Blood Journal
Leading the way in experimental and clinical research in hematology

Methemoglobin Reductase (Cytochrome b5 Reductase) Deficiency in Congenital Methemoglobinemia

  1. Takeshi Kitao,
  2. Yoshiki Sugita,
  3. Yoshimasa Yoneyama, and
  4. Kenichi Hattori
  1. Department of Internal Medicine and Department of Biochemistry, School of Medicine, Kanazawa University, Kanazawa, Japan.

Abstract

Two NADH diaphorases, diaphorase I and II, were isolated from normal red cells and congenital methemoglobinemic red cells by CM-cellulose and DE 32 column chromatography. For methemoglobinemic sample, activities of diaphorase I and diaphorase II were 80% and less than 5% of those for the normal red cells, respectively. Only diaphorase II showed cytochrome b5 reductase activity. The cytochrome b5 reductase deficiency seems to manifest methemoglobinemia through the decrease in the enzymatic reduction of cytochrome b5 and subsequent nonenzymatic reduction of methemoglobin by the reduced cytochrome b5. The methemoglobinemic diaphorase II was found similar to the normal enzyme with respect to Kms for the dye and NADH, heat stability, effect of pH, and electrophoretic pattern. The ratio of the diaphorase activity to the cytochrome b5 reductase activity was the same for both enzymes. Although the production of an abnormal enzyme molecule can not be excluded, it is possible that in this case the rate of enzyme formation is decreased.

  • Submitted October 10, 1973.
  • Accepted May 30, 1974.