Pyruvate kinase and the "high ATP syndrome"

G E Staal, G Jansen, D Roos

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The erythrocytes of a patient with the so-called "high ATP syndrome" were characterized by a high ATP content and low 2,3-diphosphoglycerate level. The pyruvate kinase activity was specifically increased (about twice the normal level). After separation of the erythrocytes according to age by discontinuous Percoll density centrifugation, the pyruvate kinase activity was found to be increased in all Percoll fractions. Pyruvate kinase of the patient's cells was characterized by a decreased K0.5 for the substrate phosphoenolpyruvate and no inhibition by ATP. The Michaelis constant (Km) value for ADP, the nucleotide specificity, the thermostability, pH optimum, and immunological specific activity were normal. It is concluded that the high pyruvate kinase activity is due to a shift in the R(elaxed) in equilibrium T(ight) equilibrium to the R(elaxed) form.

Original languageEnglish
Pages (from-to)231-5
Number of pages5
JournalJournal of clinical investigation
Issue number1
Publication statusPublished - Jul 1984


  • 2,3-Diphosphoglycerate
  • Adenosine Triphosphate/blood
  • Diphosphoglyceric Acids/blood
  • Erythrocyte Aging
  • Erythrocytes/metabolism
  • Glucosephosphate Dehydrogenase/blood
  • Glycolysis
  • Hemoglobins/analysis
  • Hexokinase/blood
  • Humans
  • Kinetics
  • Metabolism, Inborn Errors/blood
  • Pyruvate Kinase/blood
  • Reference Values

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