Cited by 19Porphyrin Metabolism and DisordersNeonatal Health and BiochemistryPhotodynamic Therapy Research Studies

Accumulation of protoporphyrin IX from delta-aminolevulinic acid in bovine skin fibroblasts with hereditary erythropoietic protoporphyria. A gene-dosage effect.

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Sassa, S, Schwartz, S, Ruth, G·1981·The Journal of experimental medicine

Abstract

Bovine skin fibroblasts accumulated protoporphyrin IX when incubated in culture with the porphyrin-heme precursor, delta-aminolevulinic acid (ALA). Fibroblasts from cattle homozygous for erythropoietic protoporphyria (EPP) and with the clinical symptoms of the disease accumulated approximately sixfold greater amounts of protoporphyrin IX than cells from normal control animals. Cells from obligatory heterozygous animals, which are clinically normal, accumulated an intermediate level of protoporphyrin IX. When these cells were incubated with ALA and CaMg EDTA, all types of cells accumulated approximately the same amount of protoporphyrin IX (approximately 500 nmol/mg protein), suggesting that ferrochelatase activity was equally low after inhibition by treatment with CaMg EDTA in all cells. Thus the ratio of protoporphyrin IX accumulation from ALA in cultures treated with CaMg EDTA compared with controls treated with ALA alone was greatest in normal cells, least in EPP cells, and intermediate in the heterozygote cells. These findings suggest that the amount of protoporphyrin IX accumulation from ALA reflects the extent of deficiency of ferrochelatase and is proportional to the dosage of abnormal EPP gene in cultured fibroblasts. Similarly, stimulation of porphyrin accumulation by CaMg EDTA reflects diminished ferrochelatase activity in these cells. Thus, the results of this study demonstrate the usefulness of estimating protoporphyrin IX formation from ALA for the detection of an EPP gene defect in cultured bovine skin fibroblasts.

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  • ALA-induced PpIX was much higher in lymphocytes from erythropoietic protoporphyria patients carrying the loss-of-function FECH mutation than in normal human lymphocytes and could be further enhanced by an iron chelator.

    “In this early study, ALA-induced PpIX was much higher in lymphocytes from erythropoietic protoporphyria patients (carrying the loss-of-function mutation of the FECH gene) than in normal human lymphocytes and could be further enhanced by an iron chelator, suggesting the importance of FECH and ferrous iron in regulating PpIX level.”

    From 5-Aminolevulinic Acid as a Theranostic Agent for Tumor Fluorescence Imaging and Photodynamic Therapy (2023) · cites this paper as [15]

    The Results (p. 1096) report that CaMg EDTA increased PpIX in mitogen-stimulated human lymphocytes, including those from EPP patients; the Discussion (pp. 1099–1100) links ALA-induced PpIX accumulation to ferrochelatase deficiency. But this paper’s own comparative experiments used bovine skin fibroblasts, and its account of the earlier human lymphocyte study does not establish that patients’ ALA-induced PpIX was “much higher” than controls’. (LLM, conf=0.82)

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Authors
Sassa, S., Schwartz, S., & Ruth, G.
Venue
The Journal of experimental medicine
Published
1981-05-01
Volume
153
Issue
5
Pages
1094-1101
ISSN
  • 0022-1007 (ISSN-L)
  • 1540-9538
OpenAlex
W2134286645
Cited by
19
References
11
Citations by year
2023: 1 · 2019: 1 · 2018: 1
FWCI
0.53
Type
journal article
Language
en
Open access
Licence
cc-by-nc-sa
Locations
  • The Journal of Experimental Medicine (publishedVersion)
  • PubMed Central (publishedVersion, cc-by-nc-sa)
  • PubMed (publishedVersion)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Porphyrin Metabolism and Disorders
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Neonatal Health and Biochemistry
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Photodynamic Therapy Research Studies
Keywords
protoporphyrin IX accumulation, 5-aminolevulinic acid, ferrochelatase deficiency, gene dosage effect, heterozygote detection, genetic diagnosis
MeSH terms
Aminolevulinic Acid, Animals, Cattle, Edetic Acid, Erythropoiesis, Fibroblasts, Iron, Levulinic Acids, Porphyrias, Porphyrins, Protoporphyrins, Skin, Protoporphyria, Erythropoietic

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