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Research Article| Volume 76, ISSUE 4, P593-602, October 1970

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Congenital nonspherocytic hemolytic anemia associated with an unusual erythrocyte hexokinase abnormality

  • Thomas F. Necheles
    Correspondence
    Reprint requests: Thomas F. Necheles, M.D., 171 Harrison Ave., Boston, Mass. 02111.
    Footnotes
    Affiliations
    From the Pediatric Blood Research Laboratory, New England Medical Center Hospitals, Boston, Mass., USA

    From the Department of Pediatrics, Tufts University School of Medicine Boston, Mass., USA
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  • Uma S. Rai
    Footnotes
    Affiliations
    From the Pediatric Blood Research Laboratory, New England Medical Center Hospitals, Boston, Mass., USA

    From the Department of Pediatrics, Tufts University School of Medicine Boston, Mass., USA
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  • Dorothy Cameron
    Affiliations
    From the Pediatric Blood Research Laboratory, New England Medical Center Hospitals, Boston, Mass., USA

    From the Department of Pediatrics, Tufts University School of Medicine Boston, Mass., USA
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  • Author Footnotes
    ∗ Established Investigator, American Heart Association.
    ∗∗ Research Fellow.
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      Abstract

      A family is described in which both the patient and his father exhibit an unusual variant of erythrocyte and leukocyte hexokinase activity. In vitro assays under standard conditions, e.g., high glucose concentrations, reveal near-normal levels of hexokinase activity. However, as the glucose concentration is decreased, the mutant hexokinase activity falls rapidly and is undetectable at substrate concentrations which still show 20 per cent of maximal activity in the normal cells. This enzyme defect is associated, in the patient, with a marked hemolytic process and, in the father, with a compensated hemolytic process. Splenectomy proved to be of marked benefit in the patient. This appears to represent the fourth described type of erythrocyte hexokinase variant.
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