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PMID: 5288250 Published · ppublish English Journal Article

Repression of the overproduction of porphyrin precursors in acute intermittent porphyria by intravenous infusions of hematin.

Bonkowsky HL, Tschudy DP, Collins A, Doherty J, Bossenmaier I, Cardinal R, Watson CJ

Abstract

In a patient with a severe attack of acute intermittent porphyria, hematin given intravenously caused marked diminution of serum delta-aminolevulinic acid and porphobilinogen. The decline of aminolevulinate was more rapid than that of porphobilinoge. After 2 days of hematin administration, about 5 days were required for delta-aminolevulinic acid, and 11 days for porphobilinogen to return to the concentrations that were detected before treatment. Urinary excretion of both compounds also decreased after hematin administration. Considerable amounts of porphobilinogen were also found in the cerebrospinal fluid of the patient.

MeSH Terms
Adult Amino Acids/antagonists & inhibitors,blood,cerebrospinal fluid,urine Female Heme/administration & dosage Humans Injections, Intravenous Levulinic Acids/antagonists & inhibitors,blood,cerebrospinal fluid,urine Porphyrias/drug therapy,metabolism Porphyrins/antagonists & inhibitors,blood,cerebrospinal fluid,urine Propionates/antagonists & inhibitors,blood,cerebrospinal fluid,urine Pyrroles/antagonists & inhibitors,blood,cerebrospinal fluid,urine Time Factors
Chemicals
Amino Acids Levulinic Acids Porphyrins Propionates Pyrroles Heme
Authors & Affiliations
7 authors, click to expand affiliations / ORCID
Bonkowsky H L
Tschudy D P
Collins A
Doherty J
Bossenmaier I
Cardinal R
Watson C J
References (25)
25 references, click to expand
  1. ACUTE INTERMITTENT PORPHYRIA: THE FIRST "OVERPRODUCTION DISEASE" LOCALIZED TO A SPECIFIC ENZYME.
    Proc Natl Acad Sci U S A. 1965 Apr;53:841-7 PMID: 14329695
  2. Acute intermittent porphyria: effect of diet and griseofulvin.
    Medicine (Baltimore). 1967 Mar;46(2):217-23 PMID: 6027463
  3. Activity of amino-laevulinic acid synthetase in normal and porphyric human livers.
    Nature. 1966 May 21;210(5038):838-9 PMID: 5958452
  4. Heme biosynthesis; on the incorporation of iron into protoporphyrin.
    Biochim Biophys Acta. 1959 Feb;31(2):519-24 PMID: 13628681
  5. The synthesis of enzymes concerned in bacteriochlorophyll formation in growing cultures of Rhodopseudomonas spheroides.
    J Gen Microbiol. 1960 Dec;23:487-98 PMID: 13759252
  6. Soluble hepatic delta-aminolevulinic acid synthetase: end-product inhibition of the partially purified enzyme.
    Proc Natl Acad Sci U S A. 1969 May;63(1):65-70 PMID: 5257968
  7. FACTORS AFFECTING THE EXCRETION OF PORPHYRIN PRECURSORS BY PATIENTS WITH ACUTE INTERMITTENT PORPHYRIA. I. THE EFFECT OF DIET.
    Metabolism. 1964 Mar;13:232-50 PMID: 14127691
  8. Presynaptic neuromuscular inhibition by porphobilinogen and porphobilin.
    Proc Natl Acad Sci U S A. 1971 Feb;68(2):383-6 PMID: 4322608
  9. Purification and properties of delta-aminolevulinate dehydratase from tissues of two strains of mice.
    J Biol Chem. 1966 Dec 10;241(23):5511-7 PMID: 4959158
  10. Mechanism of inhibition by hemin of increase of delta-aminolevulinate synthetase in liver mitochondria.
    J Biochem. 1970 Jun;67(6):863-5 PMID: 5448856
  11. Induction of -aminolevulinic acid synthetase in chick embryo liver cells in cluture.
    Proc Natl Acad Sci U S A. 1970 Oct;67(2):517-22 PMID: 4108609
  12. Heme biosynthesis in intermittent acute prophyria: decreased hepatic conversion of porphobilinogen to porphyrins and increased delta aminolevulinic acid synthetase activity.
    Proc Natl Acad Sci U S A. 1970 Nov;67(3):1315-20 PMID: 5274461
  13. [Biochemical pathogenesis of acute intermittent porphyria].
    Klin Wochenschr. 1969 Jan 15;47(2):71-4 PMID: 4904783
  14. Delta-aminolaevulinic acid synthetase activity in normal and porphyric human livers.
    S Afr Med J. 1967 Nov 4;41(42):1093-6 PMID: 6061512
  15. Delta-aminolevulinic acid synthetase. II. Induction in rat liver.
    J Biol Chem. 1966 Oct 10;241(19):4323-9 PMID: 5922957
  16. THE CONVERSION OF HEMATIN TO BILIRUBIN FOLLOWING INTRAVENOUS ADMINISTRATION IN HUMAN SUBJECTS.
    J Clin Invest. 1945 May;24(3):283-91 PMID: 16695214
  17. Studies on the biosynthesis of blood pigments. 2. Haem and porphyrin formation in intact chicken erythrocytes.
    Biochem J. 1956 May;63(1):72-9 PMID: 13315251
  18. Control of haem synthesis by feedback inhibition on human-erythrocyte delta-aminolaevulate dehydratase.
    Biochem J. 1966 Nov;101(2):550-2 PMID: 5966287
  19. Steroid induction of porphyrin synthesis in liver cell culture. II. The effects of heme, uridine diphosphate glucuronic acid, and inhibitors of nucleic acid and protein synthesis on the induction process.
    J Biol Chem. 1968 Jan 25;243(2):346-51 PMID: 4230146
  20. Acute intermittent porphyria. New morphologic and biochemical findings.
    Am J Med. 1966 Jul;41(1):149-62 PMID: 5939541
  21. The metabolism of delta -aminolaevulic acid. 1. Normal pathways, studied with the aid of 15N.
    Biochem J. 1956 Sep;64(1):80-90 PMID: 13363809
  22. The induction in vitro of the synthesis of delta-aminolevulinic acid synthetase in chemical porphyria: a response to certain drugs, sex hormones, and foreign chemicals.
    J Biol Chem. 1966 Mar 25;241(6):1359-75 PMID: 5935350
  23. Oscillations of hepatic delta-aminolevulinic acid synthetase produced in vivo by heme.
    Biochem Biophys Res Commun. 1966 Sep 8;24(5):675-83 PMID: 5970500
  24. Oscillations of hepatic delta-aminolevulinic acid synthetase produced by estrogen: a possible role of "rebound induction" in biological clock mechanisms.
    Proc Natl Acad Sci U S A. 1967 Nov;58(5):1944-8 PMID: 5237490
  25. THE EFFECT OF CARBOHYDRATE FEEDING ON THE INDUCTION OF DELTA-AMINOLEVULINIC ACID SYNTHETASE.
    Metabolism. 1964 May;13:396-406 PMID: 14169218
Article Info
Journal
Proceedings of the National Academy of Sciences of the United States of America
Abbr.
Proc Natl Acad Sci U S A
ISSN
0027-8424
Published
1971-11-00
Pages
2725-9
Language
English
Region
United States
NLM ID
7505876
PMCID
PMC389510
Subset
IM
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