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[Histidine tolerance in low skin histidase activity]
Summary
Deaf patients with low skin histidase activity showed normal histidine tolerance after loading, suggesting heterozygosity for histidinaemia. Abnormal imidazole compounds were detected, indicating potential biochemical heterogeneity.
Area of Science:
- Biochemistry
- Genetics
- Otolaryngology
Background:
- Histidinaemia is an inborn error of histidine metabolism.
- Reduced histidase activity in the stratum corneum is linked to histidinaemia.
- Deafness is sometimes associated with metabolic disorders.
Purpose of the Study:
- To investigate histidine metabolism in deaf patients with low skin histidase activity.
- To assess for histidinaemia and its potential link to deafness.
- To explore the biochemical heterogeneity of histidinaemia.
Main Methods:
- Oral histidine loading test (100 mg L-His/kg body weight).
- Measurement of plasma phenylalanine and histidine levels.
- Thin-layer chromatography of imidazole compounds.
Main Results:
- Deaf patients exhibited an elevated phenylalanine/tyrosine quotient.
- Basal histidine levels were slightly elevated but not statistically significant.
- No significant differences in histidine tolerance curves were observed post-loading.
- Abnormal imidazole compounds were detected after histidine loading.
Conclusions:
- The findings suggest heterozygosity for histidinaemia in the studied deaf patients.
- The results highlight the clinical and biochemical heterogeneity of histidinaemia.
- Further research is needed to clarify the relationship between histidine metabolism, deafness, and histidinaemia.