Abstract
The alkaline serum phosphatase has been studied by starch gel electrophoresis in 746 healthy individuals, 62 patients with duodenal ulcer, 95 patients with stomach ulcer, and 65 patients with stomach cancer (Fig. 1, Table 1). The previously reported quantitative variations of the B-component of alkaline phosphatase, which is presumably identical with the intestinal component, has been confirmed. The variations of the B-component are associated with the ABO blood group system, the Lewis blood group system, and the ABH secretor status; they are also influenced by diet.
In a sample of 637 healthy, nonfasting persons the B-component was positively correlated to the O, B and Le(a-/b+) blood groups and to ABH secretion. The B-component was negatively associated with the A1 and Le(a+/b-) blood groups and the ABH non-secretor status (Table 2 and 3).
In a sample of 109 fasting healthy individuals the B-component was less frequent and also less intense if present. Nevertheless, the same correlations to the ABO and Lewis blood groups and the ABH secretor status are found as in the non-fasting control (Table 5 and 6).
In three persons the increase of the B-component of alkaline phosphatase in serum was followed after intake of a fatty meal (Table 7, Fig. 2 and 3).
In patients with duodenal ulcer, stomach ulcer and stomach cancer the B-component is less frequent and less intense than in the control group of fasting healthy individuals. This deviation is related to differences in the diet or to disturbances of the gastrointestinal functions in these patients. There was no clear indication of a connection between the B-component of alkaline phosphatase and the ABO blood groups association with these gastrointestinal diseases (Table 8, 9, and 10).
Zusammenfassung
Mit Hilfe der Stärkegelelektrophorese wurden die phänotypischen Variationen der alkalischen Serumphosphatase bei 746 Gesunden, 62 Patienten mit Ulcus duodeni, 95 Patienten mit Ulcus ventriculi und 65 Patienten mit Magencarcinom untersucht. Die Beziehungen der quantitativen Variationen der langsamer wandernden B-Komponente zum ABO-Blutgruppensystem, zum Lewis-Blutgruppensystem, zum ABH-Ausscheidersystem und ihre Abhängigkeit von der Nahrungszufuhr werden bestätigt.
Bei der Untersuchung von 637 nicht nüchternen Gesunden wurde eine positive Korrelation der B-Bande zu den Blutgruppen O, B und Le(a-/b+) und den Ausscheidern von ABH-Substanzen gefunden. Eine negative Korrelation der B-Bande fand sich zu den Blutgruppen A1, Le(a+/b-) und den Nichtausscheidern von ABH-Substanzen.
Bei einem Vergleichskollektiv von 109 nüchternen Gesunden wurde im Prinzip wieder die gleiche Korrelation gefunden. Die Häufigkeit und auch die Intensität der B-Bande war jedoch insgesamt geringer als bei den nicht nüchternen Gesunden.
Nach Nahrungsaufnahme kommt es zu einem Anstieg der Intensität der B-Komponente der alkalischen Phosphatase im Serum, wie in einem Diätversuch bei drei Personen gezeigt werden konnte.
Bei Patienten mit Ulcus duodeni, Ulcus ventriculi und Carcinoma ventriculi war sowohl die Häufigkeit als auch die Intensität der B-Bande geringer als bei Gesunden. Diese Abweichung wird auf eine Änderung der Ernährungsweise oder eine Störung im Bereich des Gastrointestinaltraktes zurückgeführt. Für einen Zusammenhang zwischen der B-Komponente der alkalischen Serumphosphatase und der bekannten ABO-Blutgruppenassoziation der drei untersuchten gastrointestinalen Erkrankungen ergab sich kein eindeutiger Hinweis.
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Fichtner, K., Cleve, H., Krüpe, M. et al. Die blutgruppenassoziierten Elektrophoresetypen der alkalischen Serumphosphatase bei Gesunden und bei Patienten mit gastrointestinalen Erkrankungen. Hum Genet 4, 244–261 (1967). https://doi.org/10.1007/BF00292197
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DOI: https://doi.org/10.1007/BF00292197