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Discovery ofα 1-antitrypsin deficiency

  • α1-Antitrypsin Deficiency: Diagnosis, Treatment, And Control
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Abstract

The author reviews the early history ofα 1-antitrypsin (AAT) deficiency; the biochemical characterization of this inborn error of metabolism, its pattern of inheritance, frequency and predisposition to early, panacinar emphysema. The importance of the destructive element in emphysema and the gradual focusing on neutrophil elastase as a key enzyme in the pathogenesis of emphysema inα 1-antitrypsin deficiency is emphasized. The deficiency state as a prototype of an endoplasmic reticulum storage disease is discussed.

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References

  1. Laurell C-B, Eriksson SA (1963) The electrophoretic alpha1-globulin pattern of serum in alpha1-antitrypsin deficiency. Scand J Clin Lab Invest 15:132–140

    Article  CAS  Google Scholar 

  2. Jacobsson K (1955) Studies on fibrinogen. II. Studies on the trypsin and plasmin inhibitors in human blood serum. Scand J Clin Lab Invest 1955; (Suppl 14):55–102

    Google Scholar 

  3. Schultze HE, Heide K, Haupt H (1962)α 1-Antitrypsin aus Humanserum. Klin Wochenschr 40:427–429

    Article  PubMed  CAS  Google Scholar 

  4. Carell RW, Jeppsson J-O, Laurell C-B, Brennan SO, Owen MC, Vaughan L, et al. (1982) Structure and variation of human alpha1-antitrypsin. Nature (Lond) 298:329–334

    Article  Google Scholar 

  5. Eriksson S (1964) Pulmonary emphysema and alpha1-antitrypsin deficiency. Acta Med Scand 175:197–205

    Article  PubMed  CAS  Google Scholar 

  6. Eriksson S (1965) Studies in alpha1-antitrypsin deficiency. Acta Med Scand (Suppl 432):1–85

  7. World Health Organization (1961) Technical Report Series no. 213. Chronic cor pulmonale. Report of an expert committee. Geneva

  8. Fagerhol MK, Laurell C-B (1967) The polymorphism of “prealbumins” and alpha1-antitrypsin in human sera. Clin Chim Acta 16:199–203

    Article  PubMed  CAS  Google Scholar 

  9. Eriksson S, Laurell C-B (1963) A new abnormal serum globulin alpha1-antitrypsin. Acta Chem Scand 17:S150-S53

    Article  Google Scholar 

  10. Sveger T (1976) Liver disease in alpha1-antitrypsin deficiency detected by screening of 200,000 infants. N Engl J Med 294:1316–1321

    Article  PubMed  CAS  Google Scholar 

  11. Stead WW, Fry DL, Ebert RV (1952) The elastic properties of the lung in normal men and in patients with chronic pulmonary emphysema. J Lab Clin Med 40:674–681

    PubMed  CAS  Google Scholar 

  12. Ebert RV, Pierce JA (1963) Pathogenesis of pulmonary emphysema. Arch Intern Med 111:34–43

    Google Scholar 

  13. Gross P, Bubyak M, Tolken E, Kashak M (1964) Enzymatically produced pulmonary emphysema. A preliminary report. J Occup Med 6:481–484

    PubMed  CAS  Google Scholar 

  14. Kueppers F, Bearn A (1966) A possible experimental approach of the association of hereditary alpha1-antitrypsin deficiency and pulmonary emphysema. Proc Soc Exp Biol Med 121:1207–1209

    PubMed  CAS  Google Scholar 

  15. Heimburger N, Haupt H (1966) Zur Spezifität der Antiproteinasen des Humanplasmas für Elastase. Klin Wochenschr 44:1196–1199

    Article  PubMed  CAS  Google Scholar 

  16. Janoff A, Scherer J (1968) Mediators of inflammation in leukocyte lysosomes. IX. Elastinolytic activity in granules of human polymorphonuclear leukocytes. J Exp Med 128:1137–1151

    Article  PubMed  CAS  Google Scholar 

  17. Ohlsson K (1971) Neutral leukocyte proteases and elastase inhibited by plasma alpha1-antitrypsin. Scand J Clin Lab Invest 28:251–253

    Article  PubMed  CAS  Google Scholar 

  18. Lieberman J (1972) Digestion of antitrypsin-deficient lung by leukoproteases. In: Mittman C (ed) Pulmonary emphysema and proteolysis. Academic Press, London, pp 189–203

    Google Scholar 

  19. Eriksson S, Hedenstierna G, Söderholm B (1972) Lung function in homozygous alpha1-antitrypsin deficiency: mechanics and regional function in an asymptomatic male. In: Mittman C (ed) Pulmonary emphysema and proteolysis. Academic Press, London, pp 25–31

    Google Scholar 

  20. Senior RM, Tegner H, Kuhn C, Ohlsson K, Starcher BC, Pierce JA (1977) The induction of pulmonary emphysema with human leukocyte elastase. Am Rev Respir Dis 116:469–475

    PubMed  CAS  Google Scholar 

  21. Larsson C (1978) Natural history and life expectancy in severe alpha1-antitrypsin deficiency, PiZ. Acta Med Scand 204:345–351

    Article  PubMed  CAS  Google Scholar 

  22. Sharp HL, Bridges RA, Krivit W, Freier EF (1969) Cirrhosis associated with alpha-1-antitrypsin deficiency: a previously unrecognized inherited disorder. J Lab Clin Med 73:934–939

    PubMed  CAS  Google Scholar 

  23. Eriksson S, Carlson J, Velez R (1986) Risk of cirrhosis and primary liver cancer in alpha1-antitrypsin deficiency. N Engl J Med 314:736–739

    Article  PubMed  CAS  Google Scholar 

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Eriksson, S. Discovery ofα 1-antitrypsin deficiency. Lung 168 (Suppl 1), 523–529 (1990). https://doi.org/10.1007/BF02718174

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  • DOI: https://doi.org/10.1007/BF02718174

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