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Department for Internal Medicine IV, University Hospital, Pauwelsstrasse 30, 52074 Aachen, Germany
Correspondence: Thomas Efferth, Virtual Campus Rhineland-Palatinate, P.O. Box 4380, 55033 Mainz, Germany.
Patients affected with X chromosome-linked, hereditary
glucose-6-phosphate dehydrogenase (G6PD) deficiency suffer from
life-threatening hemolytic crises after intake of certain drugs or
foods. G6PD deficiency is associated with low levels of reduced
glutathione. We analyzed mononuclear white blood cells (MNC) of three
males suffering from the German G6PD Aachen variant, four heterozygote
females of this family, one G6PD-deficient male from another family
coming from Iran, and six healthy male volunteers with respect to their
DNA damage in two different genes (G6PD and T-cell receptor-
) and
their propensity to enter apoptosis after UV illumination (0.085.28
J/cm2). As determined by PCR stop assays, there was more
UV-induced DNA damage in MNC of G6PD-deficient male patients than in
those of healthy subjects. MNC of G6PD-deficient patients showed a
higher rate of apoptosis after UV irradiation than MNC of healthy
donors. MNC of heterozygote females showed intermediate rates of DNA
damage and apoptosis. It is concluded that increased DNA damage may be
a result of deficient detoxification of reactive oxygen species by
glutathione and may ultimately account for the higher rate of apoptosis
in G6PD-deficient MNC.
Key Words: flow cytometry glutathione polymerase chain reaction NADPH
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