PHOSPHATASES I N BLOOD OF MAN VALUES IN WHOLE BLOOD, PLASMA, CYTOLYSATES AND ERYTHROCYTIC SUSPENSIONS* H.BEHRENDT,M.D. From the Department of Pediatrics, New York Post-Graduate and Hospital, New York, New York Medical School The results of previously reported observations2 indicate that human erythrocytes contain primarily "acid" phosphomonoesterase with an optimal activity at pH 4.9-5.0, while "alkaline" phosphatase, with an optimum at 9.0, is present only in very small amounts. The reverse is true of normal human plasma, in which alkaline phosphatase activity is high as compared with acid phosphatase activity. The predominance of acid phosphatase activity in red cells and of alkaline phosphatase activity in plasma can be demonstrated with either glycerophosphate or phenylphosphate serving as substrate. The measurements made by King, Wood, and Delory15 confirmed these findings in principle. The absence of a magnesium effect and the weakness of fluoride inhibition, as established for the red cell phosphatase at pH 4.9, corroborated the suggestion made by Sullivan, Gutman, and Gutman 21 that the acid enzymes of red cells and plasma are not identical. All estimations of phosphatase activity of erythrocytes reported so far were carried out on washed and subsequently hemolyzed red cells. The studies to be reported here were made on whole blood, blood plasma, blood cytolysates (hemolyzed erythrocytes), and suspensions of erythrocytes in saline solution. With few exceptions, measurements were made only at the established optimum pH of the acid and alkaline enzymes. PLASMA AND CYTOLYSATES Venous blood was withdrawn into tubes containing enough dried sodium oxalate solution or heparin to prevent clotting. A portion of this blood sample was transferred into a hematocrit tube for estimation of the relative cell volume. I n t h e remaining portion, plasma and cells were separated by centrifligation; as-much plasma as possible was pipetted off and the remaining red cells were washed three times with phj'siologic saline solution. T h e washed cells obtained from A ml. of whole blood were hemolyzed by adding distilled water to bring t h e total volume of t h e eytolysate to A ml., or to 1.5 X A ml., designated as dilutions 1 and 1.5, respectively. A. Measurements xvilh Glycerophosphate as Substrate According to the principles of the Bodansky method, 3 plasma or eytolysate was brought to act upon ^-glycerophosphate, using veronal buffer17 of pH 8.9 to maintain the optimal alkaline reaction, and veronal-acetate buffers18 to study the acid phosphatase activity at pH 4.9. * Received for publication, November 22,194S. 167 168 MEHRENDT E x a m p l e : 0.4 ml. plasma or cytolysate 0.5 ml. 1/20 M disodium glycerophosphate 2.0 ml. 5 per cent monosodium diethylbarbiturate 2.1 ml. distilled water. These blood-substrate-buffer mixtures were incubated a t 37 C. for one hour. After addition of 3 ml. of 20 per cent trichloracetic acid and subsequent filtration, phosphorus was determined in an aliquot of the clear filtrate according to t h e method of Fiske and SubbiiRow. 6 A control was set up and run in the same way, except t h a t the trichloracetic acid was added prior to t h e incubation. T h e difference between t h e phosphorus content of sample and control represents the phosphatase activity of the blood derivative. The results are expressed as units of phosphatase activity, one unit being equivalent to one TABLE 1 P H O S P H A T A S E ACTIVITY OF H U M A N PLASMA AND L A K E D EKYTHROCYTES, USING SUBSTRATE ^ - G L Y C E R O P H O S P H A T E AND B U F F E R S V E R O N A L AT P H 8.9 AND V E R O N A L - A C E T A T B AT P H 6.1 AND 4.9 EXPERIMENT NO. OF BLOOD DONORS ANTICOAGULANT HEMATOCRIT, PER CENT 52 49 yr. Oxalate 40 53 32 yr. Oxalate 41 63 64" 13 mo. IS mo. Heparin Heparin 39 25 65 b IS mo. Heparin 21 73ac 6 mo. Heparin 33 74a d 47 yr. Oxalate 44 Diagnosis: " sickle cell anemia, b pH OF BUFFERSUBSTRATE S.9 4.9 S.9 4.9 8.9 S.9 4.9 8.9 6.1 4.9 S.9 4.9 S.9 4.9 c PHOSPHATASE ACTIVITY. UNITS In Plasma In Cytolysate In Erythrocytes 1.1 0.2 7.1 0.3 4.S 2.7 0.1 0.9 0.6 0.1 19.6 4.0 11.S 0.3 0.32 0.67 0.0 1.0 0 0.2 0.7 1.0 1.1 3.9 0.6 0.9 0 0.9 1.2 2.5 2.2 3.7 toxic a n e m i a , biliary obstruction, d — 1.2 4.2 7.1 7.7 27.9 2.7 4.1 — 3.0 P a g e t ' s disease. milligram of phosphorus liberated per 100 ml. of plasma or cytolysate during one hour of incubation. T h e phosphatase activity of erythrocytes was calculated as follows: P h o s p h a t a s e units in erythrocytes = phosphatase units in cytolysate X \f where D = dilution of cytolysate V = relative volume of red cells in whole blood. As shown in Table 1, phosphatase activity is always present at pH 4.9, both in plasma and cytolysate. In this acid medium, cytolysates at all times exhibit greater activity than plasma. At pH 8.9, however, cytolysates show little, if any, activity. Figure 1 summarizes the results obtained on normal human blood (No. 52, 53, 63 of Table 1). On the whole, the results of these experiments with glycerophosphate as substrate are not very impressive as far as the enzymic action of cytolysates is concerned. The amount of phosphorus liberated from the substrate by the acid and the alkaline phosphatases of cytolysates represents 169 PHOSPHATASES IN BLOOD only fractions of the phosphorus concentrations liberated by the alkaline plasma phosphatase. The outcome of experiments using phenylphosphate, however, is more enlightening. TABLE 2 P H O S P H A T A S E ACTIVITY O F H U M A N PLASMA AND L A K E D E R Y T H R O C Y T E S I N B L O O D O F N O R M A L COMPOSITION, U S I N G SUBSTRATE SODIUM P H E N Y L P H O S P H A T E AND B U F F E R V E R O N A L - A C E T A T E , D I L U T I O N FACTOR OF CYTOLYSATES 1.5 AND H E P A R I N AS ANTICOAGULANT NO. 07 AGE OF BLOOD DONOR IN YEARS 2 HEMATOCRIT, PER CENT 38 6S 6 3S 71 49 41 72 12 38 70 2 39 7S 3 38 79 S2 49 5 43 40 p H OF BUFFERSUBSTRATE 8.9 0.1 4.9 S.9 6.1 4.9 3.8 8.9 6.1 4.9 3.8 8.9 7.6 6.1 4.9 3.8 2.6 8.9 6.1 4.9 S.9 4.9 4.9 S.9 4.9 PHOSPHATASE ACTIVITY UNITS In Plasma In Cytolysate In Erythrocytes 9.2 0.4 0.6 6.3 3.3 3.6 2.S 5.3 2.4 2.4 3.1 5.0 0.2 6.7 23.9 1.2 16.7 21.7 14.8 1.3 21.0 26.0 15.4 1.0 3.1 21.5 29.0 24.0 9.2 1.3 58.1 6S.7 0.5 77.3 53.3 0 50.9" 26.5 94.4 4.7 66.0 S5.7 5S.5 4.S 76.9 95.1 56.4 4.0 12.2 85.0 114.6 94.S 36.3 5.0 223.7 264.5 2.0 305.3 1S5.9 0 127.3 — 2.1 — 2.1 — 10.3 — 9.9 S.S 7.3 0.7 11.S 5.3 o.s " Dilution factor 1.0. B. Measurements with Phenylphosphate as Substrate Plasma or cytolysate obtained as described above was added to the buffered substrate consisting of 1/200 M sodium phenylphosphate and Michaelis' veronalacetate buffers18. E x a m p l e : 0.5 ml. plasma or cytolysate 5.0 ml. buffer 4.5 ml. sodium phenylphosphate. The mixture was incubated a t 37 C. for one hour, 4.5 ml. of diluted phenol reagent was added, and t h e phenol liberated was determined by the method of G u t m a n and G u t m a n . 8 A control was treated similarly, except t h a t the phenol reagent was added prior to in- 170 BEIIRENDT cubation. T h e difference in t h e a m o u n t of phenol content between t e s t sample a n d control gave the phosphatase activity of the sample. The results were expressed as units of phosphatase activity, one unit being equivalent to t h a t amount of enzyme which will liberate 1 mg. of phenol per 100 ml. of blood derivative from t h e phcnylphosphate s u b s t r a t e during one hour. T h e phosphatase content (in units) of the erythrocytes was calculated as described above. The results of 13 such experiments are given in Tables 2 and 3. In principle, they confirm the findings obtained with glycerophosphate, but make the action of the acid enzyme appear more definite. When the activity of cytolysates, as measured in these experiments, is expressed in units of red cell phosphatase and compared with the amount of plasma phosphatase units from the same blood TABLE 3 P H O S P H A T A S E ACTIVITY OP H U M A N P L A S M A AND L A K E D ERYTHROCYTES I N BLOOD OF ABNORMAL C O M P O S I T I O N , U S I N G SAME S U B S T R A T E , B U F F E R S , D I L U T I O N FACTOR OF CYTOLYSATES, AND ANTICOAGULANT AS I N T A B L E 2 EXPERIMENT NO. 73b 74b 75 77 S3 DIAGNOSIS Biliary obstruction Paget's disease AGE OF BLOOD DONOR 6 mo. 47 yr. Biliary obstruction 12 yr. Prostatic cancer with metastases 56 yr. Sarcoma of femur 10 yr. HEMATOCRIT, P E R CENT 33 44 32 40 39 p H OF BUFFERSUBSTRATE S.9 4.9 8.9 6.1 4.9 8.9 6.1 4.9 8.9 6.1 4.9 8.9 4.9 PHOSPHATASE ACTIVITY, UNITS In Plasma 28.1 9.4 12.9 — 7.7 45.5 — 5.3 5.4 — 20.6 34.5 7.8 In Cytolysate In Erythrocytes 1.2 41.5 2.9 36.2 58.2 9.5 64.7 78.2 5.5 188.6 10.0 123.4 198.5 44.5 303.3 366.6 — — 51.S 66.2 1.1 49.6 194.3 248.3 1.4 190. S sample, the following relationship appears to be typical for human blood of any age group and of normal composition (Table 2 and Fig. 2): Phosphatase activity at pH 8.9 is more than twice as great in the plasma as in the red cells, whereas at pH 4.9 erythrocytes possess an activity at least a hundredfold that of plasma. The values of acid red cell phosphatase range between 94.4 and 305.3 units, with an average of 159.1, while King and his collaborators15 found somewhat higher figures, namely, a range from 200 to 400 units, with an average of 340. A second group of determinations (Table 3) was performed on blood samples from patients whose diseases affected the relative red cell volume or the activity of alkaline or acid plasma phosphatase. In these abnormal specimens, the acid phosphatase of the red cells was found to be higher than in cells of normal blood, averaging 238.4 units, with a range between 188.6 and 366.6 units. The number of estimations in each group of diseases is too small to permit any conclusions as to the significance of such an apparent increase. 171 PHOSPHATASES IN BLOOD CYTOLYSATES, RED CELL SUSPENSIONS, AND WHOLE BLOOD An occasional experiment revealed that the hydrolytic effect of whole blood upon buffered phenylphosphate was almost as strong as that of laked erythrocytes when the blood was prevented from being hemolyzed during the incubation period. This observation prompted the investigation of the phosphatase activity of nonhemolyzed red cells under varying conditions. T o insure preservation of their physical integrity during the period of enzymic action, erythrocytes were brought to act upon the substrate as follows: X ml. of heparinized blood were centrifugcd and t h e plasma removed. T h e remaining cells were washed 3 t i m e s TABLE 4 P H O S P H A T A S E ACTIVITY O F L A K E D AND S U S P E N D E D H U M A N ERYTHROCYTES I N B L O O D OF N O R M A L COMPOSITION U S I N G S U B S T R A T E ISOTONIC SODIUM P H E N Y L P H O S P H A T E , AND B U F F E R ISOTONIC V E R O N A L - A C E T A T E - S O D I U M C H L O R I D E AT P I I 4.9 PHOSPHATASE ACTIVITY, UNITS HEMATOCRIT, PER CENT EXPERIMENT N O . In Cytolysate In Suspension In Erythrocytes Dilution Calculated from Dilution 1.5 1.0 92 99 71 72 83" 84 85 91 94 95 96" Diagnosis: 41 42 41 38 39 43 41 42 41 41 34 a 1.5 — — 43.8 26.0 29.0 49.6 12.5 11.4 13.6 25.7 72.9 35.7 23.8 34.0 38.4 45.3 30.3 44.5 24.0 60.7 28.4 3.0 Cytolysate 26.3 — 95.1 114.6 190.8 43.6 40.7 48.6 94.0 266.7 157.5 Suspension 160.2 187.9 105.4 134.2 147.7 105.4 110.9 106.0 87.S 246.5 125.3 sarcoma of femur, b sickle cell anemia. with physiologic saline solution and then resuspended in enough saline to bring t h e volume of the suspension u p t o t h e original sample volume of X ml., or t o 1.5 times X m l . , or t o 3 times X ml. T h e dilutions were designated as 1, 1.5, and 3, respectively. I n portions of these suspensions, the phosphatase was estimated under isotonic conditions, using an isotonic substrate-buffer mixture of p H 4.9 consisting of 0.5 p a r t s 0.107 M (2.34 per cent) disodium phenylphosphate, and 9.5 p a r t s of Michaelis' isotonic veronal-acetate buffers. 18 A hematocrit determination was made on a separate blood sample. E x a m p l e : 0.5 ml. blood derivative (red cell suspension) 0.5 nil. isotonic phenylphosphate 9.5 ml. isotonic buffer solution. T h e reaction mixture was almost always free of hemolysis a t the end of the incubation period, giving proof of t h e isotonicity of t h e set-up. Mixtures showing traces of hemolysis were discarded. The incubation and colorimetric determination of the liberated phenol and the calculation of phosphatase activity as units were carried out as described above for t h e cytolysates. F o r the comparative s t u d y of cytolysates, t h e same isotonic s u b s t r a t e buffer mixture was employed as for the red cell suspensions. 172 BEHRENDT After 2 preliminary measurements (No. 92 and 99 in Table 4) had shown that red cell suspensions exert a strong enzymic activity upon phenylphosphate, comparative determinations were made on cytolysates and suspensions derived from the same blood sample. The results are recorded in Table 4. -As may be seen from the 2 last columns of this table, in 8 of 9 cases the erythrocyte suspensions exerted phosphatase activity at least as strong as that of the hemolyzed cells. In one experiment (No. 83), the activity of the suspensions was slightly less than that of the cytolysate, but in 6 instances (No. 71, 72, 84, 91, 96) the action of the suspension was superior to that of the cytolysate. If the outcome of these tests may be taken as sound evidence, it would appear that the phosphatase principle, when retained within the red cell membrane, produces an equal or even stronger enzymic action upon the extracellular substrate than the same enzyme when released by cytolysis into the substrate-buffer TABLE 5 P H O S P H A T A S E ACTIVITY OP H U M A N ERYTHROCYTES S U S P E N D E D I N V A R I O U S M E D I U M S I N BLOOD OP N O R M A L C O M P O S I T I O N U S I N G SUBSTRATE ISOTONIC SODIUM P H E N Y L P H O S P H A T E , B U F F E R ISOTONIC V E R O N A L - A C E T A T E - S O D I U M C H L O R I D E AT P I I 4.9 AND ANTICOAGULANT H E P A R I N PHOSPHATASE ACTIVITY, UNITS EXPERIMENT NO. In Plasma In Whole Blood In Cell Suspension in Saline, Dilution Factor 1.0 In Cell Suspension -f Plasma, in Proportion 1:1 1:2 1:3 — — — — — 84 1.0 22.S 45.3 85 1.0 11.6 45.5 92 — — 65.7 4.5 — — — 94 0.5 27.2 36.0 27.9 1.7 — 95 1.9 61.5 91.1 60.0 96" 3.3 35.9 42.6 40.5 0 ° D i a g n o s i s , sickle cell a n e m i a . medium. Some further evidence may be of help in explaining this finding. No phosphatase activity could be ascertained in pooled samples of the saline solutions used for washing the red cells. Negative results were also obtained with the supernatant liquid of a mixture consisting of 0.5 ml. of red cell suspension and 9.5 ml. of isotonic buffer solution, when tested for phosphatase after incubation for one hour.* I t may be concluded that neither during the process of washing: nor during the period of incubation does the active principle penetrate through the red cell membrane into the extracellular phase of the suspension. W H O L E BLOOD AND E R Y T H R O C Y T E SUSPENSIONS As a result of these findings, it seemed desirable to test the phosphatase activity of whole blood, i.e., of red cells suspended in plasma. Employing the same isotonic arrangement as before, comparative estimations were made on * T h e s e t e s t s were m a d e upon t h e suggestion of D r . L. Michaelis of New Y o r k . 173 PHOSPHATASES IN BLOOD plasma, whole blood, and erythrocytes suspended in saline solution, all prepared from the same blood specimen. The findings are listed in Table 5. When tested at pH 4.9, whole blood was found to be consistently less active than the red cell suspension containing a similar (percentile) volume of erythrocytes. TABLE 6 E F F E C T OF PLASMA ON THE P H O S P H A T A S E ACTIVITY O F R E D C E L L CYTOLYSATES IN N O R M A L H U M A N B L O O D , U S I N G SUBSTRATE SODIUM P H E N Y L P H O S P H A T E AND ' B U F F E R V E R O N A L - A C E T A T E AT P H 4.9 PHOSPHATASE ACTIVITY, UNITS EXPERIMENT NO. Cytolysate + Plasma, in Proportion Cytolysate, Dilution 1.0 38.6 109.4 S3.9 94 95 97 1:1 1:2 4.1 30.5 19.5 2.1 160 140 r 4 - «. 120 -^ 'B = .100 p LU CO £ I 85 60 o £ 40 3 2 - 20 E 1 - 0I 80 <£. ~~ At pH 8.9 1 1 At pH 4.9 FIG. 1 0 At pH 8.9 FIG. At pH 4.9 2 F I G . 1. Units of phosphatase a c t i v i t y of human plasma (P) and erythrocytes (E) in substrate/3-glycrophosphate. Values represent averages of experiments No. 52, 53 and 63 from Table 1. F I G . 2. Units of phosphativse activity of human plasma (P) a n d erythrocytes (E) in s u b s t r a t e phenylhosphatc. Values represent averages from Table 3. In other words, the presence of plasma in the medium surrounding the intact cells seems to interfere with the enzymic action of the intracellular phosphatase upon the phenylphosphate in the extracellular medium. If this assumption is correct, the activity of red cells suspended in saline solution will be reduced by the addition of plasma at the start of the incubation period. This was tested in four experiments. 174 BEHRENDT Example: 0.25 ml. red cell suspension 0.5 ml. isotonic phenylphosphate 9.5 ml. isotonic veronal-acetate buffer +0.25ml. plasma. Table 5 reveals that addition of plasma did inhibit the phosphatase activity of cell suspensions in all instances. When the proportion of plasma to suspension was 1:1, phosphatase activity was reduced to approximately that of whole blood in 3 of the 4 tests. When the ratio of plasma to suspension was further increased (2:1 and 3:1) the phosphatase activity of the suspended erythrocytes declined sharply or disappeared completely. The actual concentration of plasma in the incubated mixture varied from 2.4 to 6.8 per cent in the different tests. This inhibitory action of plasma, however, can also be demonstrated on solutions of laked red cells tested in the non-isotonic set-up described above. Table 6 shows that the inhibition by plasma of the phosphatase contained in cytolysates was strong or almost complete, depending upon the ratio of plasma to cytolysate in the substrate-buffer mixture. COMMENT AND SUMMARY The following acid phosphatases have been found in human blood since Folley and Kay 7 presented their classification of the various phosphatases: (1). The serum acid phosphatase occurring in normal blood, with an optimal activity at pH 4.9-5.0.9 Its action is markedly inhibited by sodium fluoride and citrate, and not accelerated by magnesium chloride. This enzyme splits a-glycerophosphate with no greater speed than /3-glycerophosphate, while the scission of phenylphosphate is most easily catalyzed. These properties coincide with those of the acid phosphatases present in liver, spleen, kidney and bone, organs assumed to be the source of this normal serum acid phosphatase. 21 (2). The serum acid phosphatase appearing in the plasma of patients with metastasizing cancer of the prostate. 1,10 Its source is the prostatic cancerous tissue.11 In some respects, the enzyme resembles the normal serum acid phosphatase 2 : optimal activity at pH 4.9 and inhibition by fluoride; it is, however, also inhibited by alcohols, for instance ethyl alcohol,13,21 and is little affected by citrate. 21 (3). The erythrocyte acid phosphatase, with an optimal pH at 4.9, present in cells of persons of all ages. 2,15 While this enzyme, according to some observers,2, 12 is not significantly affected by fluoride or magnesium, an inhibition by both ions has been found by others.15 The action of this enzyme upon phenylphosphate is more than 100 times greater than that of the normal serum acid phosphatase. The phosphatases occurring in the erythrocytes of horse, rabbit, and guinea pig differ from the acid phosphatase of red cells of man in various respects, chiefly in their optimal pH. 1 9 , 2 0 While the properties of human red cell phosphatases and the kinetics of the reactions they catalyze, have so far been investigated on laked whole blood or laked erythrocytes, the present report includes a study of the intracellular PHOSPHATASES IN BLOOD 175 phosphatase in living cells. By using an isotonic set-up of cell suspensions, buffer and substrate, an attempt has been made to study in vitro the factors governing the substrate-enzyme accessibility in vivo. From these first observations, it would seem that at pH 4.9 phenylphosphate must penetrate through the erythrocyte membrane in order to be acted upon by the enzyme. This would resemble the penetration of such permeants as phenylacetate, i.e., the introduction of a phenyl in the place of a hydrogen, favoring the lipoid solubility of the permeant. However, unlike phenylacetate, phenylphosphate has no hemolytic effect, probably because of its ionization.* It should not be difficult to supply experimental proof of such a permeation. The measurement of anhydrase activity within living, suspended red blood cells by Booth4 and by Keilin and Mann11 confirms the potential significance of quantitative enzyme studies on suspended red corpuscles. The isotonic arrangement would also permit comparison of the kinetics of phosphatase reactions catalyzed by intact living erythrocytes and by red cell cytolysates. Obviously, the discrepancy between fermentation by yeast cells and by yeast extracts 6,16 invites speculation on such a comparison. However, final conclusions as to the activity of "cytolysates" as employed in the present studies should await the results of other experiments in which the activity of leukocytes and platelets has been properly taken into account. CONCLUSIONS Our observations indicate that at pH 4.9, phenylphosphate must penetrate through the erythrocyte membrane in order to be acted upon by the enzyme, phosphatase. Acid phosphatase activity of red cells is reduced in the presence of plasma. This inhibition is equally strong when suspensions or cytolysates are employed. Apparently, the action of plasma upon the enzyme is not mediated by osmotic factors bound to the presence of intact cells. REFERENCES 1. BAHRINGER, B . S., AND WOODAHD, H . Q . : P r o s t a t i c carcinoma with extensive i n t r a prostatic calcification, with discussion of possible role to prostatic phosphatase. T r . Am. A. Gonito-Urin. Surgeons, 31: 363-369,1938. 2. B E H R E N D T , H . : Phosphatase activity of human erythrocytes. P r o c . Soc. Exper. Biol, and Med., 54: 268-270,1943. 3. BODANSKY, A.: Notes on determination of serum inorganic phosphate and of serum phosphatase activity. Am. J . Clin. P a t h . , Tech. Suppl., 7: 51-59,1937. 4. BOOTH, V. H . : Carbonic anhydrase activity inside corpuscles. Enzyme-substrate accessibility factors. J . Physiol., 93: 117-128, 1938. 5. BROOKS, S. C.: Permeability and enzyme reactions. I n : Advances in Enzymology. Vol. 7, New Y o r k : Interscience, p p . 1-34, 1947. 6. F I S K E , C. H . , AND SUBBAROW, V.: T h e colorimetric determination of phosphorus. J. Biol. Chem., 66: 375-400, 1925. 7. FOIJJBY, S. J., AND K A Y , H . D.: T h e phosphatases. Ergebn. d. Euzymforsch., 6: 159-212, 1936. S. CUTIMAN, A. B . , AND GuTMAN, E . B . : " A c i d " phosphatase activity of serum of normal human subjects. Proc. Soc. Exper. Biol, and Med., 38: 470-473, 1938. 9. GUTMAN, A. B . , AND GUTMAN, E. B . : " A c i d " phosphatase occurring in serum of patients with metastasizing carcinoma of prostate gland. J . Clin. Investigation, 17: 47347S, 1938. * I am indebted to D r . S. C. Brooks, Berkeley, Calif., for formulating these conjectures. 176 BEHRENDT 10. GUTMAN, E . B . , AND GUTMAN, A. B . : Estimation of " a c i d " phosphatase activity of blood serum. J . Biol. Chem., 136: 201-209, 1940. 11. GUTMAN, E . B . , SPROUL, E . E . , AND GUTMAN, A. B . : Significance of increased phos- 12. 13. 14. 15. 16. 17. 18. 19. 20. phatase activity of bone a t t h e site of osteoplastic metastases secondary to carcinoma of prostate gland. Am. J . Cancer, 28:485-495, 1936. GUTMAN, E . B . , AND GUTMAN, A. B . : E r y t h r o c y t e phosphatase activity in hemolyzcd sera and estimation of serum " a c i d " phosphatases. Proc. Soc. Exper. Biol, and Med., 47:513-515,1941. H E R B E R T , F . K . : T h e differentiation between prostatic phosphatase and other acid phosphatases in pathological human sera. Biochem. J . , 39: IV, 1945. K E I L I N , D . , AND M A N N , T . : Activity of carbonic anhydrasc within rod blood corpuscles. N a t u r e , London, 148: 493-496, 1941. K I N G , E . J . , WOOD, E . J . , AND D E L O R Y , G. E . : Acid phosphatase of t h e red cells. Biochem. J., 39: X X I V - X X V , 1945. M E Y E R H O F , 0 . : T h e origin of t h e reaction of Harden and Young in cell-free alcoholic fermentation. J . Biol. Chem., 167: 105-119, 1945. M I C H A E M S , L . : D i e t h y l b a r b i t u r a t e buffer. J . Biol. Chem., 87: 33-35, 1930. M I C H A E U S , L . : D e r Acetat-Veronal-Puffer. Biochem. Ztschr., 234: 139-141, 1931. ROCHE, J . : Blood phosphatases. Biochem. J . , 26: 1724-1733, 1931. R O C H E , J., AND BULLINGER, E . : Sur le systemc phosphatasiquc des hdmaties. E n zymologia, 7: 278-291, 1939. 21. S U L L I V A N , T . J . , G U T M A N , E. B . , AND G U T M A N , A. B . : T h e o r y a n d a p p l i c a t i o n of t h e serum " a c i d " phosphatase determination in metastasizing prostatic early effects of castration. J . Urol., 48: 426-458, 1942. carcinoma;
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