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Serum arylsulfatase A assay in metachromatic leukodystrophy: An experience in a neuropsychiatric set-up

  • Neurochemistry
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Abstract

Metachromatic leukodystrophy is a lysosomal disease caused mainly by a deficiency of the enzyme arylsulfatase A. The assay of arylsulfatase A in the serum provides a fast and easy method for the confirmatory diagnosis of this disorder. Serum arylsulfatase A was estimated in 52 normal healthy control subjects and 269 patients with symptoms of cerebral white matter disease in order to diagnose and confirm metachromatic leukodystrophy. A total of eight cases of metachromatic leukodystrophy with a low serum arylsulfatase A was detected, of which three cases were of the late-infantile type, four cases the juvenile type and only one case the adult type.

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References

  1. Alzheimer, A. (1910) Beitrage zur kenntis der pathologis chen neurologia und ihrer beziehungen zu den abbauvorgangen im nervengewebe. Nissl-Alzheimer's Histol Histopath Arb. 3, 401–562.

  2. Scholz, W. (1925) Klinische, pathologischanatomische und erbbiologische untersuchungen bei familiarer, diffuser hirsklerose im kindesalter. Z. Gesamte Neurol. Psychiatr. 99, 651–685.

    Google Scholar 

  3. Percy, A.K. and Brady, R.O. (1968) Metachromatic leukodystrophy: Diagnosis with samples of venous blood. Science 161, 594–595.

    Article  PubMed  CAS  Google Scholar 

  4. Porter, M.T., Fluharty, A.L. and Kiharia, H. (1969) Metachromatic leukodystrophy: Arylsulfatase A deficiency in skin fibroblast cultures. Proc. Natl. Acad. Sci. USA. 62, 887–889.

    Article  PubMed  CAS  Google Scholar 

  5. Kolodny, E.H. (1993) Metachromatic leukodystrophy and multiple sulfatase deficiency. In: The molecular and genetic basis of neurological disease. Eds. Rosenberg, R.N., Prusiner, S.B., DiMauro, S., Barchi, R.L. and Kunkel, L.M. Butterworth-Heinmann, Boston.

    Google Scholar 

  6. Baum, H., Dodgson, K.S. and Spencer, B., (1950) The assay of arylsulfatases A and B in human urine. Clin. Chim. Acta 4, 453–455.

    Article  Google Scholar 

  7. Beratis, N.G., Aron, A.M. and Hirschhorn, K. (1973) Metachromatic leukodystrophy: Detection in serum. J. Pediatr. 83, 824–827.

    Article  PubMed  CAS  Google Scholar 

  8. Jordan, T.W., Casey, B. and Weston, H.S. (1977) Enzymatic detection of metachromatic leukodystrophy patients and heterozygotes. NZ. Med. J. 85, 369–371.

    CAS  Google Scholar 

  9. Teo, Y. Tahara, T., Koda, N., Yamaguchi, S., Ito, F. and Okuno, A. (1982) Prenatal diagnosis of metachromatic leukodystrophy: A diagnosis by amniotic fluid and its confirmation. Arch. Neurol. 39, 29–32.

    Google Scholar 

  10. Rattazzi, M.C. and Davidson, R.G. (1977) Prenatal diagnosis of metachromatic leukodystrophy by electrophoretic and immunologic techniques, Ped. res. 11, 1030–1035.

    Google Scholar 

  11. Dulaney, J.T. and Moser, H.W. (1977) Metachromatic leukodystrophy In: Practical enzymology of the sphingolipidoses. Eds. Glew, R.H. and Peters, S.P. Alan R. Liss, New York, p 283–287.

    Google Scholar 

  12. Porter, M.T., Fluharty, A.L., Harris, S.E. and Kihara, H. (1970) The accumulation of cerebroside sulfates by fibroblasts in culture from patients with late infantile metachromatic leukodystrophy. Arch. Biochem. 138, 646–648.

    Article  PubMed  CAS  Google Scholar 

  13. Kreysing, J., Von Figura, K. and Gieselmann, V. (1990) Structure of the arylsulfatase A gene. Eur. J. Biochem. 191, 627–631.

    Article  PubMed  CAS  Google Scholar 

  14. Polten, A., Fluharty, A.L. and Fluharty, C.B. (1991) Molecular basis of different forms of metachromatic leukodystrophy. N. Engl. J. Med. 324, 18–22.

    PubMed  CAS  Google Scholar 

  15. Krivit, W., Shapiro, E. and Kennedy, W. (1990) Treatment of the late infantile metachromatic leukodystrophy by bone marrow transplantation. N. Engl. J. Med. 322, 28–32.

    PubMed  CAS  Google Scholar 

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Christopher, R., Narayanan, C.P., Arunodaya, G.R. et al. Serum arylsulfatase A assay in metachromatic leukodystrophy: An experience in a neuropsychiatric set-up. Indian J Clin Biochem 10, 89–92 (1995). https://doi.org/10.1007/BF02871008

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