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  • 1
    ISSN: 1432-1289
    Keywords: Schlüsselwörter ; Hyperferritinämie ; Katarakt ; IRE, Mutation ; Genetische Erkrankungen
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Zusammenfassung Ein beschwerdefreies Geschwisterpaar italienischer Abstammung wurde zum Ausschluss einer Hämochromatose bei erhöhten Serumferritinspiegeln vorgestellt. Bei beiden war bereits eine Kataraktoperation durchgeführt worden, wie auch bei der Mutter. Die augenärztliche Untersuchung ergab auch bei 2 der 5 Kindern der betroffenen Geschwister eine Katarakt. Körperliche Untersuchung und Laborbefund waren bis auf eine deutliche Hyperferritinämie unauffällig, histologisch wurde eine Hämochromatose ausgeschlossen. Die PCR-Amplifikation und -Sequenzierung des „Iron responsive element” (IRE) im 5′ regulatorischen Bereich des Ferritin-Leichtkettengens ergab eine Punktmutation im „Stamm” des IRE als molekulare Grundlage des dominant vererbten „hereditären Hyperferritin-Kataraktsyndroms”. Die Kasuistik soll diese Differentialdiagnose der hereditären Hyperferritinämie exemplarisch darstellen. Das Hyperferritin-Kataraktsyndrom konnte bisher in einzelnen Familien italienischer, französischer aber auch englischer Herkunft nachgewiesen werden. Aufgrund der Kontraindikation einer Aderlasstherapie und zur Füherkennung der Kataraktbildung in den betroffenen Familien hat sie jedoch als Differentialdiagnose Bedeutung. Die Diagnose kann durch Anamnese, Bestimmung des Serumferritins und augenärztliche Untersuchung gestellt und durch molekulargenetische Untersuchung, also ohne invasive Maßnahmen gesichert werden. Ferner stellt sich im Hyperferritin-Kataraktsyndrom exemplarisch ein neuer Pathomechanismus dar, der in Zukunft an Bedeutung gewinnen könnte.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-2013
    Keywords: Key words Cl ; secretion ; Carbachol ; K+ channel ; cAMP ; Exocrine secretion ; Non-selective cation channel ; Cl ; channel
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract  We have previously shown that a new type of K+ channel, present in the basolateral membrane of the colonic crypt base (blm), is necessary for cAMP-activated Cl- secretion. Under basal conditions, and when stimulated by carbachol (CCH) alone, this channel is absent. In the present patch clamp-study we examined the ion channels present in the blm under cell-attached and in cell-excised conditions. In cell-attached recordings with NaCl-type solution in the pipette we measured activity of a K+ channel of 16 ± 0.3 pS (n = 168). The activity of this channel was sharply increased by CCH (0.1 mmol/l, n = 26). Reduction of extracellular Ca2+ to 0.1 mmol/l (n = 34) led to a reversible reduction of activity of this small channel (SKCa). It was also inactivated by forskolin (5 μmol/l, n = 38), whilst the K+ channel noise caused by the very small K+ channel increased. Activity of non-selective cation channels (NScat) was rarely observed immediately prior to the loss of attached basolateral patches and routinely in excised patches. The NScat, with a mean conductance of 49 ± 1.0 pS (n = 96), was Ca2+ activated and required 〉10 μmol/l Ca2+ (cytosolic side = cs). It was reversibly inhibited by ATP (〈1 mmol/l, n = 13) and by 3′,5-dichloro-diphenylamine-2-carboxylate (10–100 μmol/l, n = 5). SKCa was also Ca2+ dependent in excised inside-out basolateral patches. Its activity stayed almost unaltered down to 1 μmol/l (cs) and then fell sharply to almost zero at 0.1 μmol/l Ca2+ (cs, n = 12). SKCa was inhibited by Ba2+ (n = 31) and was charybdotoxin sensitive (1 nmol/l) in outside-out basolateral patches (n = 3). Measurements of the Ca2+ activity ([Ca2+]i) in these cells using fura-2 indicated that forskolin and depolarization, induced by an increase in bath K+ concentration to 30 mmol/l, reduced [Ca2+]i markedly (n = 8–10). Hyperpolarization had the opposite effect. The present data indicate that the blm of these cells contains a small-conductance Ca2+-sensitive K+ channel. This channel is activated promptly by very small increments in [Ca2+]i and is inactivated by a fall in [Ca2+]i induced by forskolin.
    Type of Medium: Electronic Resource
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