Purine/Pyrimidine [Ratio] in Red Blood Cells by Spectrophotometry   85379-6

LOINC Code


LOINC code85379-6
namePurine/Pyrimidine [Ratio] in Red Blood Cells by Spectrophotometry
descriptionThe purine to pyrimidine ratio is a marker of pyrimidine-5-nucleotidase (P5N) which is an enzyme in the cytoplasm of human red blood cells. The function of P5N is unknown but a deficiency of the enzyme causes congenital haemolytic anemia. Individuals who are heterozygous for the recessive P5N gene demonstrate no clinical or hematological abnormalities while those homozygous for the recessive P5N gene have a corresponding 5-30% reduction in normal enzyme activity. P5N deficiency leads to chronic non-spherocytic haemolytic anaemia associated with mild to moderate hemolysis, increased basophilic stippling in 5% of the red blood cells and an elevation of red cell glutathione and pyrimidine nucleotides. The diagnosis of P5N deficiency is based on the change in the level of cytidine and uridine in red blood cells which is normally very low but increases to over 50% in P5N deficient patients. Measurement of P5N is by light absorption at different wavelengths. In acidic solution pyrimidine nucleotides absorb the maximum amount of light at 280 nanometers (nm). Purine nucleotides absorb the maximum amount of light at 260 nm. The ratio of light absorbed at 260 nm to that at 280 nm in a pool of red blood cells indicates the relative amount of purines to pyrimidines. The ratio is lower than normal when pyrimidine levels are increased.[PMID: 23992312][ Dacie and Lewis Practical Haematology, 11th edition, Barbara J. Bain, Imelda Bates, Mike A. Laffan, S. Mitchell Lewis, p259]
statusACTIVE

Fully-Specified Name

componentPurine/pyrimidine
propertyRatio
timePt  =  Point in time:  To identify measures at a point in time. This is a synonym for “spot” or “random” as applied to urine measurements.
systemRBC  =  Erythrocytes
scaleQn  =  Quantitative:  The result of the test is a numeric value that relates to a continuous numeric scale. Reported either as an integer, a ratio, a real number, or a range. The test result value may optionally contain a relational operator from the set {<=, <, >, >=}. Valid values for a quantitative test are of the form "7", "-7", "7.4", "-7.4", "7.8912", "0.125", "<10", "<10.15", ">12000", 1-10, 1:256
methodSpectrophotometry

Additional Names

short namePurine/Pyrimidine RBC Spect-Rto

Basic Attributes

classCHEM
type1  Laboratory
order vs. observationBoth
example UCUM units{ratio}
The Unified Code for Units of Measure (UCUM) is a code system intended to include all units of measures being contemporarily used in international science, engineering, and business (www.unitsofmeasure.org)
example unitratio

Associated Observations

LOINC codes that represent optional associated observation(s) for a clinical observation or laboratory test. A LOINC term may represent a single associated observation or panel containing several associated observations.

History/Usage

first released
last updated2.61
last change typeADD  - added

Related Names

Chemistry
Erythrocytes
Point in time
QNT
Quan
Quant
Quantitative
Random
Ratios
Red blood cells
Red blood corpusles
Rto

Copyright © 2023 Regenstrief Institute, Inc. All Rights Reserved. To the extent included herein, the LOINC table and LOINC codes are copyright © 1995-2023, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. See https://loinc.org/license for the full LOINC copyright and license.

demo
request yours today
subscribe
start today
newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.