H Stibler's research while affiliated with Karolinska University Hospital and other places

Publications (112)

Article
These investigations showed highly significant abnormalities in the surface carbohydrate composition of erythrocyte membranes that were unique to each of three different inherited muscular diseases. In studying any erythrocyte membrane defects in muscular diseases, the possibility that such abnormalities may be secondary should be considered. It se...
Article
A new type of inborn error of glycoprotein metabolism has recently been identified (CDG syndrome). The disease has systemic manifestations but mainly involves the nervous system. The most striking biochemical abnormality is the presence of secretory glycoproteins that are partially deficient in their carbohydrate moieties, the most pronounced of wh...
Article
Prolonged mechanical ventilation and inactivity negatively affect muscle function. The mechanisms for this dysfunction are unclear and clinical studies of respiratory muscle are difficult to carry out. An animal model simulating the critical care environment was used to investigate the effects of 5 days' mechanical ventilation and diaphragm inactiv...
Article
To develop a rapid method to quantify myosin in muscle biopsy specimens from patients with critical illness myopathy (CIM). Percutaneous muscle biopsy specimens at different stages of CIM were examined by light microscopy and transmission electron microscopy (TEM) and by horizontal pore gradient SDS electrophoresis (SDS-PAGE). The myosin/actin rati...
Article
Background: Isoforms of transferrin interfere with measurement of carbohydrate-deficient transferrin (CDT) as a marker of heavy alcohol consumption. We evaluated the rate of inaccurate CDT results by immunoassays. Methods: We studied 2360 consecutive sera (1614 individuals) submitted for CDT assay without clinical information as well as samples fro...
Article
Congenital disorders of glycosylation type Ia, (previous name carbohydrate-deficient glycoprotein syndrome type Ia; CDG-Ia) is an inherited disorder of the glycosylation of certain glycoproteins. The defect is caused by mutations in the phosphomannomutase 2 (PMM2) gene located in chromosome region 16p13. The purpose of this study was twofold: (1) t...
Article
Isoforms of transferrin interfere with measurement of carbohydrate-deficient transferrin (CDT) as a marker of heavy alcohol consumption. We evaluated the rate of inaccurate CDT results by immunoassays. We studied 2360 consecutive sera (1614 individuals) submitted for CDT assay without clinical information as well as samples from 1 patient with a co...
Article
Carbohydrate-deficient glycoprotein syndrome type IA (CDG IA) is an autosomal recessive disease characterized clinically by severe involvement of the central and peripheral nervous system, and biochemically by complex defects in carbohydrate residues in a number of serum glycoproteins. CDG IA is caused by mutations in the PMM2 gene located in chrom...
Article
The phosphomannomutase 2 gene (PMM2; MIM 601785) has been identified as the carbohydrate-deficient glycoprotein syndrome type 1A gene (CDGS type 1A; MIM 212065). The gene spans 8 exons and 741 bp of coding DNA. Previously, we have identified 20 different mutations in the PMM2 gene using mutation screening with single-stranded conformation polymorph...
Article
A 10-month old girl is described with a serum transferrin isoform abnormality of the same kind as in two previously reported girls with carbohydrate-deficient glycoprotein syndrome type III. This patient presented with joint abnormalities and rapidly developing hypsarrhythmia, hypotonia, psychomotor delay and growth retardation. Fingers, toes, nail...
Article
In this study, we investigated cerebrospinal fluid of patients with various neurologicalsymptoms for the presence of transforming growth factor alpha (TGF-a). 41 samples ofcerebrospinal fluid were collected by lumbar puncture performed routinely due to the clinicalsuspicion of neurological disease from 22 females (age 15–80 years, median 42 years)...
Article
Carbohydrate-deficient glycoprotein syndrome type 1 (CDGS-1) is an autosomal recessive hereditary metabolic disorder, the gene locus of which is chromosome 16p13. The disorder is characterised by genetic heterogeneity, and by decrease in the gene product, phosphomannomutase 2, though the heterogeneity is far less manifest in affected Swedish famili...
Article
The gene for carbohydrate-deficient glycoprotein syndrome type I (CDG1) has previously been localised by us close to marker D16S406 in chromosome region 16p13.2-3. We also presented data indicating a strong founder mutation associated with a specific haplotype in CDG I patients from western Scandinavia. The phosphomannomutase 2 (PMM2) gene was rece...
Article
Carbohydrate-deficient glycoprotein syndrome type 1A (CDGS1A) is an inherited disorder with multisystemic abnormalities resulting from failure to generate sufficient lipid-linked oligosaccharide precursor or to transfer the sugar chain to many glycoproteins. Cultured fibroblasts from these patients have reduced incorporation of mannose into glycopr...
Article
Children with carbohydrate-deficient glycoprotein syndrome type I during infancy have gastrointestinal symptoms and growth impairment, the cause of which is largely unknown. Seven children were investigated with small intestinal biopsy, liver biopsy, duodenal intubation with determination of lipolytic and proteolytic activity, and test meal. Weight...
Article
Background Children with carbohydrate‐deficient glycoprotein syndrome type I during infancy have gastrointestinal symptoms and growth impairment, the cause of which is largely unknown. Methods Seven children were investigated with small intestinal biopsy, liver biopsy, duodenal intubation with determination of lipolytic and proteolytic activity, a...
Article
Pericardial effusions were found in 6 of 10 children with carbohydrate-deficient glycoprotein syndrome type I (CDGS-I). In three cases pericardectomy was necessary. Blood concentrations of several glycoproteins and albumin were low. Similar abnormal isoforms of four glycoproteins were found in blood (B) and pericardial fluid (PF). There was a signi...
Article
Pericardial effusions were found in 6 of 10 children with carbohydrate‐deficient glycoprotein syndrome type I (CDGS‐I). In three cases pericardectomy was necessary. Blood concentrations of several glycoproteins and albumin were low. Similar abnormal isoforms of four glycoproteins were found in blood (B) and pericardial fluid (PF). There was a signi...
Article
Carbohydrate-deficient glycoprotein syndrome type I (CDGS I) is an autosomal recessive disease with multiple organ manifestations. The diagnostic biochemical marker has been typical carbohydrate-deficient isoforms of transferrin (Tf). Many other glycoproteins in blood may show similar defects, but have not been systematically studied before. Forty-...
Article
Carbohydrate-deficient isoforms of transferrin (CDT) were examined in Guthrie cards from patients with galactosaemia before and during dietary treatment for up to 9 y. In untreated patients the CDT values were elevated due to abnormal asialo- and/or disialotransferrin. During treatment, the CDT levels were normal except on a few temporary occasions...
Article
The characteristic feature of carbohydrate-deficient glycoprotein syndrome (CDGS) type I, a multisystemic disease, is underglycosylation of many serum glycoproteins, such as transferrin. A few cases of severe infections during childhood have been reported and an underlying immunodeficiency has been suggested. Because of this and the fact that all i...
Article
Carbohydrate-deficient glycoprotein syndrome type I (CDG I) is characterized clinically by severe nervous system involvement and biochemically by defects in the carbohydrate residues in a number of serum glycoproteins. The CDG1 gene was recently localized by us to a 13-cM interval in chromosome region 16p13. In this study 44 CDG I families from nin...
Article
Jaeken's syndrome or the carbohydrate-deficient glycoprotein (CDG) syndrome, is a newly recognized metabolic syndrome with poor weight gain in children, and multisystematic abnormalities, mainly due to defective carbohydrate entities in many glycoproteins, leading to neurologic dysfunction. Using the standardized method of phenotype evaluation with...
Article
Full-text available
A girl is reported who presented with many of the clinical and biochemical characteristics of type I carbohydrate deficient glycoprotein syndrome. Unusually, however, she experienced a normal pubertal development.
Article
Carbohydrate-deficient glycoprotein (CDG) syndrome type I is an autosomal recessive disease with multisystemic manifestations. During childhood the patients may suffer from hemorrhages, which may be lethal, venous thromboses and stroke-like episodes. In this study 15 patients with CDG syndrome type I were examined from the levels and isoform patter...
Article
Carbohydrate-deficient glycoprotein syndromes (CDGS) are a group of inherited metabolic diseases due to glycosylation defects of glycoproteins, mostly those of serum (Jaeken et al 1991). The most severe and multisystemic form presents neonatally. Major features are olivopontocerebellar atrophy, hypotonia, developmental delay, peripheral neuropathy,...
Article
Two infants are described, who, we suggest, represent a fourth subtype of carbohydrate-deficient glycoprotein (CDG) syndrome. Both patients showed microcephaly and severe epilepsy with absent psychomotor development and similar minor dysmorphic features. There were no signs of liver dysfunction. Several glycoproteins in blood, including transferrin...
Article
Six females and six males with carbohydrate-deficient glycoprotein (CDG) syndrome type I, aged 4 months to 43 years, were examined for gonadal function and electrophoretic isoform patterns of four glycoprotein hormones: FSH, LH, TSH and erythropoietin. The female patients had a hypergonadotrophic hypogonadism from an early age without detectable ov...
Article
Carbohydrate-deficient glycoprotein syndrome type I is a multisystem disease with early severe nervous system involvement. The disease, which is inherited as an autosomal recessive trait, is biochemically characterized by complex defects in the terminal carbohydrate residues of a number of serum glycoproteins. This can be most readily detected in t...
Conference Paper
A potent predictor of developing severe and repetitive alcohol use is the reduced sensitivity to a loading dose of ethanol. One factor which might render certain individuals more liable to drug abuse could be stressors whose actions are mediated by the hypothalamic-pituitary-adrenal axis. Markers for recent alcohol consumptions are 5-hydroxytryptop...
Article
A new group of recessively inherited metabolic disorders affecting glycoprotein metabolism has been identified--the carbohydrate-deficient-glycoprotein (CDG) syndromes. Here the course and clinical expression of CDG syndrome type I in 13 patients who have passed the age of 15 years are described. All presented with early onset psychomotor retardati...
Article
Alcohol dependent male outpatients were monitored for a period of six months. Indicators of alcohol consumption were compared using clinical information three times per week, serum levels of carbohydrate deficient transferrin (CDT) weekly and urine samples of 5-hydroxytryptophol daily. Individualized reference values of CDT were calculated by using...
Article
Analysis of carbohydrate-deficient transferrin (CDT) in serum has been shown to be a good marker of current regular alcohol consumption at levels that are potentially harmful both to the liver and the nervous system. In this study CDT was analyzed by anion exchange chromatography and the results were evaluated in 134 consecutively examined patients...
Article
The carbohydrate-deficient glycoprotein syndromes are a recently delineated group of genetic, multisystemic diseases with major nervous system involvement. Three distinct variants have been recognized and there are probably many more. They are characterized by a deficiency of the carbohydrate moiety of secretory glycoproteins, lysosomal enzymes and...
Article
A new group of metabolic disorders, the carbohydrate-deficient glycoprotein (CDG) syndromes, is reviewed with emphasis on the key condition, the CDG syndrome type I. This disease, an autosomal-recessive multisystem condition, has now been diagnosed in 45 Scandinavian patients. It is characterized by carbohydrate deficiencies of a number of glycopro...
Article
In this study, detection of relapses in male alcohol-dependent patients by biochemical markers and self-reports of alcohol consumption were examined. The patients were trying to stay abstinent from alcohol for 6 months. Four of 15 patients dropped out from treatment after 50-110 days. Ratios of urinary 5-hydroxytryptophol (5-HTOL)/5-hydroxyindole-3...
Article
A new simplified electrophoretic and Western blotting technique for the study of dystrophin in muscle biopsy material is presented and compared with immune histochemistry. The method is based on separation of dystrophin in a linear SDS-PAGE pore gradient of 4-8% acrylamide in ultra-thin, horizontal gels on plastic film support followed by horizonta...
Article
Carbohydrate-deficient glycoprotein syndrome is a recently identified recessively inherited, multisystemic disease with severe nervous system involvement. It is characterized biochemically by carbohydrate-deficient serum glycoproteins, and can be diagnosed by analysis of abnormal isoforms of serum transferrin. Using stored, neonatally collected fil...
Article
We diagnosed the carbohydrate-deficient glycoprotein syndrome in five children who were seen during their first year of life with failure to thrive, feeding difficulties, psychomotor retardation, hypotonia, esotropia, inverted nipples, lipodystrophy, pericardial effusion, and hepatic dysfunction. Steatosis was observed in liver biopsy specimens, an...
Article
The CDG syndrome is a newly detected disorder with a carbohydrate defect in glycoproteins such as transferrin. As retinitis pigmentosa is a part of this syndrome, there could also be other subtypes of retinitis pigmentosa with a similar biochemical defect. Isoforms of serum transferrin were therefore analysed in 78 patients from different families...
Article
During the last 16 years an increasing number of studies have indicated a new diagnostic marker of alcohol abuse, unrelated to any of the conventional markers of alcoholism. This marker, now called carbohydrate-deficient transferrin, consists mainly of one or two isoforms of transferrin that are deficient in their terminal trisaccharides. Such isof...
Chapter
Successful treatment of alcoholism is generally dependent on an early diagnosis. Consequently, there is a clinical need for objective and reliable markers of alcohol consumption, since valid information of alcohol intake cannot be obtained from subjects misusing alcohol. This chapter describes two new biochemical markers of alcohol consumption: car...
Article
Erythrocyte membranes from healthy controls and alcoholic patients, examined within 24 h of abstinence, were studied for basal membrane fluidity and membrane sensitivity to ethanol by fluorescence polarization of the apolar probe 1,6-diphenyl-1, 3,5-hexatriene (DPH) and its cationic derivative 1,4(trimethylammonium phenyl)-6-phenyl-1,3,5-hexatriene...
Article
Carbohydrate‐deficient glycoprotein (CDG) syndrome clearly represents a new type of distinct disease entity(ies), from both a clinical and a biochemical point of view. It is most probably a disorder of glycoprotein metabolism with autosomal recessive inheritance, and presents with unique and complex clinical, biochemical and ultra‐structural featur...
Article
29 patienxts with a new inherited complex developmental deficiency syndrome—the carbohydrate-deficient glycoprotein syndrome—were studied biochemically. The most striking biochemical abnormality in these patients is the presence of secretory glycoproteins, that are deficient in their carbohydrate moieties. Serum transferrin shows the most pronounce...
Article
The activities of glycoprotein sialyl-, galactosyl- and N-acetylglucosaminyl-transferase in serum were examined in 14 alcoholic patients with a median BAC of 65 mmol/l and in 14 healthy age- and sex-matched controls. The median alcohol intake of the patients was 250 g/day for 1-3 weeks. All had elevated levels of carbohydrate-deficient transferrin...
Article
CDT has been shown to be a good marker of regular high alcohol intake. It has been measured principally by isoelectric focusing or pH-based anion exchange chromatography. The present assay was developed to improve the technical stability of the latter method. It is based on anion exchange of serum using ionic strength instead of pH followed by a tr...
Article
Four patients with a new, inherited, complex developmental deficiency syndrome were studied. The syndrome affects the central and peripheral nervous system, and also the retina, liver, bone, adipose tissue, and genital organs. Abnormalities of glycoproteins, glycopeptide hormones, and lipids have been found in serum from these patients, the most pr...
Article
The molecular pathology of myotonic dystrophy is believed to be expressed at the plasma membrane level. Previous assessments of membrane fluidity, a marker of the biochemical state of the membrane, have yielded conflicting results. In this study, erythrocyte membrane fluidity was reevaluated using highly sensitive fluorescence probe techniques. Ste...
Article
The microheterogeneity of rat serum transferrin was analyzed by isoelectric focusing and immunofixation from Wistar rats chronically treated with ethanol either by inhalation (4 weeks) or by a liquid diet (6 weeks) and from pair-fed controls. In spite of the length of ethanol exposure, a daily ethanol intake of 13-18 g/kg b.wt. and BAC levels of 1....
Article
Sialyltransferase activity was measured in erythrocyte membranes and in serum in patients with myotonic dystrophy and in matched healthy controls. The reason for assaying this enzyme was to study a possible mechanism behind a previously reported deficiency of glycoprotein-bound sialic acid in the erythrocyte membrane in patients with this disease....
Article
The effect of ethanol abuse on the lipid ordering of the human erythrocyte membranes was studied by steady-state and time-resolved fluorescence anisotropy measurements of DPH and its polar analogue TMA-DPH, which probe different membrane regions. Steady-state anisotropy values with DPH as a probe were slightly but significantly increased (+3%) in e...
Article
Carbohydrate-deficient transferrin (CDT) in serum was determined by micro anion exchange chromatography and a transferrin radioimmune assay in 58 consecutive women treated for early alcohol dependence compared, with 62 healthy females with an alcohol consumption of 0-15 g of ethanol/day. The upper normal CDT level was 74 mg/l. CDT was elevated abov...
Article
Elevated concentrations of carbohydrate-deficient components of transferrin (CDT) in serum may be used as a sensitive and specific marker of regular, high alcohol consumption. When determined by a new, simplified assay, CDT values are nearly normally distributed in low- or non-alcohol-consuming control populations. The importance of transferrin phe...
Article
Carbohydrate-deficient transferrin (CDT) in serum was analyzed by isocratic microanion exchange chromatography at pH 5.65 followed by a transferrin radioimmunoassay in 102 patients with biopsy-verified liver diseases. CDT values were normal in all of the 87 nonalcohol-abusing patients irrespective of type or degree of liver disease. Thirteen of the...
Article
Studies of fluorescence polarization of DPH have shown that erythrocyte membrane "fluidity" and fluidization by ethanol are significantly reduced in alcoholics. By using probes of the polar part of the membrane, ANS and TMA-DPH, in addition to DPH, it was shown in the present study that disturbances also exist in the polar region of the membrane wh...
Article
A new simplified and rapid method for detection and quantitation of “carbohydrate-deficient transferrin” in serum is described. The method is based on isocratk anion exchange chromatography of isotransferrins in disposable microcolumns followed by a double antibody transferrin radioimmune assay. This technique, which separates all transferrin compo...
Article
The timing, intensity, and duration of the period of maximal susceptibility of the developing brain to ethanol have not been clearly elucidated. This study was designed to determine whether a lower blood ethanol concentration (BEC) or a brief exposure during the brain growth spurt in the rat might cause permanent brain damage. Two doses of ethanol...
Article
In investigating possible mechanisms underlying carbohydrate deficiencies in serum transferrin and erythrocyte membranes in alcoholics, a total of 27 alcoholic patients and 27 healthy controls were examined for the activities of sialytransferase in serum and erythrocyte membranes and galactosyltransferase in erythrocyte membranes. The enzymes were...
Article
In four of six patients with myotonic dystrophy whom we studied 51Cr labeled erythrocytes were found to have a biphasic survival kinetic. After in initial significantly more rapid disappearance than in controls, about 80% of the labeled cells reappeared in circulation, and were thereafter eliminated at a significantly faster rate than normal. This...
Article
Erythrocyte membranes from 11 healthy individuals and 11 alcoholic patients, examined within 24 hr of withdrawal, were studied for membrane fluidity as assessed by fluorescence polarization of 1,6-diphenyl-1,3,5-hexatriene and for the concentrations of sialic acid and galactose in the membrane surface. Basal fluorescence polarization was significan...
Article
(Na+ + K+)ATPase activity and sensitivity to the inhibitory effect of ethanol and noradrenaline in vitro as well as the concentrations of sialic acid, galactose, and hexosamine were determined in erythrocyte membranes in 20 healthy controls and in 20 alcoholic patients within 24 hr of withdrawal. Basal (Na+ + K+)ATPase activity, the sensitivity of...
Article
At an ambient temperature of 24 degrees C, the neonatal rat was found to exhibit poikilothermic characteristics if separated from the dam. On day one after birth, at one hour after separation from dams, the body temperature in rat pups was found to be identical with ambient temperature. Preweanling pups, under these circumstances, were unable to ma...
Article
A number of abnormalities in cell membrane function, including cells other than muscle cells, have been described in patients with inherited muscular diseases such as myotonic dystrophy and congenital myotonia. The basic molecular defects are, however, still unknown. The complex carbohydrates of membrane-bound glycoconjugates are of vital importanc...
Article
The purpose of this study was to determine whether micromorphological changes occur at a low level of ethanol exposure previously shown by us to induce alterations in synaptosomal biochemistry. The results suggest that 4 g ethanol per kg body weight daily throughout the brain growth spurt causes no significant structural changes in the cerebellum,...
Article
Sialic acid is an important constituent of membrane-bound glycoproteins and glycolipids. It occurs linked to galactose at the surface of the membrane and is involved in, e.g., cation exchange, receptor function, maintenance of membrane polarity and intercellular interactions. In myotonic dystrophy there is evidence of an as yet basically undefined...
Article
The total, glycoprotein-bound and glycolipid-bound sialic acid concentration, ad the activities of ecto-sialyltransferase and neuraminidase were determined in synaptosomes from preweanling ethanol-treated and control rats. The period of treatment corresponded to that of maximal synaptogenesis and peak synthesis of sialoglycocompounds (days 27-37 po...
Article
Variations of brain synaptosomal (Na+ and K+)ATPase activity and development of functional tolerance to ethanol were followed simultaneously throughout a chronic ethanol treatment. Inhibition of the enzyme activity by ethanol added in vitro in the presence of noradrenaline was also assayed. Adult male rats were rendered tolerant to ethanol by daily...
Article
The sialic acid and galactose concentrations in erythrocyte membranes were examined in 32 and 17 alcoholics respectively, during current abuse, and the sialic acid concentration in 10 patients after one and four weeks of abstention. During current alcohol abuse the concentrations of these two surface carbohydrates were decreased by an average of 10...
Article
A qualitative change of the microheterogeneity of serum transferrin, demonstrated by isoelectric focusing, has previously been found to occur frequently and with high specificity in alcoholic patients during current abuse, and has been proposed as a new marker of alcoholism. Certain indirect evidence has supported the assumption that the basis for...
Article
Full-text available
A new method for the determination of terminal sugars in immunologically defined glycoproteins with microheterogeneity in the sugar residue has been developed. The method has been elaborated for transferrin and involves the following three steps: 1. Binding of antitransferrin antibodies to cyanogen bromide activated Sepharose. 2. Adsorption to the...
Article
A quantitative gas chromatographic-mass spectometric method using a deuterated analogue as internal standard was developed for the analysis of 5-hydroxytryptophol in cerebrospinal fluid. The analytical procedure involves the addition of the internal standard and 5-hydroxyindole to the cerebrospinal fluid followed by extraction into chloroform and d...
Article
A qualitative abnormality of the microheterogeneity of serum transferrin, demonstrated by isoelectric focusing, has previously been shown to be a highly specific indication of chronic alcoholism. The abnormality consists of a selective increase of a cathodal transferrin component which is probably caused by a reduction of the sialic acid content. T...
Article
By using the excellent resolution of isoelectric focusing followed by direct immunofixation it has been possible to detect a qualitative abnormality of the microheterogeneity of serum transferrin in association with alcoholism. It comprises an abnormal more positively charged transferrin component with an isoelectric pH at 5.7. It occurs with incre...
Article
An improved method for identification of CSF and serum proteins is described, using analytical isoelectric focusing followed by direct immunofixation in polyacrylamide gel. This method offers high sensitivity together with retained resolution after isoelectric focusing and is technically easy to perform. The gamma-trace protein, normal transferrin,...
Article
An abnormal microheterogeneous component of serum transferrin, with a higher isoelectric point than the normal main component, was studied by means of isoelectric focusing and direct immunofixation in 98 alcoholic patients, 22 patients with liver diseases and 100 controls. Its relation to acute and prolonged ethanol intake was studied in healthy vo...

Citations

... They included increased endogenous acceptors for galactosyltransferase (Femandez-Briera et aL, 1990), impaired receptor-mediated endocytosis (Tuma et aL, 1981; Matsuda etal., 1988). How does ingested alcohol impair cellular glycosyltransferases? Evidence of a parallel alcoholinduced impairment of glycoconjugates in brain included a double amount of exposed galactose and Af-acetylgalactosamine in synaptic membranes of mice (Goldstein etal., 1983), decreased contents of gangliosides in mouse brain (Klemm et al., 1988) and decreased contents of sialic acid in synaptosomal glycolipids and glycoproteins (Stibler etal., 1985). Effects of alcohol on the developing fetus include inhibition of embryogenesis, cell migration and differentiation, and these were reviewed recently in the context of the role of gangliosides in the structure and function of cell membranes (Hungund and Mahadik, 1993). ...
... Some types of CDG cannot be identified through IEF analysis because in special cases sialylation is not altered, for example: MOGS-CDG, SLC35C1-CDG, in alterations of one of the two GDP-fucose transporters of AG, and in TUSC3-CDG. This, coupled with the laboriousness and time required by the IEF technique, has led to the need for costly techniques such as high-performance liquid chromatography (HPLC), capillary zone electrophoresis (CZE), and mass spectrometry (MS) in the last two decades [56][57][58][59][60][61]. 7 Tf polymorphisms and variations in Fe 3+ content can also produce anomalous patterns in IEF. ...
... The first CDG case was reported in the 1980s by Helena Stibler and Jaak Jaeken 121 . The case presented with severe neurological manifestations including psychomotor retardation, ataxia and seizures. ...
... 5-HTOL displays high sensitivity and specificity and appears uninfluenced by age, gender, liver diseases, or medications other than disulfiram (Beck and Helander, 2003). 5-HTOL is expressed as a ratio to 5-hydroxyindole-3-acetic acid (5-HIAA), another metabolite of serotonin, an attribute that reduces false positives, especially from foods rich in serotonin such as bananas, pineapples, and tomatoes (Borg et al., 1992). This ratio measurement is important because increases in serotonin from these foods elevate the serotonin metabolites 5-HTOL and 5-HIAA equally. ...
... The iron-binding transferrin has a series of attached carbohydrate groups. Carbohydrate-deficient transferrin (CDT) isoforms are elevated by high alcohol intake and the measurement of these has recently been introduced into routine clinical use (6). CDT has in several studies been found to be at least as sensitive and specific as GGT and MCV for detecting alcohol abuse among men (7). ...
... Acute alcohol has been shown to decrease sialylated glycoconjugates in studies from other laboratories. In one study, alcohol decreased contents of sialic acid in synaptosomal gangliosides and glycoproteins (91). In another study, alcohol impaired synthesis of sialoglycoprotein in stomach mucosa (87)). ...
... Studies in the mid-1970s found11 that, after sustained heavy alcohol consumption, serum transferrin became abnormally glycosylated. [9] This elevated transferrin fraction after abnormal glycosylation was named carbohydrate-deficient transferrin (CDT) [10][11][12][13] and is used as a biomarker to identify persistent heavy drinking and to monitor abstinence during treatment. [15], [16] Compared with the use of conventional human serum samples, the use of Dried blood spots (DBS) samples from blood cards for CDT screening has many advantages [14], [15] , including a simple and minimally invasive sampling procedure, easy storage of the samples, minimal transportation requirements, and reduced risk of infection with some of the most risky blood-borne infections (HIV, hepatitis, etc.) [16] . ...
... Diagnosis of each patient had previously been confirmed by isoelectric focusing of transferrin [17], by Sanger sequencing of the PMM2 gene and in some patients additionally by measuring PMM2 activity. Data analysis was approved by the local ethics committee (Ethikkommission der Ärztekammer Westfalen-Lippe, No. 2019-199-f-S). ...
... CDG-Ia, also known as PMM2 deficiency, is a rare autosomal recessive genetic disease primarily caused by mutations in the phosphomannomutase 2 (PMM2) gene [5]. The PMM2 gene encodes an enzyme called phosphomannomutase 2, PMM2, which plays a critical role in catalyzing the conversion of mannose-6-phosphate into mannose-1phosphate. ...
... Mutant progenitors appear more dependent on endogenous EGFR signaling to undergo fast proliferation, whereas the activation of EGFR had opposite effects in mutant and WT GE progenitors, suggesting that levels of EGFR expression affect the response to EGF. That EGFR signaling is an important component of the regulation of APs is consistent with the observation that in rodents, EGFR ligands are a constant component of the cerebrospinal fluid (Van Setten et al., 1999). Consistent with the regional expression of EGFR ligands, in the postnatal brain EGFR activation is crucial for the regulation of the differentiation of Epen cells from RG progenitors (Abdi et al., 2019). ...