{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T04:22:38Z","timestamp":1774326158154,"version":"3.50.1"},"reference-count":28,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,7,5]],"date-time":"2019-07-05T00:00:00Z","timestamp":1562284800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Br J Haematol"],"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>Hereditary spherocytosis (HS) is characterised by increased osmotic fragility and enhanced membrane loss of red blood cells (RBC) due to defective membrane protein complexes. In our diagnostic laboratory, we observed that pyruvate kinase (PK) activity in HS was merely slightly elevated with respect to the amount of reticulocytosis. In order to evaluate whether impaired PK activity is a feature of HS, we retrospectively analysed laboratory data sets from 172 unrelated patients with HS, hereditary elliptocytosis (HE), glucose\u20106\u2010phosphate dehydrogenase (G6PD) or PK deficiency, sickle cell or haemoglobin C disease, or \u03b2\u2010thalassaemia minor. Results from linear regression analysis provided proof that PK activity decreases with rising reticulocyte counts in HS (<jats:italic>R<\/jats:italic><jats:sup>2<\/jats:sup>\u00a0=\u00a00\u00b715; slope\u00a0=\u00a09\u00b709) and, less significantly, in HE (<jats:italic>R<\/jats:italic><jats:sup>2<\/jats:sup>\u00a0=\u00a00\u00b7021; slope\u00a0=\u00a08\u00b792) when compared with other haemolytic disorders (<jats:italic>R<\/jats:italic><jats:sup>2<\/jats:sup>\u00a0\u2265\u00a00\u00b765; slopes\u00a0\u2265\u00a078\u00b76). Reticulocyte\u2010adjusted erythrocyte PK activity levels were significantly lower in HS and even declined with increasing reticulocytes (<jats:italic>R<\/jats:italic><jats:sup>2<\/jats:sup>\u00a0=\u00a00\u00b748; slope\u00a0=\u00a0\u22129\u00b774). In this report, we describe a novel association between HS and decreased PK activity that is apparently caused by loss of membrane\u2010bound PK due to impaired structural integrity of the RBC membrane and may aggravate severity of haemolysis in HS.<\/jats:p>","DOI":"10.1111\/bjh.16084","type":"journal-article","created":{"date-parts":[[2019,7,5]],"date-time":"2019-07-05T07:44:45Z","timestamp":1562312685000},"page":"386-395","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Hereditary spherocytosis is associated with decreased pyruvate kinase activity due to impaired structural integrity of the red blood cell membrane"],"prefix":"10.1111","volume":"187","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1510-4051","authenticated-orcid":false,"given":"Oliver","family":"Andres","sequence":"first","affiliation":[{"name":"Department of Paediatrics University of W\u00fcrzburg W\u00fcrzburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felicia","family":"Loewecke","sequence":"additional","affiliation":[{"name":"Department of Paediatrics University of W\u00fcrzburg W\u00fcrzburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Henner","family":"Morbach","sequence":"additional","affiliation":[{"name":"Department of Paediatrics University of W\u00fcrzburg W\u00fcrzburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sabrina","family":"Kraus","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine II University of W\u00fcrzburg W\u00fcrzburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7680-0819","authenticated-orcid":false,"given":"Hermann","family":"Einsele","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine II University of W\u00fcrzburg W\u00fcrzburg 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