Eosinophil peroxidase

Last updated
EPX
Identifiers
Aliases EPX , EPO, EPP, EPX-PEN, EPXD, eosinophil peroxidase
External IDs OMIM: 131399 MGI: 107569 HomoloGene: 20144 GeneCards: EPX
Orthologs
SpeciesHumanMouse
Entrez
Ensembl
UniProt
RefSeq (mRNA)

NM_000502

NM_007946

RefSeq (protein)

NP_000493

NP_031972

Location (UCSC) Chr 17: 58.19 – 58.21 Mb Chr 11: 87.75 – 87.77 Mb
PubMed search [3] [4]
Wikidata
View/Edit Human View/Edit Mouse

Eosinophil peroxidase is an enzyme found within the eosinophil granulocytes, innate immune cells of humans and mammals. This oxidoreductase protein is encoded by the gene EPX, expressed within these myeloid cells. EPO shares many similarities with its orthologous peroxidases, myeloperoxidase (MPO), lactoperoxidase (LPO), and thyroid peroxidase (TPO). The protein is concentrated in secretory granules within eosinophils. Eosinophil peroxidase is a heme peroxidase, its activities including the oxidation of halide ions to bacteriocidal reactive oxygen species, the cationic disruption of bacterial cell walls, and the post-translational modification of protein amino acid residues.

Contents

The major function of eosinophil peroxidase is to catalyze the formation of hypohalous acids from hydrogen peroxide and halide ions in solution. For example:

H2O2 + BrHOBr + H2O

Hypohalous acids formed from halides or pseudohalides are potent oxidizing agents. [lower-alpha 1] However, the role of eosinophilic peroxidase seems to be to generate hyphalous acids largely from bromide and iodide rather than chloride, since the former are favored greatly over the latter. The enzyme myeloperoxidase is responsible for formation of most of the hypochlorous acid in the body, and eosinophil peroxidase is responsible for reactions involving bromide and iodide.

Gene

The open reading frame of human eosinophil peroxidase was found to have a length of 2,106 base pairs (bp). This comprises a 381-bp prosequence, a 333-bp sequence encoding the light chain and a 1,392-bp sequence encoding the heavy chain. In addition to these there is a 452-bp untranslated region at the 3' end containing the AATAAA polyadenylation signal. [5]

The promoter sequence for human eosinophil peroxidase is an unusually strong promoter. All the major regulatory elements are located within 100 bp upstream of the gene. [6]

The profile of EPX expression has been characterized and is available online via BioGPS. This dataset indicates that both in humans and mice, EPX is only expressed in the bone marrow. At this level, it is more than 30 times the average level of expression over all tissues in the body.

Protein

The polypeptide chain is processed proteolytically into a heavy and a light chain during maturation. However, the two chains are still intimately connected not least of all by the covalently linked heme cofactor. The protein is produced on ribosomes embedded on the surface of the endoplasmic reticulum, since it must be ultimately localized to the granules. The precursor protein goes through the following processing steps before becoming active:

Unlike MPO, heme in EPO is not linked via methionine. This affects the catalytic characteristics (see Active site). [9]

Secondary structure

Eosinophil peroxidase is a predominately α-helical heme-containing enzyme. The core of the catalytic domain surrounding the active site consists of six α-helices, five from the heavy polypeptide chain and one from the light. [11] The fold of the enzyme is known as the heme peroxidase fold, conserved among all members of this gene family. However, not all members possess peroxidase activity. [9]

The calcium ion binding site has typical pentagonal bipyramidal geometry. It is bound within a loop of eight residues of the heavy chain. Ligands are provided by serine and threonine hydroxyl; backbone carbonyl; and carboxylic acid groups, one of which comes from the light polypeptide chain. The calcium site serves not only as a scaffold for protein folding, but also for proper association of the two chains. In fact, when the calcium ion is removed, the protein precipitates out of solution. [11]

Tertiary structure

The protein contains only a single modular domain. In this respect it is primarily a metabolic enzyme or terminal effector; it has little role in cellular signalling pathways. The overall structure of the four mammalian heme peroxidases (MPO, LPO, EPO and TPO) is almost identical. [9] However, MPO is unique in existing as a catalytic dimer bridged by a disulphide bond. [10] One of the first aspects known of eosinophil peroxidase was that it was highly cationic, as indicated by its high isoelectric point (see Protein). Eosinophil peroxidase has not been characterized by X-ray crystallography. However, a direct correspondence between the absorption spectra of EPO, TPO and LPO as well as high sequence similarity allows us to compare the properties of the three. Myeloperoxidase's characteristics are somewhat different, owing to its multimerization state as well as its alternative heme linkage. Further, a homology model has been created for EPO based on the X-ray diffraction structure. [10]

The fold is highly conserved and seems to be optimized for catalytic function. However, differences exist which unsurprisingly account for differences in substrate specificity among peroxidases. This furcation is commonplace in the study of protein evolution. Structural features which are highly necessary for function are subjected to strong conservation pressure, while regions distant from the active site undergo genetic drift. This can lead to the specialization or differentiation of function arising from modification of an enzymatic core moiety. For example, the closely related thyroid peroxidase catalyzes a specific oxidation reaction in the biosynthesis of a hormone, while other heme peroxidases fulfill roles in immune defense and redox signalling.

Quaternary structure

Human EPO is known to exist as a soluble monomer. [9]

Active site

Left: protoporphyrin IX. Right: modified form of heme cofactor released from peroxidase by protease digestion under nonreducing conditions. Eosinophil peroxidase - Demonstration of protoporphyrin linkage.gif
Left: protoporphyrin IX. Right: modified form of heme cofactor released from peroxidase by protease digestion under nonreducing conditions.

The active site of eosinophil peroxidase contains a single iron atom in tetradentate complexation with a protoporphyrin IX cofactor. It is notable in that this prosthetic group is linked covalently to the polypeptide via ester bonds. Asp232 and Glu380 of EPO are covalently linked through their terminal oxygen atoms to the modified side chains of the protoporphyrin. [9] For comparison, in myeloperoxidase, there is a third attachment point, Met243 forming a sulphonium ion bridge with the pendant vinyl group on heme. This feature is absent in EPO and the corresponding residue is threonine.

The fifth ligand of iron is a conserved histidine residue, hydrogen bonded directly to an asparagine residue. [9] These two critical residues ensure that iron has an appropriate Fe(III)/Fe(II) reduction potential for catalysis. The sixth ligands of iron are said to be located on the distal side of the heme group. These include a short water network comprising five molecules; stabilized by hydrogen bonding with histidine, glutamine, and arginine residues. [9] The distal face is used for substrate binding and catalysis.

The crystal structures of MPO have been solved both in native states and with inhibitors bound and are deposited in the Protein Data Bank under the accession numbers 1CXP, 1D5L, 1D2V, and 1D7W.

Active site of eosinophil peroxidase in the resting (reduced) state. Pictured: Proximal histidine-asparagine interaction (bottom); distal histidine and bound water (top). In the oxidized form, the oxyferryl radical takes the place of the bound solvent molecule, and the halide substrate binds alongside that. Not pictured: other bound solvent water molecules. Refer to PDB crystal structures or refs. and. Active site of eosinophil peroxidase.gif
Active site of eosinophil peroxidase in the resting (reduced) state. Pictured: Proximal histidine-asparagine interaction (bottom); distal histidine and bound water (top). In the oxidized form, the oxyferryl radical takes the place of the bound solvent molecule, and the halide substrate binds alongside that. Not pictured: other bound solvent water molecules. Refer to PDB crystal structures or refs. and.

Mechanism

The basic mechanism of heme peroxidases consists in using hydrogen peroxide to produce an activated form of the heme cofactor, in which iron takes the oxidation state +4. The activated oxygen may then be transferred to a substrate in order to convert it into a reactive oxygen species. [9] There are three distinct cycles which EPO can undergo. The first is the halogenation cycle:

[Fe(III)...Por] + H2O2 → [Fe(IV)=O...Por•+] + H2O

where Por denotes the heme cofactor, and • denotes a chemical radical. This activated state of heme is called compound I. In this state oxygen could be described as an oxyferryl species. It's thought that the pi-cation porphyrin radical undergoes reactivity at the methine bridges connecting the four rings. Compound I reduction in the presence of halides X proceeds as follows:

[Fe(IV)=O...Por•+] + X → [Fe(III)...Por] + HOX

Thus, compound I is reduced back to the enzyme's resting state, and halide ions bound in the distal cavity are oxidized to potent oxidizing agents.

However, there is a second cycle wherein compound I can proceed via two one-electron reduction steps to oxidize arbitrary substrates to their radical forms. This process operates on the majority of non-halide substrates. The first step is identical followed by:

[Fe(IV)=O...Por•+] + RH → [Fe(IV)=O...Por] + R + H+
[Fe(IV)=O...Por] + RH → [Fe(IV)=O...Por] + R + H2O

The physiological implications of this second mechanism are important. Eosinophil peroxidase has been demonstrated to oxidize tyrosine residues on proteins, which has also been implicated in reactive oxygen signalling cascades. [12]

The third and less relevant mechanism is the catalase activity of peroxidases. This mechanism appears to operate only in the absence of one-electron donors. [9]

[Fe(IV)=O...Por•+] + H2O2 → [Fe(III)...Por] + O2 + H2O

Substrates

Eosinophil peroxidase catalyzes the haloperoxidase reaction. EPO can take chloride, bromide and iodide as substrates, as well as the pseudohalide thiocyanate (SCN). [13] [14] [15] However, the enzyme prefers bromide over chloride, iodide over bromide and thiocyanate over iodide, with regard to reaction velocities. In fact, only myeloperoxidase can oxidize chloride with any considerable rate. The rate of iodide catalysis is five orders of magnitude greater than the rate of chloride catalysis, for comparison. [9] The mutant of MPO wherein heme-linked Met243 was mutated nonconservatively showed a lack of chlorination ability, implicating this residue or its peculiar functional group in substrate specificity. [9]

Inhibitors

Cyanide binds very tightly to mammalian heme peroxidases. Tight binding directly to heme iron converts the protein to a low-spin species. [9] Binding of cyanide requires the deprotonated form of a group with pKa of 4.0-4.3. This appears to be the distal histidine residue. The structure of the ternary complex of MPO, cyanide and bromide is thought to be a good model for the compound I-halide complex due to its similar geometry (cf. 1D7W). The nitrite ion also binds tightly, forming low-spin heme. [9]

Mutants

One of the first well-characterized mutants of EPX was a G→A transition resulting in a nonconservative mutation at the protein level. [16]

Cytology

Large multicellular organisms engage multiple systems as defensive efforts against infecting bacteria or invading parasites. One strategy, which falls under the domain of cellular immunity, depends on the action of enzymes which catalyze the peroxidase reaction. Eosinophil peroxidase can be found in the primary (azurophilic) granules of human and mammalian leukocytes. Peroxidase localization in leukocytes has been studied throughout the 20th century using staining agents such as benzidine hydrochloride. [17] Before the introduction of specific immunoreactive staining, such chemical indicators of enzymatic activity were commonplace. Following the advent of the electron microscope, the ultrastructure of many cell types was vigorously investigated. Subsequently, eosinophil peroxidase was found to be localized to primary and secondary granules of the eosinophil. [18]

Eosinophils form part of the myelocytic lineage, one of two major classes of bone-marrow-derived cell types (along with the lymphocytes) which circulate in the blood and lymph and play critical roles in immune responses. Eosinophil peroxidase is secreted by eosinophil cells into the tissue at the site of infection. Activation of cells in the face of an infection leads to the release of granule contents and externalization of protein and chemical agents from the cell.

Having diverged from myeloperoxidase and lactoperoxidase, these three enzymes now perform distinct but not non-overlapping roles; lactoperoxidase helps maintain the sterility of mammalian milk; myeloperoxidase and eosinophil peroxidase inhabit granules and play roles in host defense—an example of how the concept of a single chemical function can be harnessed in myriad ways in nature.

Deficiency and disease

Specific deficiency of eosinophil peroxidase without concomitant deficiency of myeloperoxidase is rare. [19] In a clinical setting, deficiencies of leukocyte enzymes are conveniently studied by optical flow cytometry. [19] Specific deficiencies of myeloperoxidase were known since the 1970s. Myeloperoxidase deficiency resulted in an absence of peroxidase staining in neutrophils but not eosinophils. [20] Early studies on myeloperoxidase deficiency revealed that the most common disease variants were missense mutations, including that of the heme-linked methionine residue. [21] This deficiency was often not inherited as a simple autosomal recessive trait but rather as a compound heterozygous mutation. [22] It is thought that patients with myeloperoxidase deficiency have an increased incidence of malignant tumours. However, they do not have a significantly increased rate of infection, owing to redundancy in peroxidase-mediated immune mechanisms. [23]

See also

Notes

  1. The sodium salt of hypochlorous acid is commonly used as pool bleach.

Related Research Articles

Peroxidase Peroxide decomposing Biocatalyst

Peroxidases or peroxide reductases are a large group of enzymes which play a role in various biological processes. They are named after the fact that they commonly break up peroxides.

Heme Chemical coordination complex of an iron ion chelated to a porphyrin

Heme, or haem, is a precursor to hemoglobin, which is necessary to bind oxygen in the bloodstream. Heme is biosynthesized in both the bone marrow and the liver.

Eosinophil Variety of white blood cells

Eosinophils, sometimes called eosinophiles or, less commonly, acidophils, are a variety of white blood cells (WBCs) and one of the immune system components responsible for combating multicellular parasites and certain infections in vertebrates. Along with mast cells and basophils, they also control mechanisms associated with allergy and asthma. They are granulocytes that develop during hematopoiesis in the bone marrow before migrating into blood, after which they are terminally differentiated and do not multiply. They form about 2 to 3% of WBCs.

Cytochrome c peroxidase

Cytochrome c peroxidase, or CCP, is a water-soluble heme-containing enzyme of the peroxidase family that takes reducing equivalents from cytochrome c and reduces hydrogen peroxide to water:

Granulocyte Category of white blood cells

Granulocytes are cells in the innate immune system characterized by the presence of specific granules in their cytoplasm. They are also called polymorphonuclear leukocytes because of the varying shape of the nucleus, which is usually lobed into three segments. This distinguishes them from the mononuclear agranulocytes. The term polymorphonuclear leukocyte often refers specifically to "neutrophil granulocytes", the most abundant of the granulocytes; the other types have fewer lobes. Granulocytes are produced via granulopoiesis in the bone marrow.

Aminolevulinic acid synthase Class of enzymes

Aminolevulinic acid synthase (ALA synthase, ALAS, or delta-aminolevulinic acid synthase) is an enzyme (EC 2.3.1.37) that catalyzes the synthesis of δ-aminolevulinic acid (ALA) the first common precursor in the biosynthesis of all tetrapyrroles such as hemes, cobalamins and chlorophylls. The reaction is as follows:

Myeloperoxidase deficiency Medical condition

Myeloperoxidase deficiency is a disorder featuring lack in either the quantity or the function of myeloperoxidase–an iron-containing protein expressed primarily in neutrophil granules. There are two types of myeloperoxidase deficiency: primary/inherited and secondary/acquired. Lack of functional myeloperoxidase leads to less efficient killing of intracellular pathogens, particularly Candida albicans, as well as less efficient production and release of neutrophil extracellular traps (NETs) from the neutrophils to trap and kill extracellular pathogens. Despite these characteristics, more than 95% of individuals with myeloperoxidase deficiency experience no symptoms in their lifetime. For those who do experience symptoms, the most common symptom is frequent infections by Candida albicans. Individuals with myeloperoxidase deficiency also experience higher rates of chronic inflammatory conditions. Myeloperoxidase deficiency is diagnosed using flow cytometry or cytochemical stains. There is no treatment for myeloperoxidase deficiency itself. Rather, in the rare cases that individuals experience symptoms, these infections should be treated.

Myeloperoxidase

Myeloperoxidase (MPO) is a peroxidase enzyme that in humans is encoded by the MPO gene on chromosome 17. MPO is most abundantly expressed in neutrophil granulocytes, and produces hypohalous acids to carry out their antimicrobial activity, including hypochlorous acid, the sodium salt of which is the chemical in bleach. It is a lysosomal protein stored in azurophilic granules of the neutrophil and released into the extracellular space during degranulation. Neutrophil myeloperoxidase has a heme pigment, which causes its green color in secretions rich in neutrophils, such as mucus and sputum. The green color contributed to its outdated name verdoperoxidase.

Major basic protein

Eosinophil major basic protein, often shortened to major basic protein is encoded in humans by the PRG2 gene.

Ferrochelatase

Ferrochelatase (or protoporphyrin ferrochelatase) is an enzyme that is encoded by the FECH gene in humans. Ferrochelatase catalyses the eighth and terminal step in the biosynthesis of heme, converting protoporphyrin IX into heme B. It catalyses the reaction:

Cystathionine beta synthase Mammalian protein found in Homo sapiens

Cystathionine-β-synthase, also known as CBS, is an enzyme (EC 4.2.1.22) that in humans is encoded by the CBS gene. It catalyzes the first step of the transsulfuration pathway, from homocysteine to cystathionine:

In enzymology, an ethylbenzene hydroxylase (EC 1.17.99.2) is an enzyme that catalyzes the chemical reaction

In enzymology, a manganese peroxidase (EC 1.11.1.13) is an enzyme that catalyzes the chemical reaction

Animal heme-dependent peroxidases

Animal heme-dependent peroxidases is a family of peroxidases.

Dioxygenase

Dioxygenases are oxidoreductase enzymes. Aerobic life, from simple single-celled bacteria species to complex eukaryotic organisms, has evolved to depend on the oxidizing power of dioxygen in various metabolic pathways. From energetic adenosine triphosphate (ATP) generation to xenobiotic degradation, the use of dioxygen as a biological oxidant is widespread and varied in the exact mechanism of its use. Enzymes employ many different schemes to use dioxygen, and this largely depends on the substrate and reaction at hand.

Haloperoxidases are peroxidases that are able to mediate the oxidation of halides by hydrogen peroxide. Both halides and hydrogen peroxide are widely available in the environment.

Lactoperoxidase

Lactoperoxidase is a peroxidase enzyme secreted from mammary, salivary and other mucosal glands including the lungs, bronchii and nose that functions as a natural and the first line of defense against bacteria and viruses. Lactoperoxidase is a member of the heme peroxidase family of enzymes. In humans, lactoperoxidase is encoded by the LPO gene.

Haem peroxidases (or heme peroxidases) are haem-containing enzymes that use hydrogen peroxide as the electron acceptor to catalyse a number of oxidative reactions. Most haem peroxidases follow the reaction scheme:

Radical SAM is a designation for a superfamily of enzymes that use a [4Fe-4S]+ cluster to reductively cleave S-adenosyl-L-methionine (SAM) to generate a radical, usually a 5′-deoxyadenosyl radical, as a critical intermediate. These enzymes utilize this radical intermediate to perform diverse transformations, often to functionalize unactivated C-H bonds. Radical SAM enzymes are involved in cofactor biosynthesis, enzyme activation, peptide modification, post-transcriptional and post-translational modifications, metalloprotein cluster formation, tRNA modification, lipid metabolism, biosynthesis of antibiotics and natural products etc. The vast majority of known radical SAM enzymes belong to the radical SAM superfamily, and have a cysteine-rich motif that matches or resembles CxxxCxxC. rSAMs comprise the largest superfamily of metal-containing enzymes.

Bromide peroxidase

Bromide peroxidase (EC 1.11.1.18, bromoperoxidase, haloperoxidase (ambiguous), eosinophil peroxidase) is a family of enzymes with systematic name bromide:hydrogen-peroxide oxidoreductase. These enzymes catalyses the following chemical reaction:

References

  1. 1 2 3 GRCh38: Ensembl release 89: ENSG00000121053 - Ensembl, May 2017
  2. 1 2 3 GRCm38: Ensembl release 89: ENSMUSG00000052234 - Ensembl, May 2017
  3. "Human PubMed Reference:". National Center for Biotechnology Information, U.S. National Library of Medicine.
  4. "Mouse PubMed Reference:". National Center for Biotechnology Information, U.S. National Library of Medicine.
  5. 1 2 3 Ten RM, Pease LR, McKean DJ, Bell MP, Gleich GJ (May 1989). "Molecular cloning of the human eosinophil peroxidase. Evidence for the existence of a peroxidase multigene family". The Journal of Experimental Medicine. 169 (5): 1757–69. doi:10.1084/jem.169.5.1757. PMC   2189302 . PMID   2541222.
  6. Yamaguchi Y, Zhang DE, Sun Z, Albee EA, Nagata S, Tenen DG, Ackerman SJ (July 1994). "Functional characterization of the promoter for the gene encoding human eosinophil peroxidase". The Journal of Biological Chemistry. 269 (30): 19410–9. doi: 10.1016/S0021-9258(17)32184-1 . PMID   8034708.
  7. Carlson MG, Peterson CG, Venge P (March 1985). "Human eosinophil peroxidase: purification and characterization". Journal of Immunology. 134 (3): 1875–9. PMID   3918110.
  8. Straub C, Pazdrak K, Young TW, Stafford SJ, Wu Z, Wiktorowicz JE, Haag AM, English RD, Soman KV, Kurosky A (2009). "Toward the Proteome of the Human Peripheral Blood Eosinophil". Proteomics. Clinical Applications. 3 (10): 1151–1173. doi:10.1002/prca.200900043. PMC   2967046 . PMID   21048890.
  9. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 Zederbauer M, Furtmüller PG, Brogioni S, Jakopitsch C, Smulevich G, Obinger C (June 2007). "Heme to protein linkages in mammalian peroxidases: impact on spectroscopic, redox and catalytic properties". Natural Product Reports. 24 (3): 571–84. doi:10.1039/b604178g. PMID   17534531.
  10. 1 2 3 Gioia, De; Ghibaudi, Elena M.; Laurenti, Enzo; Salmona, Mario; Ferrari, R. P. (14 October 1996). "A theoretical three-dimensional model for lactoperoxidase and eosinophil peroxidase, built on the scaffold of the myeloperoxidase X-ray structure". Journal of Biological Inorganic Chemistry. 1 (5): 476–485. doi:10.1007/s007750050081. S2CID   24903600.
  11. 1 2 3 Furtmüller PG, Zederbauer M, Jantschko W, Helm J, Bogner M, Jakopitsch C, Obinger C (January 2006). "Active site structure and catalytic mechanisms of human peroxidases". Archives of Biochemistry and Biophysics. 445 (2): 199–213. doi:10.1016/j.abb.2005.09.017. PMID   16288970.
  12. Ulrich M, Petre A, Youhnovski N, Prömm F, Schirle M, Schumm M, Pero RS, Doyle A, Checkel J, Kita H, Thiyagarajan N, Acharya KR, Schmid-Grendelmeier P, Simon HU, Schwarz H, Tsutsui M, Shimokawa H, Bellon G, Lee JJ, Przybylski M, Döring G (October 2008). "Post-translational tyrosine nitration of eosinophil granule toxins mediated by eosinophil peroxidase". The Journal of Biological Chemistry. 283 (42): 28629–40. doi: 10.1074/jbc.m801196200 . PMC   2661412 . PMID   18694936.
  13. van Dalen CJ, Kettle AJ (August 2001). "Substrates and products of eosinophil peroxidase". The Biochemical Journal. 358 (Pt 1): 233–9. doi:10.1042/bj3580233. PMC   1222052 . PMID   11485572.
  14. Mayeno AN, Curran AJ, Roberts RL, Foote CS (April 1989). "Eosinophils preferentially use bromide to generate halogenating agents". The Journal of Biological Chemistry. 264 (10): 5660–8. doi: 10.1016/S0021-9258(18)83599-2 . PMID   2538427.
  15. Slungaard A, Mahoney JR (March 1991). "Thiocyanate is the major substrate for eosinophil peroxidase in physiologic fluids. Implications for cytotoxicity". The Journal of Biological Chemistry. 266 (8): 4903–10. doi: 10.1016/S0021-9258(19)67734-3 . PMID   2002037.
  16. Romano M, Patriarca P, Melo C, Baralle FE, Dri P (December 1994). "Hereditary eosinophil peroxidase deficiency: immunochemical and spectroscopic studies and evidence for a compound heterozygosity of the defect". Proceedings of the National Academy of Sciences of the United States of America. 91 (26): 12496–500. Bibcode:1994PNAS...9112496R. doi: 10.1073/pnas.91.26.12496 . PMC   45465 . PMID   7809065.
  17. Kaplow LS (August 1965). "Brief Report: Simplified Myeloperoxidase Stain Using Benzidine Dihydrochloride". Blood. 26 (2): 215–9. doi: 10.1182/blood.v26.2.215.215 . PMID   14332483.
  18. Dunn WB, Hardin JH, Spicer SS (December 1968). "Ultrastructural localization of myeloperoxidase in human neutrophil and rabbit heterophil and eosinophil leukocytes". Blood. 32 (6): 935–44. doi: 10.1182/blood.v32.6.935.935 . PMID   5749754.
  19. 1 2 Valdés MD, Calero MA (1987). "Deficiency of eosinophil peroxidase detected by automated cytochemistry". Acta Haematologica. 78 (4): 265. doi: 10.1159/000205890 . PMID   3122494.
  20. Breton-Gorius J, Coquin Y, Guichard J (January 1978). "Cytochemical distinction between azurophils and catalase-containing granules in leukocytes. I. Studies in developing neutrophils and monocytes from patients with myeloperoxidase deficiency: comparison with peroxidase-deficient chicken heterophils". Laboratory Investigation; A Journal of Technical Methods and Pathology. 38 (1): 21–31. PMID   202802.
  21. Petrides PE (September 1998). "Molecular genetics of peroxidase deficiency". Journal of Molecular Medicine. 76 (10): 688–98. doi:10.1007/s001090050269. PMID   9766847. S2CID   7789099.
  22. Nauseef WM, Cogley M, Bock S, Petrides PE (February 1998). "Pattern of inheritance in hereditary myeloperoxidase deficiency associated with the R569W missense mutation". Journal of Leukocyte Biology. 63 (2): 264–9. doi: 10.1002/jlb.63.2.264 . PMID   9468285. S2CID   598367.
  23. Lanza F (September 1998). "Clinical manifestation of myeloperoxidase deficiency". Journal of Molecular Medicine. 76 (10): 676–81. doi:10.1007/s001090050267. PMID   9766845. S2CID   8847256.