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Clinical Chemistry 20: 538-543, 1974;
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Clinical Chemistry, Vol 20, 538-543, Copyright © 1974 by the American Association for Clinical Chemistry

Automated Determination of Serum Hexosaminidase A by pH Inactivation for Detection of Tay-Sachs Disease Heterozygotes

Abraham Saifer 1 and Guta Perle 1

1 Biochemistry Department, Isaac Albert Research Institute of the Kingsbrook Jewish Medical Center, Brooklyn, N. Y. 11203.

We have automated a manual test for detection of heterozygotes of Tay-Sachs disease by assay of hexosaminidase A in serum, based on pH inactivation [Clin. Chim. Acta 43, 417 (1973)]. The same manifold is used both for the total hexosaminidase and pH-inactivation (hexosaminidase B) procedures. Automation expedites mass screening of the Ashkenazi Jewish population for carriers of the Tay-Sachs gene (prevalence rate, 1:30), because 100 or more tests can be performed daily. The mean percentage value and range (±2 SD) of hexosaminidase A for normal adults is 68.6 (58-79) and for carriers is 48.8 (39-59) with the automated pH-inactivation procedure. "Presumed carriers" (<53% hexosaminidase A) and individuals in the uncertain range (53 to 58%) should be retested by using leukocytes, to avoid the effect of certain physical ailments, before being labeled as carriers. The same automated system used for this assay can also be used to detect carriers of at least seven other sphingolipidoses for which artificial fluorogenic substrates are available.


Key Words: carrier detection • AutoAnalyzer • fluorometric enzyme assay • automated pH-inactivation • comparison with manual heat-denaturation method • mass screening • sphingolipidoses • lipid storage diseases • normal values

Submitted on December 31, 1973
Accepted on February 19, 1974




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