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Clinical Chemistry 18: 971-975, 1972;
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Clinical Chemistry, Vol 18, 971-975, Copyright © 1972 by the American Association for Clinical Chemistry

Glycosidases in Normal Human Leukocytes and Abnormalities in GM1-Gangliosidosis

Jeffrey Hindman 1 and Edward Cotlier 1

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 beta-galactosidase, agr-galactosidase, agr-mannosidase, beta-fucosidase, beta-glucosaminidase, and beta-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 beta-fucosidase and the well-known deficiency of beta-galactosidase were demonstrated in the proband, and corresponding but less severe deficiencies of both glycosidases were found in the parents. beta-Galactosidase and beta-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.


Key Words: mucolipidoses • glycosphingolipidoses • genetic screening • normal values • enzymatic specificity • diagnostic aids

Submitted on June 5, 1972
Accepted on July 3, 1972







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Copyright © 1972 by the American Association for Clinical Chemistry.