A rapid fluorogenic palmitoyl-protein thioesterase assay: Pre- and postnatal diagnosis of INCL

被引:94
作者
van Diggelen, OP
Keulemans, JLM
Winchester, B
Hofman, IL
Vanhanen, SL
Santavuori, P
Voznyi, YV
机构
[1] Erasmus Univ, Dept Clin Genet, NL-3000 DR Rotterdam, Netherlands
[2] Inst Child Hlth, London, England
[3] Bartimeushage, Doorn, Netherlands
[4] Hosp Children & Adolescents, Dept Paediat Neurol, Helsinki, Finland
[5] Inst Organ Chem, Moscow, Russia
关键词
infantile neuronal ceroid lipofuscinosis; INCL; CLN1; palmitoyl-protein thioesterase; PPT1; enzyme analysis; prenatal diagnosis;
D O I
10.1006/mgme.1999.2809
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A deficiency of palmitoyl-protein thioesterase (PPT) was recently shown to be the primary defect in infantile neuronal ceroid lipofuscinosis (INCL). The available enzyme assays are complicated and impractical for diagnostic use. We have recently developed a new, fluorometric assay for PPT based on the sensitive fluorochrome 4-methylumbelliferone, requiring an overnight incubation to measure PPT, Now we have synthesized an analogue of this substrate which allows PPT determinations in 1 h. This improved PPT assay is simple, sensitive, and robust and will. facilitate the definition of the full clinical spectrum associated with a deficiency of PPT. PPT activity was readily detectable in fibroblasts, leukocytes, amniotic fluid cells, chorionic villi, plasma, and cerebrospinal fluid from controls. PPT activity was profoundly deficient in these tissues and fluids from INCL patients. Similarly, a deficiency of PPT activity was demonstrated in patients with the variant juvenile NCL with GROD. These results show the feasibility of rapid pre- and postnatal diagnosis of INCL and its variants. (C) 1999 Academic Press.
引用
收藏
页码:240 / 244
页数:5
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