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Clinical Biochemistry of Domestic Animals (Sixth Edition) - UMK ...

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IV. Porphyrias<br />

249<br />

i . Urine It is known that porphyrin excretion varies over<br />

wide limits. Jorgensen (1961) in 52 cases found values for<br />

urinary uroporphyrins between 6.3 to 3900 μ g/dl (0.076<br />

to 46.96 μ mol/l) and coproporphyrins between 2.1 and<br />

8300 μ g/dl (0.032 to 126.74 μ mol/l). At concentrations <strong>of</strong><br />

100 μ g/dl (1.53 μ mol/l) or more, a reddish discoloration<br />

is discernible in the urine. At 1000 μ g/dl (15.27 μ mol/l) or<br />

more, an intense red fluorescence <strong>of</strong> the urine is readily<br />

observed when examined in the dark with Woods light.<br />

The principal porphyrins excreted are URO I and COPRO<br />

I and only a small fraction is <strong>of</strong> the type III isomers. The<br />

percentage <strong>of</strong> each appearing in the urine is also variable.<br />

There is usually a greater excretion <strong>of</strong> URO I than COPRO<br />

I, but Jorgensen (1961) observed a greater excretion <strong>of</strong><br />

COPRO I than URO I.<br />

Porphobilinogen is not usually found in bovine CEP<br />

urine, and earlier reports <strong>of</strong> its presence ( Jorgensen and<br />

With, 1955 ) have not been confirmed ( Jorgensen, 1961 ).<br />

Normally colored, nonfluorescent urine <strong>of</strong> a CEP cow has<br />

consistently given a definite pink Ehrlich reaction, but<br />

unlike porphobilinogen aldehyde, the pigment is soluble in<br />

chlor<strong>of</strong>orm. The nature <strong>of</strong> the pigment is unknown. Upon<br />

heating on a steam bath for an hour or standing at room temperature<br />

for several days, a red fluorescence is apparent on<br />

exposure to UV light. Quantitative porphyrin determinations<br />

<strong>of</strong> this urine yielded values <strong>of</strong> 135 μg/dl (1.63μmol/l) and<br />

87 μg/dl (1.33μ mol/l) for uroporphyrin and coproporphyrin,<br />

respectively. Watson et al. (1959) also described a similar<br />

experience with bovine CEP urine.<br />

ii . Bile and Feces Bovine fecal porphyrins may be derived<br />

from two sources: the bile and from chlorophyll <strong>of</strong> the food.<br />

The porphyrins derived from chlorophyll are excluded by<br />

the usual analytical method. Essentially, the only porphyrin<br />

found in the bile and feces <strong>of</strong> CEP cattle is COPRO I, and its<br />

concentration varies over wide limits ( Tables 8-4 and 8-5 ).<br />

Fecal coproporphyrin varied between 1.9 and 11,800 μg/g<br />

(0.003 to 18.0 μ mol/g) and biliary coproporphyrin between<br />

320 and 13,600 μg/dl (4.88–207.67μmol/l) (Jorgensen, 1961 ) .<br />

Only small amounts <strong>of</strong> COPRO III have been observed in<br />

feces. Watson et al. (1959) also observed this preponderance<br />

<strong>of</strong> COPRO I in feces and also reported the presence <strong>of</strong> small<br />

amounts <strong>of</strong> URO I.<br />

iii . Plasma and Erythrocytes Only traces <strong>of</strong> free porphyrins<br />

are normally present in the plasma and in the erythrocytes.<br />

In bovine CEP plasma, Watson et al. (1959) observed<br />

variable amounts <strong>of</strong> porphyrins that were in general equally<br />

URO I (1 to 27 μg/dl; 0.012-0.33μ mol/l) and COPRO I (4.2<br />

to 25 μ g/dl; 0.064 to 0.38 μ mol/l). A striking difference<br />

as compared to the human disease was the high level <strong>of</strong><br />

free protoporphyrin in the erythrocytes <strong>of</strong> the CEP cow.<br />

The significance <strong>of</strong> this high level <strong>of</strong> protoporphyrin was<br />

unclear but was most likely related to the severe hemolytic<br />

TABLE 8-5 Porphyrins in Blood and Excreta <strong>of</strong> Normal, Porphyric, and Porphyria Carrier Cattle a<br />

Erythrocytes Plasma Urine Feces<br />

<strong>Animals</strong> c COPRO b PROTO COPRO PROTO COPRO URO COPRO PROTO<br />

Normal Mature Cows (N 10)<br />

Trace Trace Trace Trace 2.05–6.15 0.80–1.60 111–428 15–125<br />

(4.06) (1.09) (312 96) (75 30)<br />

Mature Porphyric Cows<br />

1184 3.0 61 15.3 1.8 410 378 5670 46<br />

652 (N 3) 3.4 64 4.5 1.6 313 336 1900 12<br />

2026 (N 2) 3.1 457 8.9 1.5 498 487 2090 62<br />

718 89.7 36 1450 1280<br />

Mature Porphyria Carrier Cows<br />

1140 Trace Trace Trace Trace Trace Trace 292 88<br />

1141 Trace Trace Trace Trace Trace Trace 273 92<br />

Porphyric Calves, 2 to 6 Months Old<br />

1857 (N 3) 2.9 109 1.5 Trace 13 70 796 144<br />

1801 (N 3) 7.8 104 38.4 2.6 1430 1144 12 72<br />

1959 18.6 288 Trace Trace 480 265 22 99<br />

Porphyria Carrier Calf, 5 Months Old<br />

1802 Trace Trace Trace Trace Trace Trace 495 40<br />

a<br />

Values are means given in micrograms per deciliter or micrograms per 100 g; values in parentheses are means plus or minus a single standard deviation ( Kaneko and Mills, 1970 ).<br />

b<br />

Abbreviations: COPRO, coproporphyrins; PROTO, protoporphyrins; URO, uroporphyrins.<br />

c<br />

N denotes number <strong>of</strong> animals or number <strong>of</strong> determinations per animal.

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