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Clinical Chemistry 18: 105-109, 1972;
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Clinical Chemistry, Vol 18, 105-109, Copyright © 1972 by the American Association for Clinical Chemistry

Identification of Serum Cholinesterase Fluoride Variants by Differential Inhibition in Tris and Phosphate Buffers

Philip J. Garry 1, George M. Owen 1, and A. Harold Lubin 1

1 Department of Pediatrics, College of Medicine, The Ohio State University and Children’s Hospital Research Foundation, 561 South 17th St., Columbus, Ohio 43205.

We describe a useful technique to identify "fluoride-resistant" serum cholinesterase variants (E1uE1f and E1fE1f) by using the method of Garry to detect "atypical" variants and to measure serum cholinesterase activity [Clin. Chem. 17, 192 (1971)]. With butyrylthiocholine as substrate, sodium fluoride is used as a differential inhibitor in both Tris and phosphate buffer systems (50 mmol/liter, pH 7.4, 25°C). Fluoride inhibition values are plotted on two-dimensional graph paper, Tris plus sodium fluoride vs. phosphate plus sodium fluoride. Inhibition values for the "fluoride-resistant" and "atypical" variants are located in specific quadrants, which permits unequivocal identification of each variant. Examination of 836 Caucasian preschool children revealed a gene frequency of 0.0066 for the "fluoride" variant. No "fluoride-resistant" variants were found in 168 Negro preschool children examined.


Key Words: "fluoride" and "dibucaine" numbers • proposed mechanism of fluoride effect • fluoride resistant variant:gene frequency • racial differences in cholinesterase variants

Submitted on August 28, 1971







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Copyright © 1972 by the American Association for Clinical Chemistry.