Abstract
Screening of newborns for disorders of galactose metabolism has come as a by-product of PKU-screening. It was initiated in 1964 with the introduction of the “metabolite inhibition assay” aimed at the discovery of hypergalactosemia due to deficiency of galactose-1-phosphate uridyltransferase (Segal 1978). Since then, the technique of screening has been diversified, two new defects of galactose metabolism have been discovered (Gitzelmann 1965, 1972), and a number of transferase variant enzymes have been described.
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Abbreviations
- Kinase:
-
Galactokinase (EC 2.7.1.6)
- Transferase:
-
Galactose-1-phosphate uridyltransferase (EC 2.7.7.12)
- Epimerase:
-
Uridine diphosphate galactose 4′-epimerase (EC 5.1.3.2)
- ADP:
-
Adenosine diphosphate
- ATP:
-
Adenosine triphosphate
- UDP:
-
Uridine diphosphate
- UDPgalactose:
-
Uridine diphosphate galactose
- UDPglucose:
-
Uridine diphosphate glucose
- UTP:
-
Uridine triphosphate
- NADPH:
-
Reduced nicotine adenine dinucleotide phosphate
- PPi :
-
Inorganic pyrophosphate
References
Baerlocher K, Gitzelmann R, Steinmann B, Gitzelmann-Cumarasamy N (1978) Hereditary fructose intolerance in early childhood: A major diagnostic challenge. Helv Paediatr Acta 33:465–487
Beutler E, Baluda MC (1966) A simple spot screening test for galactosemia. J Lab Clin Med 68:137–141
Dahlqvist A (1968) Test paper for galactose in urine. Scand J Clin Lab Invest 22:87
Dahlqvist A, Gamstorp I, Madsen H (1970) A patient with hereditary galactokinase deficiency. Acta Pediatr Scand 59:669–675
Donnel GN, Koch R, Bergren WR (1969) Observations on results of management of galactosemic patients. In Hsia DY (ed) Galactosemia. Thomas, Springfield, pp. 247–268
Gitzelmann R (1965) Deficiency of erythrocyte galactokinase in a patient with galactose diabetes. Lancet 11:670–671
Gitzelmann R (1972) Deficiency of uridine diphosphate galactose 4-epimerase in blood cells of an apparently healthy infant. Helv Paediatr Acta 27:125–130
Gitzelmann R (1976) Früherfassung von Anomalien im Galaktosestoffwechsel. Monatsschr Kinderheilkd 124:654–657
Gitzelmann R, Hansen RG (1974) Galactose biogenesis and disposal in galactosemics. Biochim Biophys Acta 372:374–378
Gitzelmann R, Hansen RG (to be published) Galactose metabolism, hereditary defects and their clinical significance. In: Burman D, Holton J (eds) Inborn errors of carbohydrate metabolism. MTP Press, St. Leonardgate
Gitzelmann R, Schneller I (1973) Fluorescent spot screening test for galactosemia: Increased sensitivity. Z Klin Chem Biochem 11:46–47
Gitzelmann R, Poley JR, Prader A (1967) Partial galactose-l-phosphate uridyltransferase deficiency due to a variant enzyme. Helv Paediatr Acta 22:252
Gitzelmann R, Wells HJ, Segal S (1974) Galactose metabolism in a patient with hereditary galactokinase deficiency. Eur J Clin Invest 4:79–84
Gitzelmann R, Hansen RG, Steinmann B (1975) Biogenesis of galactose, a possible mechanism of self-intoxication in galactosemia. In: Hommes FA, Van den Berg CJ (eds) Normal and pathological development of energy metabolism. Academic Press, London pp. 25–37
Gitzelmann R, Steinmann B, Mitchell B, Haigis E (1976) Uridine diphosphate galactose 4′-epimerase deficiency. IV. Report of eight cases in three families. Helv Paediatr Acta 31:441–452
Grenier A, Laberge C (1973) Rapid method for screening for galactosemia and galactokinase deficiency by measuring galactose in whole blood spotted on paper. Clin Chem 19:463–465
Hansen RG, Gitzelmann R (1975) The metabolism of lactose and galactose. In: Jeanes A, Hodge J (eds) Physiological effects of food carbohydrates. Am Chem Soc Symp Ser 15: pp 100–122
Isselbacher KJ (1958) A mammalian uridinediphosphate galactose pyrophosphorylase. J Biol Chem 232:429–444
Kalckar HM, Anderson EP, Isselbacher KJ (1956) Galactosemia, a congenital defect in a nucleotide transferase. Biochim Biophys Acta 20:262–268
Kelly S, Desjardins L, Leikhim E (1974) A fluorescent spot test for the detection of galactokinase deficiency. Clin Chim Acta 51:157–161
Kurz G, Wallenfels K (1970) D-Galactose: UV-Test mit Galactose-Dehydrogenase. In: Bergmeyer H-U (ed) Methoden der enzymatischen Analyse. Chemie, Weinheim pp. 1241–1244
Levy HL, Hammersen G (1978) Newborn screening for galactosemia and other galactose metabolic defects. J Pediatr 92:871–877
Mathai CK, Beutler E (1966) Electrophoretic variation of galactose-1-phosphate uridyltransferase. Science 154:1179–1180
Mitchell B, Haigis E, Steinmann B, Gitzelmann R (1975) Reversal of UDP-galactose 4-epimerase deficiency of human leukocytes in culture. Proc Nat Acad Sci USA 72:5026–5030
Monk AM, Mitchell AJ, Milligan DWA, Holton JB (1977) Diagnosis of classical galactosaemia. Arch Dis Child 52:943–946
Paigen K, Pacholec F (to be published) A new method of screening neonates for galactosemia. J Lab Clin Med
Scherz R, Pflugshaupt R, Butler R (1972) Improved method of mass-screening for galactosemia. Clin Chim Acta 39:109–114
Schön R, Thalhammer O (1977) False-positive galactosaemia screening. Lancet 1:43
Schwarz V, Golberg L, Komrower GM, Holzel A (1956) Some disturbances of erythrocyte metabolism in galactosaemia. Biochem J 62:34–40
Segal S (1978) Disorders of galactose metabolism. In: Stanbury JB, Wyngaarden JB, Fredrickson DS (eds.) MacGraw Hill, New York, pp 160–181
Shih VE, Levy HL, Karolekewicz V, Houghton S, Efron ML, Isselbacher KJ, Beutler E, Mac-Cready RA (1971) Galactosemia screening of newborns in Massachusetts. N Engl J Med 284:753–757
Tedesco TA, Bonow R, Miller K, Mellman WJ (1972) Galactokinase: Evidence for a new racial polymorphism. Science 178:176–178
Thalhammer O, Gitzelmann R, Pantlitschko M (1968) Hypergalactosemia and galactosuria due to galactokinase deficiency in a newborn. Pediatrics 42:441–445
Vigneron C, Marchal C, Deifts C, Vidailhet M, Pierson M, Neimann N (1970) Déficit partiel et transitoire en galactokinase érythrocytaire chez un nouveau-né. Arch Fr Pédiatr 27:523–531
Weidemann G (1971) Screening-Test zum Nachweis einer Galaktosämie. Z klin Chem 9:527
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Gitzelmann, R. (1980). Newborn Screening for Inherited Disorders of Galactose Metabolism. In: Bickel, H., Guthrie, R., Hammersen, G. (eds) Neonatal Screening for Inborn Errors of Metabolism. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-67488-4_7
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DOI: https://doi.org/10.1007/978-3-642-67488-4_7
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