589

S-21-2

Pyridoxine

Responsive J.P

Department of Pediatrics, (USA) I.

Unresponsive

KRAUS , and

Homocystinuria

V.KoIcH

University of Colorado School of Medicine, Denver, CO 80262

INTRODUCTION

Cystathionine ƒÀ-Synthase of

and

sulfur

amino

variations

(CBS) acid

and optic

retardation

and

Some

and

This

of

PLP,

attempted

to by

a

correlate

in

in At

the

marked and vivo

the

CBS

gene

BIOCHEMICAL

all, fall

methionine

PLP.

mutations

II.

with

of

not

well

respond

to

to

present

time,

to

structure

the

studies of

are the

with being

in

carried

enzyme

and

its

the

vitamin

and

urinary

studies

vitro

[2]

stimulation

out

to

the

coenzyme.

plasma

biochemical

the

from as

(B6),

elevated

pyridoxine

of in

irreversibly

pyridoxine

previous

have mental

condensation

(PLP)

with

clinical

patients

cysteine

moiety

characteristically

responsiveness

the

5'-phosphate

In

all

Its

including

ultimately

sulfur

treatment

homocyst(e)ine.

Nearly

catalyzes

the

pyridoxal

disorder

man.

manifestations

and

removes

in

[1].

CBS

requires

inherited

homocystinuria

clinical

cystathionine

in their

recessively

of

documented

other

pathway CBS

but

autosomal

cause

disease.

form

cycle.

individuals,

concentrations

activity

to

pathway.

precursor

exhibit

vascular

serine

conservation affected

is an major are

some

thrombotic and

transsulfuration

the

heterogeneity

lenses

homocysteine

methionine

and

biochemical

dislocated

deficiency

metabolism

of

we CBS

correlate

the

responsiveness

to

PLP

.

STUDIES

In order to determine the affinity of normal and mutant CBS apoenzymes for PLP we have developed conditions for growth of human skin fibroblasts in a medium depleted of 136 vitamers. Cellular PLP content fell rapidly when cells were grown in medium containing no pyridoxal (PL) and hydroxylamine-treated human serum. After four passages, the PLP content was lowered to 6% (from 24 to 1 ng PLP/mg cell protein). Depletion of cellular PLP was associated with a sharp fall in the ratio of CBS holoenzyme/total enzyme from 0.7 to

Pyridoxine responsive and unresponsive homocystinuria.

589 S-21-2 Pyridoxine Responsive J.P Department of Pediatrics, (USA) I. Unresponsive KRAUS , and Homocystinuria V.KoIcH University of Colorad...
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