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Erschienen in: Acta Diabetologica 1/2013

01.02.2013 | Case Report

G6PD deficiency-induced hemolysis in a Chinese diabetic patient: a case report with clinical and molecular analysis

verfasst von: Xue-Jiang Gu, Shuo-Ping Chen, Sheng-Jie Ge, Le-Qun Zheng, Da-Wang Wang, Fei-Xia Shen

Erschienen in: Acta Diabetologica | Ausgabe 1/2013

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Abstract

A 59-year-old Chinese male patient was admitted at diagnosis of type1 diabetes with ketoacidosis. During the normalization of blood glucose with insulin, the patient developed acute hemolysis. The factors predisposing to hemolysis were not found, except the significantly diminished activity of glucose-6-phosphate dehydrogenase (G6PD). DNA analysis did not show any coding or intronic mutation in the G6PD gene. This is the first reported case of a Chinese patient in diabetic ketoacidosis with hemolysis induced by G6PD deficiency in the absence of mutations in the G6PD gene.
Literatur
1.
Zurück zum Zitat Kida K, Mimura G, Ito T, Murakami K, Ashkenazi I, Larson Z (2000) Incidence of type 1 diabetes mellitus in children aged 0–14 in Japan, 1986–1990, including an analysis for seasonality of onset and month of birth: JDS study. The data committee for childhood diabetes of Japan Diabetes Society (JDS). Diabetes Med 17:59–63CrossRef Kida K, Mimura G, Ito T, Murakami K, Ashkenazi I, Larson Z (2000) Incidence of type 1 diabetes mellitus in children aged 0–14 in Japan, 1986–1990, including an analysis for seasonality of onset and month of birth: JDS study. The data committee for childhood diabetes of Japan Diabetes Society (JDS). Diabetes Med 17:59–63CrossRef
2.
Zurück zum Zitat Ruwende C, Hill A (1998) Glucose-6-phosphate dehydrogenase deficiency and malaria. J Mol Med 76:581–588PubMedCrossRef Ruwende C, Hill A (1998) Glucose-6-phosphate dehydrogenase deficiency and malaria. J Mol Med 76:581–588PubMedCrossRef
3.
Zurück zum Zitat Shalev O, Wollner A, Menczel J (1984) Diabetic ketoacidosis does not precipitate haemolysis in patients with the Mediterranean variant of glucose-6-phosphate dehydrogenase deficiency. Br Med J (Clin Res Ed) 288:179–180CrossRef Shalev O, Wollner A, Menczel J (1984) Diabetic ketoacidosis does not precipitate haemolysis in patients with the Mediterranean variant of glucose-6-phosphate dehydrogenase deficiency. Br Med J (Clin Res Ed) 288:179–180CrossRef
4.
Zurück zum Zitat Rodriguez CA (1999) Erythrocytic glucose-6-phosphate dehydrogenase deficiency, hemolysis and diabetic ketoacidosis. An Med Interna 16:542–543 Rodriguez CA (1999) Erythrocytic glucose-6-phosphate dehydrogenase deficiency, hemolysis and diabetic ketoacidosis. An Med Interna 16:542–543
5.
Zurück zum Zitat Galli-Tsinopoulou A, Nousia-Arvanitakis S (2000) Glucose-6-phosphate dehydrogenase deficiency-induced hemolysis in newly diagnosed diabetic monozygotic twins. J Pediatr Endocrinol Metab 13:669–672PubMed Galli-Tsinopoulou A, Nousia-Arvanitakis S (2000) Glucose-6-phosphate dehydrogenase deficiency-induced hemolysis in newly diagnosed diabetic monozygotic twins. J Pediatr Endocrinol Metab 13:669–672PubMed
6.
Zurück zum Zitat Haroun M (2005) G 6 PD deficiency induced hemolysis in diabetic twins. Indian Pediatr 42:705–707PubMed Haroun M (2005) G 6 PD deficiency induced hemolysis in diabetic twins. Indian Pediatr 42:705–707PubMed
7.
Zurück zum Zitat Goudar RK, Samuelson SJ, Motiei A, Chatterjee ST (2005) Can African variant G6PD deficiency trigger hemolysis in DKA? Am J Hemato l78:83–84CrossRef Goudar RK, Samuelson SJ, Motiei A, Chatterjee ST (2005) Can African variant G6PD deficiency trigger hemolysis in DKA? Am J Hemato l78:83–84CrossRef
8.
Zurück zum Zitat Vanelli M, Chiari G, Capuano C, Iovane B, Bernardini A, Giacalone T (2003) The direct measurement of 3-beta-hydroxy butyrate enhances the management of diabetic ketoacidosis in children and reduces time and costs of treatment. Diabetes Nutr Metab 16:312–316PubMed Vanelli M, Chiari G, Capuano C, Iovane B, Bernardini A, Giacalone T (2003) The direct measurement of 3-beta-hydroxy butyrate enhances the management of diabetic ketoacidosis in children and reduces time and costs of treatment. Diabetes Nutr Metab 16:312–316PubMed
9.
Zurück zum Zitat Vanelli M, Chiarelli F (2003) Treatment of diabetic ketoacidosis in children and adolescents. Acta Biomed 74:59–68PubMed Vanelli M, Chiarelli F (2003) Treatment of diabetic ketoacidosis in children and adolescents. Acta Biomed 74:59–68PubMed
10.
Zurück zum Zitat Mason PJ, Bautista JM, Gilsanz F (2007) G6PD deficiency: the genotype-phenotype association. Blood Rev 21:267–283PubMedCrossRef Mason PJ, Bautista JM, Gilsanz F (2007) G6PD deficiency: the genotype-phenotype association. Blood Rev 21:267–283PubMedCrossRef
11.
Zurück zum Zitat Kletzien RF, Harris PK, Foellmi LA (1994) Glucose-6-phosphate dehydrogenase: a “housekeeping” enzyme subject to tissue-specific regulation by hormones, nutrients, and oxidant stress. FASEB J 8:174–181PubMed Kletzien RF, Harris PK, Foellmi LA (1994) Glucose-6-phosphate dehydrogenase: a “housekeeping” enzyme subject to tissue-specific regulation by hormones, nutrients, and oxidant stress. FASEB J 8:174–181PubMed
12.
Zurück zum Zitat Errico MK, Iovane B, Bernardini A, Gliati D, Scarabello C, Fainardi V (2009) Haemolysis during diabetic ketoacidosis treatment in two girls with incomplete glucose-6-phosphate dehydrogenase deficiency. Acta Biomed 80:69–72PubMed Errico MK, Iovane B, Bernardini A, Gliati D, Scarabello C, Fainardi V (2009) Haemolysis during diabetic ketoacidosis treatment in two girls with incomplete glucose-6-phosphate dehydrogenase deficiency. Acta Biomed 80:69–72PubMed
13.
Zurück zum Zitat Vanelli M, Lucentini L, Picco P, Galanello R, Chiari G, Adinolfi B et al (1996) Blood glucose normalization-induced haemolysis in three adolescents with type 1 diabetes mellitus at onset and unknown G-6-PD deficiency. J Pediatr Endocrinol Metab 9:193–196PubMed Vanelli M, Lucentini L, Picco P, Galanello R, Chiari G, Adinolfi B et al (1996) Blood glucose normalization-induced haemolysis in three adolescents with type 1 diabetes mellitus at onset and unknown G-6-PD deficiency. J Pediatr Endocrinol Metab 9:193–196PubMed
14.
Zurück zum Zitat Le Pommelet C, Le Moullec N, Zunic P (2006) Diabetic ketoacidosis revealing glucose-6-phosphate dehydrogenase deficiency: description of an adult case. Diabetes Metab 32:636–637PubMedCrossRef Le Pommelet C, Le Moullec N, Zunic P (2006) Diabetic ketoacidosis revealing glucose-6-phosphate dehydrogenase deficiency: description of an adult case. Diabetes Metab 32:636–637PubMedCrossRef
15.
Zurück zum Zitat Niazi GA (1991) Glucose-6-phosphate dehydrogenase deficiency and diabetes mellitus. Int J Hemato l54:295–298 Niazi GA (1991) Glucose-6-phosphate dehydrogenase deficiency and diabetes mellitus. Int J Hemato l54:295–298
16.
Zurück zum Zitat Saeed TK, Hamamy HA, Alwan AAS (1985) Association of glucose-6-phosphate dehydrogenase deficiency with diabetes mellitus. Diabet Med 2:110–112PubMedCrossRef Saeed TK, Hamamy HA, Alwan AAS (1985) Association of glucose-6-phosphate dehydrogenase deficiency with diabetes mellitus. Diabet Med 2:110–112PubMedCrossRef
17.
Zurück zum Zitat Meloni T, Pacifico A, Forteleoni G, Meloni GF (1992) G6PD deficiency and diabetes mellitus in Northern Sardinian subjects. Haematologica 77:94–95PubMed Meloni T, Pacifico A, Forteleoni G, Meloni GF (1992) G6PD deficiency and diabetes mellitus in Northern Sardinian subjects. Haematologica 77:94–95PubMed
18.
Zurück zum Zitat Sobngwi E, Gautier JF, Kevorkian JP, Villette JM, Riveline JP, Zhang S et al (2005) High prevalence of glucose-6-phosphate dehydrogenase deficiency without gene mutation suggests a novel genetic mechanism predisposing to ketosis-prone diabetes. J Clin Endocrinol Metab 90:4446–4451PubMedCrossRef Sobngwi E, Gautier JF, Kevorkian JP, Villette JM, Riveline JP, Zhang S et al (2005) High prevalence of glucose-6-phosphate dehydrogenase deficiency without gene mutation suggests a novel genetic mechanism predisposing to ketosis-prone diabetes. J Clin Endocrinol Metab 90:4446–4451PubMedCrossRef
19.
Zurück zum Zitat Zhang Z, Liew CW, Handy DE, Zhang Y, Leopold JA, Hu J et al (2010) High glucose inhibits glucose-6-phosphate dehydrogenase, leading to increased oxidative stress and beta-cell apoptosis. FASEB J 24:1497–1505PubMedCrossRef Zhang Z, Liew CW, Handy DE, Zhang Y, Leopold JA, Hu J et al (2010) High glucose inhibits glucose-6-phosphate dehydrogenase, leading to increased oxidative stress and beta-cell apoptosis. FASEB J 24:1497–1505PubMedCrossRef
20.
Zurück zum Zitat Salvemini F, Franzé A, Iervolino A, Filosa S, Salzano S, Ursini MV (1999) Enhanced glutathione levels and oxidoresistance mediated by increased glucose-6-phosphate dehydrogenase expression. J Biol Chem 274:2750–2757PubMedCrossRef Salvemini F, Franzé A, Iervolino A, Filosa S, Salzano S, Ursini MV (1999) Enhanced glutathione levels and oxidoresistance mediated by increased glucose-6-phosphate dehydrogenase expression. J Biol Chem 274:2750–2757PubMedCrossRef
21.
Zurück zum Zitat Cappellini MD, Fiorelli G (2008) Glucose-6-phosphate dehydrogenase deficiency. Lancet 371:64–74PubMedCrossRef Cappellini MD, Fiorelli G (2008) Glucose-6-phosphate dehydrogenase deficiency. Lancet 371:64–74PubMedCrossRef
22.
Zurück zum Zitat Shalev O, Eliakim R, Lugassy GZ, Menczel J (1985) Hypoglycemia-induced hemolysis in glucose-6-phosphate dehydrogenase deficiency. Acta haemato l74:227–229CrossRef Shalev O, Eliakim R, Lugassy GZ, Menczel J (1985) Hypoglycemia-induced hemolysis in glucose-6-phosphate dehydrogenase deficiency. Acta haemato l74:227–229CrossRef
23.
Zurück zum Zitat Meir A, Kleinman Y, Rund D, Da’as N (2003) Metformin-induced hemolytic anemia in a patient with glucose-6- phosphate dehydrogenase deficiency. Diabetes Care 26:956–957PubMedCrossRef Meir A, Kleinman Y, Rund D, Da’as N (2003) Metformin-induced hemolytic anemia in a patient with glucose-6- phosphate dehydrogenase deficiency. Diabetes Care 26:956–957PubMedCrossRef
24.
Zurück zum Zitat Vinzio S, Andrès E, Perrin AE, Schlienger JL, Goichot B (2004) Glibenclamide-induced acute haemolytic anaemia revealing a G6PD deficiency. Diabetes Res Clin Pract 64:181–183PubMedCrossRef Vinzio S, Andrès E, Perrin AE, Schlienger JL, Goichot B (2004) Glibenclamide-induced acute haemolytic anaemia revealing a G6PD deficiency. Diabetes Res Clin Pract 64:181–183PubMedCrossRef
Metadaten
Titel
G6PD deficiency-induced hemolysis in a Chinese diabetic patient: a case report with clinical and molecular analysis
verfasst von
Xue-Jiang Gu
Shuo-Ping Chen
Sheng-Jie Ge
Le-Qun Zheng
Da-Wang Wang
Fei-Xia Shen
Publikationsdatum
01.02.2013
Verlag
Springer Milan
Erschienen in
Acta Diabetologica / Ausgabe 1/2013
Print ISSN: 0940-5429
Elektronische ISSN: 1432-5233
DOI
https://doi.org/10.1007/s00592-010-0236-y

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