Abstract
Background: Mucopolysaccharidosis type VI (MPS VI) is a lysosomal storage disorder (LSD), which is caused by a deficiency in the enzyme N-acetylgalactosamine 4-sulfatase (4-sulfatase). MPS VI is characterized by severe skeletal abnormalities, somatic tissue pathology and early death. Treatment possibilities include bone marrow transplantation (BMT) and enzyme replacement therapy (ERT; currently in phase III clinical trial). Early diagnosis of MPS VI will allow treatment before the onset of irreversible pathology. Methods: Sensitive immune assays have been developed to detect 4-sulfatase protein and activity in normal control and MPS VI blood-spots. Results: Dried blood-spots from MPS VI patients contained no detectable 4-sulfatase protein and activity, compared to 3.5-21 μg/L of 4-sulfatase protein and 291-1298 nmol/min/L of activity for normal human controls. In this evaluation study, the assay was sensitive and 100% specific, allowing reliable detection of individuals with MPS VI. Conclusions: The assays reported here have the potential to detect MPS VI patients using dried blood-spots.
Original language | English |
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Pages (from-to) | 67-74 |
Number of pages | 8 |
Journal | Clinica Chimica Acta |
Volume | 353 |
Issue number | 1-2 |
DOIs | |
Publication status | Published or Issued - Mar 2005 |
Keywords
- Blood-spots
- Immune assay
- Lysosomal storage disorder
- Maroteaux-Lamy syndrome
- Mucopolysaccharidosis type VI
- N-Acetylgalactosamine 4-sulfatase
ASJC Scopus subject areas
- Biochemistry
- Clinical Biochemistry
- Biochemistry, medical