@article{3097135, title = "Erythrocyte membrane acetylcholinesterase, Na+,K+-ATPase and Mg2+-ATPase activities in patients with classical galactosaemia", author = "Tsakiris, S and Michelakakis, H and Schulpis, KH", journal = "ACTA PAEDIATRICA SCANDINAVICA", year = "2005", volume = "94", number = "9", pages = "1223-1226", publisher = "Wiley", doi = "10.1080/0803525051003096", keywords = "galactosaemia; AChE; Na+,K+-ATPase; Mg2+-ATPase", abstract = "Background: Classical galactosaemia is commonly presented by high blood galactose ( Gal) and galactose-1-phosphate (Gal-1-P) levels followed by mental retardation, seizures, etc. dependent on the mutation of the patients. Aim: To evaluate Gal and Gal-1-P in the blood of patients and to correlate their levels with their erythrocyte membrane acetylcholinesterase (AChE), Na+, K+- ATPase and Mg2+-ATPase activities. Methods: Blood was obtained from nine patients on poor diet ( group B) followed by a 30-d strict diet ( group A) and controls ( group C) in order to evaluate Gal and Gal-1-P in Guthrie cards and to correlate their concentrations with the above enzyme activities, which were measured spectrophotometrically. Results: With the patients on a “loose” diet, AChE, Na+, K+-ATPase and Mg2+- ATPase activities were found to be decreased, as compared with those on strict diet and controls. Significantly ( p<0.01) inverse correlation coefficients of the enzyme activities were found with Gal-1-P levels. Conclusion: ( a) AChE, Na+, K+- ATPase and Mg2+- ATPase activities were determined to be decreased in poorly controlled patients with classical galactosaemia. (b) The enzyme activities were inversely correlated with the Gal-1-P blood levels. ( c) Since Na+, K+- ATPase in the erythrocyte membranes is the isomer of Na+, K+- ATPase distributed in many tissues and in the brain, evaluation of the enzyme activity in the erythrocytes could be a useful peripheral marker of Gal-1-P toxicity." }