Letter: Serum arylsulfatase A assay.
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Biomedical subjects
Publications and source records attributed to N G Beratis.
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Assays of arylsulphatase A have been performed on peripheral leukocytes and lymphoid cell lines from normal subjects and heterozygotes and homozygotes for metachromatic leukodystrophy (MLD) by utilizing an improved procedure based on the removal of excess protein from the final digest. No overlap of arylsulphatase A activity was observed between peripheral leukocytes obtained from 11 normal donors, 8 heterozygotes and 5 homozygotes for MLD. Absence of enzyme activity was demonstrated in the patients' leukocytes, when the modified assay procedure was employed. Arylsulphatase A activity (mean +/- S.D.) in 30 lymphoid lines and sublines established from 18 normal donors, 2 heterozygotes and 1 homozygote for MLD was 54-5 +/- 23-1, 24-1 +/- 3-2 and 0-9, respectively. The enzymic activity of arylsulphatase A and B remained stable over a period of several months. These findings indicate that long-term lymphoid lines express the genotype of the donor and maintain enzyme stability over long periods in culture. Moreover, it appears that peripheral leukocytes are a reliable system for the identification of the carrier state of MLD.
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Arylsulfatase B deficiency was demonstrated in peripheral leukocytes, cultured skin fibroblasts, and a lymphoid line derived from a patient with MLS. The patient's parents demonstrated levels of arylsulfatase B that were intermediate between those found in patient and those in control subjects. The activity (mean plus or minus SD) in leukocytes from normal subjects, the patient's parents, and the patient was 113.7 plus or minus 36.2, 31.0, and 5.2 nmol 4-nitrocatechol/mg protein/hr, respectively. In skin fibroblasts of the same subjects the activity was 145.2 plus or minus 41.6, 58.5, and 7.0, respectively. Nine other lysosomal enzymes were normal in skin fibroblasts of the patient. No arylsulfatase B activity was detected in a lymphoid line established from the patient with MLS. The arylsulfatase B activity in cultured amniotic fluid cells from 10 normal pregnancies was 203.2 plus or minus 49.9.
The roentgen findings are described in 2 siblings with fucosidosis Type 2. They have mild dysostosis multiplex with predominant involvement of the spine, pelvis, and femoral capital epiphyses. The roentgen descriptions of the previously reported cases are reviewed. Based on the descriptive data currently available, there are no consistent differences which would permit the distinction of fucosidosis Type 1 from Type 2 on roentgen grounds.
The roentgenographic and clinical findings are described in a mother and daughter with the Kniest syndrome associated with urinary keratan sulfate excretion. Osteoporosis, kyphoscoliosis, vertebral irregularity, pelvic deformity, flat femoral heads and enlargement of the ends of the long bones were the main roentgen findings. Irregularity of ossification on both sides of the growth plate was observed in the daughter, and marked degenerative changes were superimposed on several of the mother's abnormal joints. Abnormal mucopolysacchariduria, observed in both patients, and cataracts, fusion of the symphysis pubis, and deficiency of carpal bones, seen in the mother, have not been described previously.
A common polymorphism of human alpha fucosidase has been detected by the technique of isoelectric focusing on thin layer acrylamide gel. Family studies have shown that the three common phenotypes Fu 1, Fu 2, and Fu 2-1 represent homozygosity or heterozygosity for two autosomal codominat alleles, Fu1 and Fu2. Frequencies of the Fu1 and Fu2 alleles in the New York populations studied were .753 and .247 among whites and .926 and .074 among blacks, respectively.
A mother and daughter with clinical and radiographic findings typical of the Kniest syndrome are reported. It is apparent that this syndrome is dominantly inherited and that sporadic cases may represent fresh mutations. Abnormally high keratan sulfate excretion was found, indicating that the Kniest syndrome is a mucopolysacchariduria.
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