Nj. Keevill et al., THE INVESTIGATION OF UDPGLUCOSE AND UDPGALACTOSE CONCENTRATION IN RED-BLOOD-CELLS OF PATIENTS WITH CLASSICAL GALACTOSEMIA, Clinica chimica acta, 221(1-2), 1993, pp. 135-142
UDPGlucose (UDPGlc) and UDPGalactose (UDPGal) are nucleotide sugars fo
rmed via the galactose metabolic pathway and are essential cofactors f
or the incorporation of galactose and glucose into complex glycoprotei
ns and glycolipids. It has been proposed that in classical galactosaem
ia, where the enzyme galactose-1-phosphate uridyl transferase is defic
ient, the reaction product UDPGal is reduced leading to the long-term
complications associated with the disease. We have measured the concen
tration of UDPGal and UDPGlc in red blood cells by high performance li
quid chromatography (HPLC) in 16 children and 15 adult galactosaemics
and compared the results with 30 and 27 control children and adults, r
espectively. The results indicate that UDPGal levels were found to be
significantly reduced in galactosaemic patients and UDPGlc/UDPGal rati
os significantly increased.