show antibacterial activities when tested against a panel of other microorganisms.


Subject(s)
Anti-Infective Agents/chemistry , Anti-Infective Agents/pharmacology , Basidiomycota/metabolism , Helicobacter pylori/drug effects , Anti-Bacterial Agents , Anti-Infective Agents/metabolism , Basidiomycota/chemistry , Benzofurans/chemistry , Benzofurans/metabolism , Benzofurans/pharmacology , Fermentation , Microbial Sensitivity Tests , Molecular Structure , Spiro Compounds/chemistry , Spiro Compounds/metabolism , Spiro Compounds/pharmacology , Structure-Activity Relationship
9.
J Antibiot (Tokyo) ; 54(12): 1060-5, 2001 Dec.
Article in English | MEDLINE | ID: mdl-11858661

ABSTRACT

A novel antibiotic, CJ-15,801 (I), was isolated from the fermentation broth of a fungus, Seimatosporium sp. CL28611. The structure was determined to be a pantothenic acid analog having an alpha,beta-unsaturated carboxylic acid moiety by spectroscopic analyses. The compound inhibits the growth of multi-drug resistant (MDR) Staphylococcus aureus strains with MIC ranging from 6.25 to 50 microg/ml.


Subject(s)
Anti-Bacterial Agents/isolation & purification , Pantothenic Acid/isolation & purification , Anti-Bacterial Agents/chemistry , Anti-Bacterial Agents/pharmacology , Fermentation , Microbial Sensitivity Tests , Pantothenic Acid/analogs & derivatives , Pantothenic Acid/chemistry , Pantothenic Acid/pharmacology
11.
J Antibiot (Tokyo) ; 54(11): 917-25, 2001 Nov.
Article in English | MEDLINE | ID: mdl-11827034

ABSTRACT

Two new antibiotics, CJ-16,264 (I) and CJ-16,367 (II), were isolated from the fermentation broth of an unidentified fungus CL39457. These antibiotics have a pyrrolizidinone skeleton, first discovered in fungi. Compounds I and II inhibit the growth of Gram-positive multi-drug resistant bacteria and some Gram-negative strains such as Moraxella catarrhalis and Escherichia coli with altered permeability (imp). Comparison of an antibacterial profile between the two compounds suggested that the gamma-lactone portion of I is important for the activity.


Subject(s)
Anti-Bacterial Agents/isolation & purification , Fungi/metabolism , Lactones/isolation & purification , Pyrroles/isolation & purification , Anti-Bacterial Agents/chemistry , Anti-Bacterial Agents/pharmacology , Drug Resistance, Multiple, Bacterial , Fermentation , Fungi/chemistry , Fungi/cytology , Gas Chromatography-Mass Spectrometry , Gram-Negative Bacteria/drug effects , Gram-Positive Bacteria/drug effects , HeLa Cells/drug effects , Humans , Lactones/chemistry , Lactones/pharmacology , Microbial Sensitivity Tests , Molecular Weight , Nuclear Magnetic Resonance, Biomolecular , Optical Rotation , Pyrroles/chemistry , Pyrroles/pharmacology , Spectrophotometry, Infrared , Spectrophotometry, Ultraviolet , Stereoisomerism
12.
Rinsho Shinkeigaku ; 31(6): 616-8, 1991 Jun.
Article in Japanese | MEDLINE | ID: mdl-1657479

ABSTRACT

Muscle metabolites of perchloric acid extracts in human muscle biopsies including the cases with muscle glycogen storage diseases (GSD) were analyzed using 1H NMR spectroscopy. Several metabolites such as lactate, pyruvate, creatine, phosphocreatine, acetate, alanine, carnitine and glycogen were recognized. The cases with GSD III and GSD V showed two broad signals at 3.60 and 3.85 ppm which were considered to be the proton signals from the accumulated glycogen. However, in GSD III, the signal at 3.60 ppm was high compared with that at 3.85 ppm suggesting that glycogen was increased in its degree of branching joined by alpha-1,6 linkage. These data suggest that 1H NMR spectroscopy is a useful and simple technique for analysis of muscle glycogen storage diseases as well as lipid myopathies.


Subject(s)
Glycogen Storage Disease/metabolism , Muscles/metabolism , Muscular Diseases/metabolism , Perchlorates , Adult , Biopsy , Child , Child, Preschool , Female , Glycogen Storage Disease/pathology , Humans , Hydrogen , Magnetic Resonance Spectroscopy , Male , Muscles/pathology , Muscular Diseases/pathology , Tissue Extracts
13.
Rinsho Shinkeigaku ; 30(3): 320-3, 1990 Mar.
Article in Japanese | MEDLINE | ID: mdl-2364636

ABSTRACT

Muscle metabolites of perchloric acid extracts were analyzed using 1H NMR spectroscopy. Several metabolites including lactate, pyruvate, creatine, phosphocreatine, carnitine, acetate and alanine were easily recognized. Muscles frozen with isopentane cooled by liquid nitrogen did not show any significant differences from those directly frozen by liquid nitrogen regarding the contents of metabolites, however moderate delay until freezing the muscle specimens produced considerable biochemical changes. In human application using the biopsied muscle of the patient with myophosphorylase deficiency, in vitro anaerobic glycolysis experiments clearly detects the defect in glycolytic pathway by 1H NMR spectroscopy, revealing the abnormal lactate production blocked between glycogen and glucose-1-phosphate. These data suggests that 1H NMR spectroscopy is useful for analysis of metabolic myopathies.


Subject(s)
Autolysis , Metabolic Diseases/diagnosis , Muscles/metabolism , Muscular Diseases/diagnosis , Anaerobiosis , Animals , Glycolysis , Humans , Hydrogen , Lactates/analysis , Magnetic Resonance Spectroscopy , Predictive Value of Tests , Pyruvates/analysis , Rats , Rats, Inbred Strains
14.
Rinsho Shinkeigaku ; 29(1): 75-9, 1989 Jan.
Article in Japanese | MEDLINE | ID: mdl-2501049

ABSTRACT

A rare case of systemic lupus erythematosus (SLE) associated with lateral medullary syndrome and unilateral internuclear ophthalmoplegia was reported. A 15 year old girl was admitted to Kyushu University hospital on 2 September in 1987 because of vertigo, occular symptom, and sensory disturbance. She had noted vertigo since 28 August. On admission she had nystagmus, left Horner syndrome, sensory disturbance of left hemiface and right limbs and trunk and mild hemiparesis of right limbs. She also had a discoid erythema behind the left ear, butterfly rash on her cheek. She developed right internuclear ophthalmoplegia on 6 September. Investigations revealed biological false positive of serological test for syphilis, positive antinuclear antibodies, and prolonged APTT. Peripheral blood cell count and erythrocyte sedimentation rate were normal. There was no proteinuria. Computed tomography and magnetic resonance imaging failed to detect any lesions in the brain. Cerebrospinal fluid cell count was 20/3 and Ig-G index was 17.1%. Her neurological signs were thought to be related to SLE. Lupus anticoagulant might be responsible for the development of impairment of central nervous system (CNS). She was treated with prednisolone, initial dose of 40mg, and the symptoms and signs were improved quickly. Early diagnosis and treatment for SLE with CNS involvement is primarily important.


Subject(s)
Brain Diseases/etiology , Lupus Erythematosus, Systemic/complications , Ophthalmoplegia/etiology , Adolescent , Blood Coagulation Factors/analysis , Blood Coagulation Factors/immunology , Brain Diseases/drug therapy , Female , Humans , Immunoglobulin G/cerebrospinal fluid , Lupus Coagulation Inhibitor , Lupus Erythematosus, Systemic/diagnosis , Lupus Erythematosus, Systemic/drug therapy , Medulla Oblongata , Ophthalmoplegia/drug therapy , Prednisolone/administration & dosage
15.
Rinsho Shinkeigaku ; 29(5): 584-7, 1989 May.
Article in Japanese | MEDLINE | ID: mdl-2791407

ABSTRACT

Biochemical analysis using biopsied muscle specimens was performed on 72 cases who had symptoms suggesting metabolic myopathies. Sixteen out of 72 cases (22%) were diagnosed as having chemically confirmed metabolic defects. Of these 16 cases, 9 had defects in the glycolytic pathway (glycogen storage disease type II; 3 cases, type III; 1 case, type V; 3 cases, phosphoglycerate kinase deficiency; 1 case, phosphoglucomutase deficiency; 1 case) and 7 cases in mitochondrial metabolism (complex IV deficiency; 4 cases, carnitine deficiency; 3 cases). Among 14 cases who were strongly suspected as having a defect in the glycolytic pathway because of abnormal ischemic forearm test, 6 (43%) showed biochemically proved glycolytic defects. These data suggest that care should be taken when evaluating the results of ischemic forearm test. In addition, we should carefully interpret the muscle histochemistry, because histochemical stains including PAS might be fairly normal in the defects with second step glycolytic pathway.


Subject(s)
Glycogen Storage Disease/metabolism , Glycolysis , Muscles/metabolism , Myoglobinuria/metabolism , Rhabdomyolysis/metabolism , Adolescent , Adult , Anaerobiosis , Biopsy , Child , Child, Preschool , Female , Histocytochemistry , Humans , Infant , Male , Middle Aged , Muscles/pathology
16.
Rinsho Shinkeigaku ; 36(4): 540-3, 1996 Apr.
Article in Japanese | MEDLINE | ID: mdl-8810846

ABSTRACT

In nine patients aged 3 to 45 years with glycogen storage disease type III (GSD III) presenting muscle weakness, the clinical manifestations and biochemical subtype-classifications based on organ specificity or enzymatic varieties of debrancher enzyme were analyzed. All the patients developed muscle weakness since childhood. Five patients who showed muscle weakness beginning from childhood became apparently progressive during adult life. Cardiac involvements were noticed in six patients. Eight patients were diagnosed as having type IIIa and one type IIId. Our results suggest that progressive muscle weakness and cardiac symptoms are not rare in GSD III patients, especially in the patients with enzyme deficiency in muscle tissue as well as liver. Hence we recommend to measure debrancher activity in muscle tissue in order to predict the clinical prognosis of the patients with GSD III.


Subject(s)
1,4-alpha-Glucan Branching Enzyme/analysis , Biomarkers/analysis , Glycogen Debranching Enzyme System/analysis , Glycogen Storage Disease Type III/diagnosis , Adolescent , Adult , Cardiomyopathies/etiology , Child, Preschool , Female , Glycogen Storage Disease Type III/complications , Humans , Male , Middle Aged , Muscles/enzymology , Muscular Diseases/etiology , Prognosis
17.
Rinsho Ketsueki ; 31(4): 497-501, 1990 Apr.
Article in Japanese | MEDLINE | ID: mdl-2381068

ABSTRACT

A case of adult T cell leukemia associated with prominent skin infiltrations was treated with native alpha-interferon (Human lymphoblastoid interferon; HLBI). Although previous therapy with intramuscular injections of HLBI showed no effect on the skin lesions, this time topical injections of HLBI induced regression and disappearance of skin lesions within one month. Cellular immunity in this patient evaluated by PPD reaction and PHA blastoid transformation had been depressed at the time of systemic administrations of HLBI, but at the beginning of the topical injections of HLBI, they were within normal range. CD4/CD8 ratio reversed to 0.86 after topical injections of HLBI, suggesting the effect of HLBI on cytotoxic T lymphocyte activation. Thus, topical subcutaneous injections of HLBI may be an alternative form of therapy for ATL skin infiltrations when systemic HLBI administration is not effective, especially for the patient with normal cellular immunity.


Subject(s)
Interferon Type I/therapeutic use , Leukemia, T-Cell/therapy , Skin Neoplasms/therapy , Aged , Humans , Injections, Intralesional , Interferon Type I/administration & dosage , Male
18.
No To Hattatsu ; 33(4): 314-8, 2001 Jul.
Article in Japanese | MEDLINE | ID: mdl-11494573

ABSTRACT

The serotonin system has been implicated in the pathoetiology of autistic disorder. To examine the clinical effects of fluvoxamine, a selective serotonin reuptake inhibitor (SSRI) in children with autistic disorder, eighteen patients underwent a cross-over, double-blind trial of fluvoxamine treatment after a written informed consent was obtained from patients' parents. Fluvoxamine treatment resulted in significant improvements in some clinical findings such as eye contact and language use, as tested by behavioral assessment scores consisting of twenty items (p < 0.05). The improvement in language use was also confirmed by parental assessments. Clinical Global Impression Scale was improved in approximately half of the patients. No severe adverse effect was observed during the trial. Thus SSRI treatment in autistic children may be of value.


Subject(s)
Autistic Disorder/drug therapy , Fluvoxamine/therapeutic use , Selective Serotonin Reuptake Inhibitors/therapeutic use , Child , Child, Preschool , Cross-Over Studies , Double-Blind Method , Female , Humans , Male
19.
No To Hattatsu ; 24(3): 244-9, 1992 May.
Article in Japanese | MEDLINE | ID: mdl-1591023

ABSTRACT

Magnetic resonance spectroscopy (MRS) is a useful tool for detecting in vivo metabolic status and in vitro analysis of chemical metabolites. We performed MRS on a 15 year-old mentally retarded male patient with recurrent myoglobinuria due to phosphoglycerate kinase (PGK) deficiency. Muscle histochemistry was normal, although electron microscopy showed a significant increase in glycogen content. Biochemical analysis using muscle specimens revealed profound reduction of PGK activity to 4.4% of the control mean. In vivo MRS using 31P revealed a significant accumulation of sugar phosphates after ischemic forearm exercise, although no significant rise of inorganic phosphate was demonstrated during exercise. 1H MRS using the perchloric acid extracts of the blood taken at the ischemic forearm test, revealed no rise of venous lactate but a significant reduction of alanine levels. These data suggest that, unlike the patients with a glycogenolytic block, our patient with a distal glycolytic block shows a significant accumulation of sugar phosphates. The reason of the reduction of alanine levels was uncertain. A compensatory mechanism for energy supply to the muscle tissue was considered.


Subject(s)
Phosphoglycerate Kinase/deficiency , Adolescent , Humans , Hydrogen , Magnetic Resonance Spectroscopy , Male , Muscles/enzymology , Phosphorus
20.
No To Hattatsu ; 26(6): 493-7, 1994 Nov.
Article in Japanese | MEDLINE | ID: mdl-7803079

ABSTRACT

Muscle, erythrocyte and/or leukocyte phosphorylase b kinase (PBK) activities were measured in 5 patients and in 2 families. The relation between phenotype and enzyme deficiency in clinically variable samples based on measurement of erythrocytes, leukocytes or muscle was described. Three patients showed the enzyme deficiency in liver and the disease was transmitted as an X-linked recessive trait. In these cases, our results suggested that carrier detection was more reliable with erythrocytes than leukocytes. Two patients showed enzyme deficiency in muscle, and the mode of inheritance was not clear. In these cases, muscle biopsies were necessary for diagnosis.


Subject(s)
Muscles/pathology , Phosphorylase Kinase/deficiency , Child , Child, Preschool , Erythrocytes/enzymology , Genes, Recessive , Hepatomegaly/etiology , Humans , Infant , Male , Middle Aged , Muscles/enzymology , Phosphorylase Kinase/genetics , X Chromosome
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