Abstract
A patient with neonatal jaundice and cirrhosis who was previously reported homozygous for the Durate variant of galactose-1-phosphate uridyl transferase has the ZZ genotype for alpha1-antitrypsin. A sister of the patient, also with ZZ genotype, is less severly affected with liver disease and is a heterozygote for the Durate variant. Since a number of patients with ZZ genotype of alpha1-antitrypsin have been previously reported to have liver disease, the latter genotype is the more probable explanation for the patients' clinical state. A question is raised, however, whether the Duarte variant may be specifically associated with the development of liver disease in ZZ individuals.
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Selected References
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- Aagenaes O., Matlary A., Elgjo K., Munthe E., Fagerhol M. Neonatal cholestasis in alpha-1-antitrypsin deficient children. Clinical, genetic, histological and immunohistochemical findings. Acta Paediatr Scand. 1972 Nov;61(6):632–642. doi: 10.1111/j.1651-2227.1972.tb15960.x. [DOI] [PubMed] [Google Scholar]
- Alper C. A., Johnson A. M. Alpha-1-antitrypsin deficiency and disease. Pediatrics. 1970 Dec;46(6):837–840. [PubMed] [Google Scholar]
- Beutler E., Baluda M. C., Sturgeon P., Day R. W. The genetics of galactose-1-phosphate uridyl transferase deficiency. J Lab Clin Med. 1966 Oct;68(4):646–658. [PubMed] [Google Scholar]
- Beutler E. Screening for galactosemia. Studies of the gene frequencies for galactosemia and the Duarte variant. Isr J Med Sci. 1973 Sep-Oct;9(9):1323–1329. [PubMed] [Google Scholar]
- Campra J. L., Craig J. R., Peters R. L., Reynolds T. B. Cirrhosis associated with partial deficiency of alpha-1 antitrypsin in an adult. Ann Intern Med. 1973 Feb;78(2):233–238. doi: 10.7326/0003-4819-78-2-233. [DOI] [PubMed] [Google Scholar]
- Chacko C. M., Christian J. C., Nadler H. L. Unstable galactose-1-phosphate uridyl transferase: a new variant of galactosemia. J Pediatr. 1971 Mar;78(3):454–460. doi: 10.1016/s0022-3476(71)80226-3. [DOI] [PubMed] [Google Scholar]
- Cohen K. L., Rubin P. E., Echevarria R. A., Sharp H. L., Teague P. O. Alpha-1 antitrypsin deficiency, emphysema, and cirrhosis in an adult. Ann Intern Med. 1973 Feb;78(2):227–232. doi: 10.7326/0003-4819-78-2-227. [DOI] [PubMed] [Google Scholar]
- Colcher H., Patek A. J., Jr, Kendall F. E. GALACTOSE DISAPPEARANCE FROM THE BLOOD STREAM. CALCULATION OF A GALACTOSE REMOVAL CONSTANT AND ITS APPLICATION AS A TEST FOR LIVER FUNCTION. J Clin Invest. 1946 Sep;25(5):768–775. doi: 10.1172/JCI101761. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Fildes R. A., Harris H. Genetically determined variation of adenylate kinase in man. Nature. 1966 Jan 15;209(5020):261–263. doi: 10.1038/209261a0. [DOI] [PubMed] [Google Scholar]
- Glasgow J. F., Lynch M. J., Hercz A., Levison H., Sass-Kortsak A. Alpha 1 antitrypsin deficiency in association with both cirrhosis and chronic obstructive lung disease in two sibs. Am J Med. 1973 Feb;54(2):181–194. doi: 10.1016/0002-9343(73)90222-2. [DOI] [PubMed] [Google Scholar]
- Johnson A. M., Alper C. A. Deficiency of alpha-antitrypsin in childhood liver disease. Pediatrics. 1970 Dec;46(6):921–925. [PubMed] [Google Scholar]
- Kelly S., Desjardins L., Khera S. A. A Duarte variant with clinical signs. J Med Genet. 1972 Mar;9(1):129–131. doi: 10.1136/jmg.9.1.129. [DOI] [PMC free article] [PubMed] [Google Scholar]
- LAURELL C. B. ANTIGEN-ANTIBODY CROSSED ELECTROPHORESIS. Anal Biochem. 1965 Feb;10:358–361. doi: 10.1016/0003-2697(65)90278-2. [DOI] [PubMed] [Google Scholar]
- Ostergaard P. A. Hereditary alpha1-antitrypsin deficiency and liver cirrhosis in children. Dan Med Bull. 1973 Jun;20(3):96–101. [PubMed] [Google Scholar]
- Schapira F., Kaplan J. C. Electrophoretic abnormality of galactose-1-phosphate uridyl transferase in galactosemia. Biochem Biophys Res Commun. 1969 May 22;35(4):451–455. doi: 10.1016/0006-291x(69)90366-0. [DOI] [PubMed] [Google Scholar]
- Sharp H. L., Bridges R. A., Krivit W., Freier E. F. Cirrhosis associated with alpha-1-antitrypsin deficiency: a previously unrecognized inherited disorder. J Lab Clin Med. 1969 Jun;73(6):934–939. [PubMed] [Google Scholar]
- Talamo R. C., Feingold M. Infantile cirrhosis with hereditary alpha 1 -antitrypsin deficiency. Clinical improvement in two siblings. Am J Dis Child. 1973 Jun;125(6):845–847. doi: 10.1001/archpedi.1973.04160060051011. [DOI] [PubMed] [Google Scholar]
- Tengström B. An intravenous galactose tolerance test with an enzymatic determination of galactose. A comparison with other diagnostic aids in hepatobiliary diseases. Scand J Clin Lab Invest Suppl. 1966;18:132–142. [PubMed] [Google Scholar]
