Related Experiment Video
Updated: Jul 30, 2026

In Vitro Enzyme Measurement to Test Pharmacological Chaperone Responsiveness in Fabry and Pompe Disease
Published on: December 20, 2017
[Alpha-1 antitrypsin deficiency. A diagnostic approach and case report]
E Mazzoleni1, G Munafò, E Pelizzari
1Day-Hospital di Pediatria, USSL 35, Ospedale Civile di Palazzolo s/o, (Bresica).
Insights
Alpha 1-antitrypsin deficiency (AATD) can cause liver and lung disease. This study identified an asymptomatic PiZZ phenotype AATD case through incidental lab findings.
Area of Science:
- Genetics
- Hepatology
- Pulmonology
Background:
- Alpha 1-antitrypsin deficiency (AATD) is a genetic disorder.
- PiZ and PiZZ phenotypes are associated with liver and lung diseases.
- Early diagnosis is crucial for managing AATD complications.
Observation:
- The study presents a case of PiZZ phenotype AATD.
- The patient was asymptomatic.
- Diagnosis was incidental, prompted by abnormal lab results.
Findings:
- Altered transaminase and alpha 1-globulin levels were key diagnostic indicators.
- Genetic and clinical data supported the diagnosis.
- This highlights the potential for identifying AATD in unexpected ways.
Implications:
- Suggests routine screening for AATD may be beneficial in specific contexts.
- Underscores the importance of investigating abnormal liver function tests.
- Highlights the variable clinical presentation of AATD, even in severe genotypes.
Abstract:
Subjects with alpha 1-antitrypsin deficiency, Pizz, are often subject to hepatopathies in infancy and pneumopathies in adulthood. The authors make a number of genetic and clinical observations together with a laboratory diagnosis of alpha 1-antitrypsin and describe an asymptomatic clinical case in which the diagnosis of alpha 1-antitrypsin in a PiZZ phenotype was made following the initial and occasional finding of altered transaminase and alpha 1-globulin values.
Related Concept Videos
Allosteric Proteins-ATCase
Aspartate transcarbamoylase (ATCase) is a cytosolic enzyme that catalyzes the condensation of L-aspartate and carbamoyl phosphate to N-carbamoyl-L-aspartate. This reaction is the first step in pyrimidine biosynthesis. UTP and CTP, the end products of the pyrimidine synthesis pathway,...
Chronic Obstructive Pulmonary Disease II: Emphysema

