The colorimetric method of Seligman 3) for the assay of carboxypeptidase (CPase) A in pancreatic juice has been modified for measurement of CPase A activity in serum, as shown in TABLE I. The following results were obtained on hydrolytic activity of carbonaphthoxy-Lphenylalanine in this reaction system.
1) No effect was observed by the addition of diisopropyl fluorophosphate, cyanide, trypsin or epsilon amino caproic acid, respectively.
2) The activity was inhibited by dialysis against phenanthroline solution, and was recovered by the addition of Zn+ ions.
3) Further addition of the substrates for CPase A (different from carbonaphthoxy-L-phenylalanine) inhibited this reaction, whereas the presence of CPase B substrate showed no effect.(Fig.1)
In various organs of human beings and dogs, the pancreas was found as the only organ which has a rich activity of CPase A, while a trace activity was observed in the kidney.
The serum CPase A level that decreased following the initial elevation was observed in experimental bile pancreatitis of a dog.(Fig.2)
The mean serum CPase A activity in 34 normal subjects was 234 U/ml (range 158-310 U/ ml), and no significant difference was found between the mean values of normal men and women.
In some cases with different diseases, the serum CPase A level was changed. According to our investigations, almost all cases of pancreas cancer, 70% of liver cirrhosis and 40% of chronic pancreatitis showed a lower level of this enzyme activity, and cases of nephrosis, lupoid nephritis and Kimmelstiel-Wilson syndrome also showed a decreased activity in serum.(Fig. 4)
The serum CPase A level in a patient who had undergone total pancreatectomy dropped down rapidly, and only a negligible activity was found 3 weeks after the operation, while serum levels of total protein, choline esterase and amylase showed minor changes during the same clinical course, respectively.(Fig. 3)
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