CHARACTERIZATION OF GLYCOSYLATED HEMOGLOBINS - RELEVANCE TO MONITORING OF DIABETIC CONTROL AND ANALYSIS OF OTHER PROTEINS
CHARACTERIZATION OF GLYCOSYLATED HEMOGLOBINS - RELEVANCE TO MONITORING OF DIABETIC CONTROL AND ANALYSIS OF OTHER PROTEINS
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DOI:
10.1172/jci110856
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发表时间:
1983-01-01
影响因子:
15.9
通讯作者:
BUNN, HF
中科院分区:
文献类型:
--
作者:
GARLICK, RL;MAZER, JS;BUNN, HF
Boronate affinity chromatography and ion exchange chromatography were used to measure the levels of glycosylated Hb in [human] normal and diabetic hemolysates, as well as the distribution of glucose adducts on .alpha.-NH2-valine and .epsilon.-NH2-lysine residues. When analyzed by ion exchange chromatography on BioRex 70 resin, the Hb AIc peak comprised 4.4 .+-. 0.6% of 15 normal hemolysates and 9.1 .+-. 2.1% of 15 diabetic hemolysates. The Hb AIc was rechromatographed on GlycoGel B boronate affinity resin that binds vicinal hydroxyl groups of covalently linked sugars. Only 70 .+-. 5% of the Hb adhered to the resin. Analysis by the thiobarbituric acid colorimetric test confirmed that the affinity resin effectively separated glycosylated from nonglycosylated Hb. When corrected for nonglycosylated contaminants, the mean level of Hb AIc in normal hemolysates was 2.9 .+-. 0.4%, a value considerably lower than those previously reported. In addition to Hb AIc, 5.2 .+-. 0.5% of the remaining Hb (Hb Ao) was glycosylated. In diabetics, glycosylated Ao was increased in parallel with Hb AIc. After reduction with [3H]borohydride and acid hydrolysis, glycosylated amino acids were first purified on Affi-Gel boronate affinity resin and then analyzed by ion exchange chromatography. The glucose adducts on Hb Ao were distributed as follows: .alpha.-chain N-terminal valine, 14%; .alpha.-chain lysines, 40%, .beta.-chain lysines, 46%. Several pitfalls in the analysis of nonenzymatically glycosylated proteins were revealed. Peaks isolated by ion exchange chromatography or electrophoresis are likely to be contaminated by nonglycosylated proteins. Both the thiobarbituric acid test and [3H]borohydride reduction show variable reactivity depending upon the site of the ketoamine-linked glucose.