Literature DB >> 32042814

Plasma inorganic pyrophosphate and alkaline phosphatase in patients with pseudoxanthoma elasticum.

Ana María Sánchez-Tévar1, María García-Fernández2, Belén Murcia-Casas3, José Rioja-Villodres1,4, Juan Luis Carrillo3, Marta Camacho5, Matthias Van Gils6,7, Miguel Angel Sánchez-Chaparro1,3,4, Olivier Vanakker6,7, Pedro Valdivielso1,3,4.   

Abstract

BACKGROUND: Inorganic pyrophosphate (PPi) plays a major role inhibiting dystrophic calcification. The aim was to analyze levels of PPi in patients having pseudoxanthoma elasticum (PXE), and controls as well as the enzymes who regulate the PPi plasma concentration.
METHODS: We collected fasting blood samples from PXE patients and age- and sex-matched controls in ethylenediamine tetraacetic acid (EDTA) and citrate-theophylline-adenosine-dipyridamole (CTAD) containing tubes. We measured PPi, ENPP1 mass and activity, alkaline phosphatase (AP) and tissue non-specific alkaline phosphatase (TNAP), CD73 and Human Platelet Factor-4 (CXCL4).
RESULTS: PPi in EDTA and CTAD samples were lower in PXE subjects than in controls (1.11±0.26 vs. 1.43±0.41 µM/L and 0.35±0.15 vs. 0.61±0.18 µM/L respectively, P<0.05). TNAP and liver TNAP activities were also higher in PXE than in controls (80.3±27.0 vs. 63.3±16.4 UI/L and 25.6±14.9 vs. 12.9±9.2 UI/L respectively, P<0.05). ENPP1 mass and activity as well as CD73 were almost identical. There was a weak but significant inverse correlation between TNAP activity and PPi levels (Pearson correlation -0.379, P<0.05) in both groups.
CONCLUSIONS: High TNAP activity seems to contribute to low plasma levels of PPi in subjects with PXE, reinforcing the idea that pharmacological reduction of TNAP activity may help to reduce dystrophic calcification in PXE patients. 2019 Annals of Translational Medicine. All rights reserved.

Entities:  

Keywords:  CD73; ENPP1; Pseudoxanthoma elasticum (PXE); alkaline phosphatase (AP); calcification; inorganic pyrophosphate (PPi); non-specific tissue alkaline phosphatase (TNAP)

Year:  2019        PMID: 32042814      PMCID: PMC6989879          DOI: 10.21037/atm.2019.12.73

Source DB:  PubMed          Journal:  Ann Transl Med        ISSN: 2305-5839


  29 in total

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Review 4.  Cellular signaling in pseudoxanthoma elasticum: an update.

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8.  Ectopic calcification in pseudoxanthoma elasticum responds to inhibition of tissue-nonspecific alkaline phosphatase.

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Review 10.  Endogenous Calcification Inhibitors in the Prevention of Vascular Calcification: A Consensus Statement From the COST Action EuroSoftCalcNet.

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Journal:  Front Cardiovasc Med       Date:  2019-01-18
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4.  Arterial Calcifications in Patients with Liver Cirrhosis Are Linked to Hepatic Deficiency of Pyrophosphate Production Restored by Liver Transplantation.

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7.  Skin and Arterial Wall Deposits of 18F-NaF and Severity of Disease in Patients with Pseudoxanthoma Elasticum.

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Review 8.  Therapeutics Development for Pseudoxanthoma Elasticum and Related Ectopic Mineralization Disorders: Update 2020.

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  8 in total

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