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Clinical Chemistry, Vol 18, 971-975, Copyright © 1972 by the American Association for Clinical Chemistry
1 Biochemistry Laboratories, Department of Ophthalmology, The University of Illinois Eye and Ear Infirmary, 1855
W. Taylor St., Chicago, Ill. 60612.
Leukocyte enzyme assay is a valuable tool in the
diagnosis of mucolipidoses and glycosphingolipidoses. Accurate resolution of the normal ranges
of glycosidase activity is vital in the evaluation of
both homozygotes and suspected heterozygote
carriers. Activities of leukocyte
-galactosidase,
-galactosidase,
-mannosidase,
-fucosidase,
-glucosaminidase, and
-galactosaminidase were
measured in a large population of normal subjects
and demonstrated, within 95% confidence limits,
to be normally distributed. Leukocyte glycosidases
were determined in a GM1-gangliosidosis homozygote and in the heterozygous parents. A previously
unreported deficiency of
-fucosidase and the
well-known deficiency of
-galactosidase were
demonstrated in the proband, and corresponding
but less severe deficiencies of both glycosidases
were found in the parents.
-Galactosidase and
-fucosidase may represent a single enzyme, unspecific for the carbon 6 of galactose. If not, the
genetic defect in GM1-gangliosidosis may be more
profound than has been recognized.
Submitted on June 5, 1972
Accepted on July 3, 1972
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