1977
DOI: 10.1111/j.1365-2141.1977.tb00637.x
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Reduced Ferrochelatase Activity: a Defect Common to Porphyria Variegata and Protoporphyria

Abstract: Erythroid ferrochelatase activity has been studied in the normoblasts of patients with porphyria variegata and protoporphyria. Two methods were used for the investigation: one using intact cells and the other lysed cells, each measuring the amount of haem synthesized by normoblasts. In patients with porphyria variegata, ferrochelatase activity estimated by both methods was approximately 50% of the normal, and in protoporphyria the ferrochelatase activity was normal in intact normoblasts but was 20% of the norm… Show more

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Cited by 63 publications
(24 citation statements)
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“…In protoporphyria, protoporphyrin accumulates because of a deficiency in the activity of heme synthase (ferrochelatase), the intramitochondrial enzyme that catalyzes the chelation of ferrous iron to protoporphyrin to form heme. The enzymatic defect has been demonstrated in several tissues from patients with protoporphyria, including liver (1), bone marrow cells (2,3), peripheral blood cells (4,5), and cultured skin fibroblasts (1,6). Deficient heme synthase activity has also been demonstrated in cultured skin fibroblasts from one parent in each of three families in which the children have protoporphyria (7), consistent with the autosomal dominant mode of inheritance that has been postulated for the disease (8).…”
mentioning
confidence: 66%
“…In protoporphyria, protoporphyrin accumulates because of a deficiency in the activity of heme synthase (ferrochelatase), the intramitochondrial enzyme that catalyzes the chelation of ferrous iron to protoporphyrin to form heme. The enzymatic defect has been demonstrated in several tissues from patients with protoporphyria, including liver (1), bone marrow cells (2,3), peripheral blood cells (4,5), and cultured skin fibroblasts (1,6). Deficient heme synthase activity has also been demonstrated in cultured skin fibroblasts from one parent in each of three families in which the children have protoporphyria (7), consistent with the autosomal dominant mode of inheritance that has been postulated for the disease (8).…”
mentioning
confidence: 66%
“…It is possible for AIP and HC [14], But, in porphyria variegata, the enzymatic defect is still uncertain; an inactive ferrochelatase secondary to an inherited structural gene mutation is perhaps the primary deficiency [1].…”
Section: Discussionmentioning
confidence: 99%
“…Protoporphyrinogen oxidase has been implicated in the genetically inherited disease variegate porphyria (Brenner & Bloomer, 1980), although opinions are divided as to whether protoporphyrinogen oxidase alone, or ferrochelatase and the oxidase, are associated with the disease (Becker et al, 1977;Brenner & Bloomer, 1980;Deybach et al, 1981;Viljoen et al, 1983). Originally it was believed that ferrochelatase was the deficient enzyme (Becker et al, 1977), but later Brenner & Bloomer (1980) and Deybach et al (1981) clearly showed that protoporphyrinogen oxidase activity was decreased in variegate-porphyria patients, whereas ferrochelatase activity was normal.…”
Section: Introductionmentioning
confidence: 96%