Summary
Glucosephosphate isomerase (GPI) deficiency is an unusual cause of hereditary nonspherocytic hemolytic anemia. The disease, inherited as an autosomal recessive disorder, is most often manifested by symptoms and signs of chronic hemolysis, ameliorated by splenectomy. We recently diagnosed GPI deficiency in a 23-year-old Ashkenazi Jewish man who displayed the typical clinical course of this disorder. The biophysical characteristics of the GPI variant are slow electrophoretic mobility, presence of only one of the two bands normally present, and extreme thermolability. To the best of our knowledge, this is the first report of GPI deficiency in a patient of Jewish descent, and we propose to designate this enzyme variant “GPI Mount Scopus”.
Similar content being viewed by others
References
Arnold H (1979) Inherited glucosephosphate isomerase deficiency: a review of known variants and some aspects of the pathomechanism of the deficiency. Blut 39:405–417
Arnold H, Engelhardt R, Lohr GW, Jacobi H, Leibold I (1973) Glucosephosphat-Isomerase Typ Recklinghausen: eine neue Defektvariante mit hämolytischer Anämie. Klin Wochenschr 51:1198–1204
Arnold H, Dodinval-Versie J, Lambotte C, Lohr GW, van der Hofstadt J (1977) Glucosephosphate isomerase deficiency type Liege: a new variant with congenital nonspherocytic hemolytic anemia. Blut 35:187–193
Arnold H, Lohr GW, Hasslinger K, Podgajny T (1980) Augsburg-type glucosephosphate isomerase deficiency. Blut 40:107–115
Arnold H, Hasslinger K, Witt I (1983) Glucosephosphateisomerase type Kaiserlautern. A new variant causing congenital nonspherocytic hemolytic anemia. Blut 46:271–277
Bardosi A, Eber SW, Roessmann U (1985) Ultrastructural and histochemical abnormalities of skeletal muscle in a patient with a new variant (type Homburg) of glucosephosphate isomerase (GPI) deficiency. Clin Neuropathol 4:72–76
Baughan MA, Valentine WN, Paglia DE, Ways PO, Simons ER, DeMarsh QB (1968) Hereditary hemolytic anemia associated with glucose phosphate isomerase (GPI) deficiency — a new enzyme defect of human erythrocytes. Blood 32:236–249
Beutler E (1984) Red cell metabolism: a manual of biochemical methods. Grune and Stratton, New York
Beutler E (1991) Hereditary nonspherocytic hemolytic anemia: pyruvate kinase deficiency and other abnormalities. In: Williams WJ, Beutler E, Erslev HJ, Lichtman MA (eds) Hematology. McGraw-Hill, New York, pp 606–612
Beutler E, Sigalove WH, Muir AW, Matsumoto F, West C (1974) Glucosephosphate-isomerase (GPI) deficiency: GPI Elyria. Ann Intern Med 80:730–732
Blume KG, Hryniuk W, Powars D, Trinidad F, West C, Beutler E (1972) Characterization of two new variants of glucose-phosphate-isomerase deficiency with hereditary nonspherocytic hemolytic anemia. J Lab Clin Med 79:942–949
Bonne-Tamir B, Papiha SS, Ashbel S, Brok-Simoni F, Kende G, Ramot B (1987) PGI3 (Israel), a new, unstable allele in the phosphoglucose isomerase system. Hum Genet 77:76–79
Cayanis E, Penfold GK, Freiman I, MacDougall LG (1977) Haemolytic anaemia associated with glucosephosphate isomerase (GPI) deficiency in a black South African child. Br J Haematol 37:363–371
Detter JC, Ways PO, Giblett ER, Baughan MA, Hopkinson DA, Povey S, Harris H (1968) Inherited variations in human phosphohexose isomerase. Ann Hum Genet 31:329–338
Eber SW, Gahr M, Lakomek M, Prindull G, Schroter W (1986) Clinical symptoms and biochemical properties of three new glucosephosphate isomerase variants. Blut 53:21–28
Galand C, Torres M, Boivin P, Bourgeaud JP (1978) A new variant of glucosephosphate isomerase deficiency with mild haemolytic anaemia (GPI-Mytho). Scand J Haematol 20:77–84
Helleman PW, Van Biervliet JPGM (1975) Haematological studies in a new variant of glucosephosphate isomerase deficiency (GPI Utrecht). Helv Paediatr Acta 30:525–536
Hutton JJ, Chilcote RR (1974) Glucose phosphate isomerase deficiency with hereditary nonspherocytic hemolytic anemia. J Pediatr 85:494–497
Isacchi G, Cottreau D, Mandelli F, Papa G, Ciccone F, Kahan A (1979) “GPI Roma”, a new glucose phosphate isomerase deficient variant: in vivo occurrence of postsynthetic modifications of the mutant enzyme. Hum Genet 46:219–226
Kahn A, Buc HA, Girot R, Cottreau D, Griscelli C (1978) Molecular and functional anomalies in two new mutant glucose-phosphate-isomerase variants with enzyme deficiency and chronic hemolysis. Hum Genet 40:293–304
Miwa S, Nakashima K, Tajiri M, Ono J, Abe S, Oda E, Nonaka H, Matsuoka I, Shimoyama S, Hirata Y, Amaki I, Horiuchi A, Yamaguchi H, Nishina T (1975) Three cases in two families with congenital nonspherocytic hemolytic anemia due to defective glucosephosphate isomerase: GPI Matsumoto. Acta Haematol Jpn 38:238–247
Müller E, Marti HR, Bach J, Micheli JL, Gasser C (1974) Hereditäre nicht-sphärozytäre hämolytische Anämie durch Glukosephosphatisomerase-Mangel: der erste in der Schweiz beobachtete Fall. Schweiz Med Wochenschr 104:1379–1381
Neubauer BA, Eber SW, Lakomek M, Gahr M, Schroter W (1990) Combination of congenital nonspherocytic haemolytic anaemia and impairment of granulocyte function in severe glucosephosphate isomerase deficiency. A new variant enzyme designated GPI Calden. Acta Haematol 83:206–210
Paglia DE, Holland P, Baughan MA, Valentine WN (1969) Occurrence of defective hexosephosphate isomerization in human erythrocytes and leukocytes. N Engl J Med 280:66–71
Paglia DE, Paredes R, Valentine WN, Dorantes S, Kanrad PN (1975) Unique phenotype expression of glucosephosphate isomerase deficiency. Am J Hum Genet 27:62–70
Ravindranath Y, Paglia DE, Warrier I, Valentine W, Nakatani M, Brockway RA (1987) Glucose phosphate isomerase deficiency as a cause of hydrops fetalis. N Engl J Med 316:258–261
Rijksen G, Jansen G, Manaster J, Ezekiel E, Streichman S, Staal GEJ (1984) Glucose-6-phosphate isomerase deficiency — Nahariya: extreme in vitro and in vivo lability of the mutant enzyme. Isr J Med Sci 20:529–534
Rotteveel JJ, de Vaan GAM, Staal GEJ, Van Biervliet JPGM, Schretlen EDAM (1977) Glucose phosphate isomerase deficiency, a new variant in a Dutch family. Eur J Pediatr 125:21–28
Schroter W, Tillmann W (1977) Congenital nonspherocytic hemolytic anemia associated with glucosephosphate isomerase deficiency: variant Paderborn. Klin Wochenschr 55:393–396
Schroter W, Koch HH, Wonneberger B, Kalinowsky W, Arnold A, Blume KG, Huther W (1974) Glucose phosphate isomerase deficiency with congenital nonspherocytic hemolytic anemia: a new variant (type Nordhorn). I. Clinical and genetic studies. Pediatr Res 8:18–25
Schroter W, Eber SW, Bardosi A, Gahr M, Gabriel M, Sitzmann FC (1985) Generalized glucosephosphate isomerase (GPI) deficiency causing haemolytic anaemia, neuromuscular symptoms and impairment of granulocytic function: a new syndrome due to a new stable GPI variant with diminished specific activity (GPI Homburg). Eur J Pediatr 144:301–305
Staal GEJ, Akkerman JWN, Eggermont E, Van Biervliet JP (1977) A new variant of glucosephosphate isomerase deficiency: GPI-Kortrijk. Clin Chim Acta 78:121–127
Sun AQ, Yuksel KU, Jacobson TM, Gracy RW (1990) Isolation and characterization of human glucose-6-phosphate isomerase isoforms containing two different size subunits. Arch Biochem Biophys 283:120–129
Vives-Corrons JL, Rozman C, Kahn A, Carrera A, Triginer J (1975) Glucose phosphate isomerase deficiency with hereditary hemolytic anemia in a Spanish family: clinical and familial studies. Humangenetik 29:291–297
Volpe JJ (1987) Neurology of the newborn. WB Saunders, Philadelphia, p 400
Whitelaw AGL, Rogers PA, Hopkinson DA, Gordon H, Emerson PM, Darley JH, Reid C, Crawfurd M d'A (1979) Congenital haemolytic anaemia resulting from glucose phosphate isomerase deficiency: genetics, clinical picture and prenatal diagnosis. J Med Genet 16:189–196
Zanella A, Rebulla P, Izzo C, Zanuso F, Kahane I, Molinari E, Sirchia G (1978) A new mutant erythrocyte glucosephosphate isomerase (GPI) associated with GSH abnormality. Am J Hematol 5:11–23
Zanella A, Izzo C, Rebulla P, Perroni L, Mariani M, Canestri G, Sansone G, Sirchia G (1980) The first stable variant of erythrocyte glucose-phosphate isomerase associated with severe hemolytic anemia. Am J Hematol 9:1–11
Author information
Authors and Affiliations
Additional information
This study was supported in part by a grant from the Office of the Chief Scientist, Israel Ministry of Health and NIH grant HL25552. This is manuscript 7827-MEM, Department of Molecular and Experimental Medicine, Scripps Research Institute
Rights and permissions
About this article
Cite this article
Shalev, O., Shalev, R.S., Forman, L. et al. GPI Mount Scopus — a variant of glucosephosphate isomerase deficiency. Ann Hematol 67, 197–200 (1993). https://doi.org/10.1007/BF01695868
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF01695868