PNH and the GPI-Linked Proteins

Young, Neal S.; Moss, Joel

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Table of contents
  • Cover
  • Copyright Pageiv
  • Contentsv
  • Contributorsxi
  • Prefacexiii
  • Chapter 1. A Brief History of PNH1
  • The Diagnosis of PNH8
  • Summary15
  • References16
  • Chapter 2. Genetics of PNH21
  • Biochemical Genetics of PNH in Somatic Cells21
  • The PIG-A Gene23
  • The PIG-A Protein24
  • Detecting Mutations in the PIG-A Gene27
  • Germ Line PIG-A Mutations32
  • The Spectrum of Somatic Mutations in the PIG-A Gene33
  • PIG-A Mutations without PNH40
  • Structure–Function Relationships41
  • Correlation between Phenotypes and Genotypes42
  • Comparison of the Spectrum of Mutations in Three X-Linked Genes: PIG-A, FVIII, and G6PD42
  • Conclusion43
  • References44
  • Chapter 3. Hemolysis in PNH49
  • Introduction49
  • The Classical Pathway of Complement55
  • The Alternative Pathway of Complement61
  • Phenotypic Mosaicism64
  • Functional Basis of the Abnormal Sensitivity of the Erythrocytes of PNH to Complement-Mediated Lysis68
  • Treatment of Hemolysis83
  • Summary and Conclusions86
  • References89
  • Chapter 4. Thrombotic Complications in PNH101
  • Introduction101
  • Incidence of Thrombosis in PNH102
  • Factors Associated with Venous Thrombosis103
  • Platelet Abnormalities in PNH104
  • Role of Red Cell and Platelet Microvesicles107
  • Urokinase Activator Receptor (uPAR) and Cell-Mediated Fibrinolysis108
  • Treatment of Thrombosis in PNH109
  • Summary109
  • References110
  • Chapter 5. Bone Marrow Failure in PNH113
  • Introduction113
  • Pathophysiology of Marrow Failure in PNH115
  • An Immune Model of PNH Pathogenesis120
  • Clinical Course and Treatment of Marrow Failure in PNH127
  • Summary130
  • References131
  • Chapter 6. Animal Models of PNH139
  • Introduction139
  • Mouse Piga Gene141
  • In Vitro Differentiation of PIGA(– ) ES Cells143
  • Chimeric Mice Bearing PIGA(– ) Hematopoietic Stem Cells149
  • Hematopoiesis by Cells from Patients with PNH in SCID Mice154
  • Conclusions and Perspectives155
  • References155
  • Chapter 7. The Function of GPI-Anchored Proteins159
  • Introduction159
  • GPI-Linked Proteins and Cell Signaling161
  • Role of GPI-Anchored Proteins in Insulin Action166
  • GPI-Anchored Proteins Function as Receptors166
  • GPI Anchors and Membrane Structure168
  • Summary170
  • References171
  • Chapter 8. GPI in Lower Animals179
  • Introduction179
  • Structures of Protozoal GPIs180
  • Evidence for GPI-Mediated Signaling in Mammalian Cell Biology182
  • Signal Transduction in Host Cells by Protozoal GPIs185
  • Parasite GPIs as Functional Toxins and Pathogenicity Factors187
  • Regulation of Macrophage Function by Glycoconjugates of Leishmania188
  • Regulation of Host Cells by Ceramide-Containing GPIs of T. cruzi189
  • Insulin-Mimetic Activities of Protozoal GPIs189
  • CD1d-Restricted NK T Cells and Immunity to GPI-Anchored Proteins190
  • Conclusions191
  • References192
  • Chapter 9. Synthesis of the GPI Anchor199
  • Introduction199
  • GPI Biosynthetic Pathway200
  • Mammalian and Yeast GPI-Anchor Defective Mutants203
  • GPI-Anchor Addition to Proteins207
  • Biological Implications of GPI Anchoring210
  • Conclusions213
  • References214
  • Chapter 10. Functional and Structural Organization of GPI-Anchored Proteins in Cellular Membranes221
  • Introduction221
  • GPI-Anchor Function and the ‘‘Raft’’ Hypothesis221
  • Lateral Heterogeneity in Cell Membranes222
  • Detergent-Resistant Membranes and Their Connection with Rafts223
  • Evidence for Rafts in Living Cell Membranes227
  • Involvement of Rafts in Biosynthetic and Endocytic Sorting230
  • Rafts and Signaling by GPIAPs232
  • In Conclusion233
  • References233
  • Chapter 11. Structure and Function of GPI-Specific Phospholipases239
  • Introduction: GPI Anchors and Phospholipases239
  • Biochemical Properties of Plasma GPI-PLD245
  • Distribution of GPI-PLD in Tissues and Cells252
  • Physiological Role of GPI-PLD257
  • References262
  • Appendix: Sequence of the Coding Region of the Human PIG-A Gene269
  • Index271
Book details
  • Vendor Elsevier S & T
  • SKU 9780127729404
  • ISBN-13 9780080492094
  • Author Young, Neal S.; Moss, Joel
  • Category Medical
  • Subject Hematology

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Paroxysmal Nocturnal Hemoglobinuria (PNH) has been recognized for over a century. This mysterious disease is now understood at the level of the gene and the protein. The pathophysiology is related to a class of cell surface proteins with distinctive biochemical and physical characteristics. Recently it has been acknowledged that PNH is not rare, and once sensitive assays--based on the chemistry of the proteins--can be applied to many patients.
Written by international experts in the field, this book includes a number of distinctive characteristics, such as the clinical features of PNH, the mechanism of hemolysis, the biochemistry of glycosylphosphoinositol anchors, and the chemistry and biophysics of GPI-anchored proteins.
This unique and timely volume will have a wide audience, including hematologists and oncologists with a clinical interest in this disease, as well as basic biochemists, immunologists, and cell biologists studying this class of proteins.

Key Features
* Outlines the chemical features of PNH
* Explains the mechanism of hemolysis
* Includes work on the biochemistry of glycophosphoinositol anchors
* Contains descriptions of the chemistry and biophysics of GPI-anchored proteins