Reduced activity of serum lactate dehydrogenase (LDH; EC 1.1.1.27) was foun
d in a male medical student during practical examinations of his own blood.
Serum LDH isoenzyme pattern showed reductions in activities of the isoenzy
mes with lower subunit A/B ratios such as LDH1 and LDH2. These findings wer
e indicative of a partial LDH-B subunit deficiency, which was confirmed in
erythrocyte hemolysates by Western blotting. Polymerase chain reaction (PCR
)-based DNA sequence analysis of the LDH-B subunit gene revealed a heterozy
gous nucleotide change: a guanine to adenine substitution in codon 69 (GGG
--> GAG) at the third exon of the LDH-B subunit gene that resulted in a gly
cine to glutamic acid substitution (G69E). The mutation was confirmed by PC
R-restriction fragment length polymorphism (RFLP) analysis using a mismatch
ed primer to introduce a new NcoI restriction site. The same heterozygous m
utation was found in his mother but not in other family members. This mutat
ion involves a residue belonging to alphaC helix in LDH-B subunit protein m
olecule that functions as an interface for other subunits. (C) 2001 Academi
c Press.