Editorials1 April 1963The Heinz Body Hemolytic AnemiasJAMES H. JANDL, M.D.JAMES H. JANDL, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-58-4-702 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptWith the development of the chemical industry in Germany about a century ago, a prevalent, often severe form of poisoning appeared among workers exposed to certain coal tar derivatives. This consisted of an acute hemolytic process having 2 characteristic features: a brown-to-green discoloration of the blood, creating a form of cyanosis when viewed in the patient; and the presence of inclusion bodies in the red cells that were evident on supravital staining and were called "Heinz bodies" (1). Most such reactions were provoked by aromatic compounds possessing amino, nitro, or hydroxy groups, of which the most notorious were aniline, nitrobenzene,...References1. HEINZ R: Morphologische Veränderungen der rothen Blutkörperchen durche Gifte. Virchow. Arch. Path. Anat. 122: 112, 1890. CrossrefGoogle Scholar2. WEBSTER SH: Heinz body phenomenon in erythrocytes. A review. Blood 4: 479, 1949. CrossrefMedlineGoogle Scholar3. FERTMANFERTMAN MHMB: Toxic anemias and Heinz bodies. Medicine 34: 131, 1955. CrossrefMedlineGoogle Scholar4. GROSSBOCKHELBRUNG EMF: Zur toxikologie des Nitroglykols in Vergleich zu der des Nitroglycerins. Arch. Exp. Path. Pharmakol. 200: 271, 1942. CrossrefGoogle Scholar5. HORECKER BL: Occurrence of Heinz bodies in trinitrotoluene workers. J. Indust. Hyg. Toxicol. 27: 85, 1945. Google Scholar6. EPPINGERKLOSS HK: Zur Therapie der Polyzythämie. Ther. Monatsch. 32: 322, 1918. Google Scholar7. MOESCHLINHURSCHLER SH: Vergleichende Untersuchungen über die verschiedene Toxität des Dagenans (Sulfapyridin) und des Ciba 3714 (Sulfathiazol) auf das rote Blutbild. (Innenkörperanämien durch Methämoglobinbildung.) Schweiz. Med. Wschr. 70: 972, 1940. Google Scholar8. HARRISMICHEL JSHO: The formation of methemoglobin and sulfhemoglobin during sulfanilamide therapy. J. Clin. Invest. 18: 507, 1939. CrossrefMedlineGoogle Scholar9. EARLEBIGELOWZUBRODKANE DPFSCGCA: Studies on the chemotherapy of the human malarias. IX. Effect of pamaquine on the blood cells of man. J. Clin. Invest. 27: 121, 1948. CrossrefGoogle Scholar10. HOCKWALDARNOLDCHAPMANALVING RSJCBAS: Status of primaquine: 4. Toxicity of primaquine in Negroes. JAMA 149: 1568, 1952. CrossrefMedlineGoogle Scholar11. MARCHAND F: Ueber die Intoxication durch chlorsäure Salze. Virchow. Arch. Path. Anat. 77: 455, 1879. CrossrefGoogle Scholar12. HEUBNER W: Methämoglobin, Innenkörper der Erythrocyten und Anämie. Klin. Wschr. 20: 137, 1941. CrossrefGoogle Scholar13. JUNG F: Studien über Methämoglobinbildung; über die Rückbildung des Methämoglobins bei Gegenwart von Alkohol. Arch. Exp. Path. Pharmakol. 192: 464, 1939. CrossrefGoogle Scholar14. KIESESEIPELT ML: Bildung und Elimination von Verdoglobinen. Arch. Exp. Path. Pharmakol. 200: 648, 1943. CrossrefGoogle Scholar15. LEMBERGLEGGE RJW: Hematin Compounds and bile Pigments; Their Constitution, Metabolism, and Function, Interscience Publishers, New York, 1949. Google Scholar16. HEUBNER W: Heinz Körperchen und Blutfarbstoff. Klin. Wschr. 21: 520, 1942. CrossrefGoogle Scholar17. EMERSONHAMCASTLE CPTHWB: The influence of resonating organic compounds on the integrity of red cells, in Conference on the Preservation of the Formed Elements of the Blood, American National Red Cross, Washington, D. C., 1949, p. 114. Google Scholar18. EMERSONHAMCASTLE CPTHWB: Hemolytic action of certain organic oxidants derived from sulfanilamide, phenylhydrazine and hydroquinone. J. Clin. Invest. 20: 451, 1941 (abstract). Google Scholar19. BEAVENWHITE GHJC: Oxidation of phenylhydrazine in the presence of oxyhaemoglobin and the origin of Heinz bodies in erythrocytes. Nature (London) 173: 389, 1954. CrossrefMedlineGoogle Scholar20. JANDLENGLEALLEN JHLKDW: Oxidative hemolysis and precipitation of hemoglobin. I. Heinz body anemias as an acceleration of red cell aging. J. Clin. Invest. 39: 1818, 1960. CrossrefMedlineGoogle Scholar21. ALLENJANDL DWJH: Oxidative hemolysis and precipitation of hemoglobin. II. Role of thiols in oxidant drug action. J. Clin. Invest. 40: 454, 1961. CrossrefMedlineGoogle Scholar22. TARLOVBREWERCARSONALVING ARGJPEAS: Primaquine sensitivity. Arch. Intern. Med. (Chicago) 109: 137, 1962. CrossrefGoogle Scholar23. BEUTLERDERNFLANAGANALVING ERJCLAS: The hemolytic effect of primaquine: VII. Biochemical studies of drug-sensitive erythrocytes. J. Lab. Clin. Med. 45: 286, 1955. MedlineGoogle Scholar24. CARSONFLANAGANICKESALVING PECLCEAS: Enzymatic deficiency in primaquine-sensitive erythrocytes. Science 124: 484, 1956. CrossrefMedlineGoogle Scholar25. HARROPBARRON GAES: Studies on blood cell metabolism; the effect of methylene blue and other dyes upon oxygen consumption of mammalian and avian erythrocytes. J. Exp. Med. 48: 207, 1928. CrossrefMedlineGoogle Scholar26. BURTONWILSON KTH: The free-energy changes for the reduction of diphosphopyridine nucleotide and the dehydrogenation of 1-malate and 1-glycerol 1-phosphate. Biochem. J. 54: 86, 1953. CrossrefMedlineGoogle Scholar27. ANDERSONPLAUT LGW: Table of oxidation-reduction potentials, in Respiratory Enzymes, ed. by Lardy, H. A., Burgess, Minneapolis, 1949, p. 71. Google Scholar28. BARRONHOFFMAN ESLA: The catalytic effect of dyes on the oxygen consumption of living cells. J. Gen. Physiol. 13: 483, 1930. CrossrefMedlineGoogle Scholar29. ITANOROBINSON HAEA: Evidence for coordination of monophenyl diimide with heme proteins. J. Amer. Chem. Soc. 83: 3339, 1961. CrossrefGoogle Scholar30. WARBURGKUBOWITZCHRISTIAN OFW: Uber die Wirkung von Phenylhydrazin und Phenylhydroxylamine auf den Stoffwechsel der roten Blutzellen. Biochem. Z. 242: 170, 1931. Google Scholar31. MICHAELIS L: Semiquinones, the intermediate steps of reversible organic oxidation-reduction. Chem. Rev. 16: 243, 1935. CrossrefGoogle Scholar32. HEUBNER W: Studien über Methämoglobinbildung. Arch. Exp. Path. Pharmakol. 72: 239, 1913. Google Scholar33. JANDL JH: Unpublished observations. Google Scholar34. BINGOLD K: Die Niere als blutzerstörendes Organ. Klin. Wschr. 12: 1201, 1933. CrossrefGoogle Scholar35. MILLSRANDALL GCNP: Hemoglobin catabolism. II. The protection of hemoglobin from oxidative breakdown in the intact erythrocyte. J. Biol. Chem. 232: 589, 1958. CrossrefMedlineGoogle Scholar36. CARSONBREWERICKES PEGJC: Decreased glutathione reductase with susceptibility to hemolysis. J. Lab. Clin. Med. 58: 804, 1961. Google Scholar37. OORTLOOSPRINS MJAHK: Hereditary absence of reduced glutathione in the erythrocytes—a new clinical and biochemical entity? Vox Sang. 6: 370, 1961. CrossrefMedlineGoogle Scholar38. JACOBJANDL HSJH: Effects of sulfhydryl inhibition on red blood cells. I. Mechanism of hemolysis. J. Clin. Invest. 41: 779, 1962. CrossrefMedlineGoogle Scholar39. JACOBJANDL HSJH: Effects of sulfhydryl inhibition on red blood cells. II. Studies in vivo. Ibid. 1514. Google Scholar40. HITZIGFRICKBETKEHUISMAN WHPGKTH: Hämoglobin Zürich: eine neue Hämoglobinanomalie mit sulfonamidinduzierter Innenkörperanämie. Helv. Paediat. Acta 15: 499, 1960. MedlineGoogle Scholar41. RIGASKOLER DARD: Decreased erythrocyte survival in hemoglobin H disease as a result of the abnormal properties of hemoglobin H: the benefit of splenectomy. Blood 18: 1, 1961. CrossrefMedlineGoogle Scholar42. BENESCHRANNEYBENESCHSMITH REHMRGM: The chemistry of the Bohr effect. II. Some properties of hemoglobin H. J. Biol. Chem. 236: 2926, 1961. CrossrefMedlineGoogle Scholar43. OGINOICHIHARA ST: Biochemical studies on cataract. V. Biochemical genesis of senile cataract. Amer. J. Ophthal. 43: 754, 1957. CrossrefMedlineGoogle Scholar44. PIRIEVON HEYNINGEN ARV: Biochemistry of the Eye, Blackwell Scientific Publications, Oxford, 1956, pp. 115, 128. Google Scholar45. HARRISGEHRSITZ JELB: Significance of changes in potassium and sodium content of the lens. Amer. J. Ophthal. 34: 131, 1951. CrossrefMedlineGoogle Scholar46. DISCHEZIL ZH: Studies of the oxidation of cysteine to cystine in lens proteins during cataract formation. Amer. J. Ophthal. 34: 104, 1951. CrossrefMedlineGoogle Scholar47. DISCHEBORENFREUNDZELMENIS ZEG: Changes in lens proteins of rats during aging. Arch. Ophthal (Chicago) 55: 471, 1956. CrossrefMedlineGoogle Scholar48. DUKE-ELDER S: Textbook of Ophthalmology, Henry Kimpton, London, 1954. Google Scholar49. BREWERTARLOVKELLERMEYER GJARRW: The hemolytic effect of primaquine. XII. Shortened erythrocyte lifespan in primaquine-sensitive male Negroes in the absence of drug administration. J. Lab. Clin. Med. 58: 217, 1961. Google Scholar50. ABRAHAMCHAIKOFF SIL: Glycolytic pathways and lipogenesis in mammary glands of lactating and nonlactating normal rats. J. Biol. Chem. 234: 2246, 1959. CrossrefMedlineGoogle Scholar51. KARNOVSKY M: Metabolic basis of phagocytic activity. Physiol. Rev. 42: 143, 1962. CrossrefMedlineGoogle Scholar52. DACIE JV: The Haemolytic Anaemias. Part I. The Congenital Anaemias, Grune & Stratton, Inc., New York, 1960. Google Scholar53. TANAKAVALENTINEMIWA KRWNS: Pyruvate kinase (PK) deficiency hereditary non-spherocytic hemolytic anemia. Blood 19: 267, 1962. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: JAMES H. JANDL, M.D.Affiliations: Thorndike Memorial Laboratory Second and Fourth (Harvard) Medical Services Boston City Hospital Department of Medicine Harvard Medical School Boston, Massachusetts PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byCloning of the glucose 6-phosphate dehydrogenase gene from Plasmodium f alciparumEnhanced heinz body formation, cell lysis and anaemia in a Koala (Phascolarctos cinereus)The Bessis reticular cell, the hemoglobin ‘switch’ and the role of fetal hemoglobin: A hypothesisCorrelation between cataract and glutathione metabolismSeasonal and ontogenetic effects on methaemoglobin and reduced glutathione contents in the blood of reared baltic salmonInherited Erythrocyte Metabolic and Membrane DisordersGlucose-6-phosphate dehydrogenase and its relationship to mental retardationBiological autoxidation I. 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WILMER WIRTS, M.D., F.A.C.P.Relationships between Metabolic State and (1) In Vivo Survival and (2) Density Distribution of Previously Frozen Human ErythrocytesHemolysis with Vitamin E MalabsorptionHAEMOLYTIC DETERMINANTS : A REVIEWThe sickle cell paroxysmal nocturnal hemoglobinuria syndromeAROMATIC DRUGS AND CONGENITAL CATARACTSMATERNAL DRUG THERAPY AND CONGENITAL CATARACTSDrug-Induced blood dyscrasias 1 April 1963Volume 58, Issue 4Page: 702-709KeywordsBlood cellsCellsHemolytic anemiaStaining ePublished: 1 December 2008 Issue Published: 1 April 1963 PDF downloadLoading ...
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