Skip to main content
Top
Published in: Diagnostic Pathology 1/2010

Open Access 01-12-2010 | Research

Reference values for lysosomal enzymes activities using dried blood spots samples - a Brazilian experience

Authors: Karen B Müller, Mayra DB Rodrigues, Vanessa G Pereira, Ana M Martins, Vânia D'Almeida

Published in: Diagnostic Pathology | Issue 1/2010

Login to get access

Abstract

Background

Lysosomal storage diseases (LSD) are inherited disorders caused by deficiency of lysosomal enzymes in which early diagnosis is essential to provide timely treatment. This study reports interval values for the activity of lysosomal enzymes that are deficient in Mucopolysaccharidosis type I, Fabry, Gaucher and Pompe disease, using dried blood spots on filter paper (DBS) samples in a Brazilian population.

Results

Reference activity values were obtained from healthy volunteers samples for alpha-galactosidase A (4.57 ± 1.37 umol/L/h), beta-glucosidase (3.06 ± 0.99 umol/L/h), alpha-glucosidase (ratio: 13.19 ± 4.26; % inhibition: 70.66 ± 7.60), alpha-iduronidase (3.45 ± 1.21 umol/L/h) and beta-galactosidase (14.09 ± 4.36 umol/L/h).

Conclusion

Reference values of five lysosomal enzymes were determined for a Brazilian population sample. However, as our results differ from other laboratories, it highlights the importance of establishing specific reference values for each center.
Appendix
Available only for authorised users
Literature
1.
go back to reference Scriver CRBAL, Sly WS, Valle D, Childs R, Kinzler KW: The Metabolic Basis of Inherited Disease. 2001, New York: McGraw-Hill Scriver CRBAL, Sly WS, Valle D, Childs R, Kinzler KW: The Metabolic Basis of Inherited Disease. 2001, New York: McGraw-Hill
2.
go back to reference Platt FM, Lachmann RH: Treating lysosomal storage disorders: current practice and future prospects. Biochim Biophys Acta. 2009, 1793: 737-745. 10.1016/j.bbamcr.2008.08.009.CrossRefPubMed Platt FM, Lachmann RH: Treating lysosomal storage disorders: current practice and future prospects. Biochim Biophys Acta. 2009, 1793: 737-745. 10.1016/j.bbamcr.2008.08.009.CrossRefPubMed
3.
go back to reference Meikle PJ, Hopwood JJ, Clague AE, Carey WF: Prevalence of lysosomal storage disorders. JAMA. 1999, 281 (3): 249-254. 10.1001/jama.281.3.249.CrossRefPubMed Meikle PJ, Hopwood JJ, Clague AE, Carey WF: Prevalence of lysosomal storage disorders. JAMA. 1999, 281 (3): 249-254. 10.1001/jama.281.3.249.CrossRefPubMed
4.
go back to reference Omura K, Higami S, Tada K: alpha-L-iduronidase activity in leukocytes: diagnosis of homozygotes and heterozygotes of the Hurler syndrome. Eur J Pediatr. 1976, 122: 103-105. 10.1007/BF00466268.CrossRefPubMed Omura K, Higami S, Tada K: alpha-L-iduronidase activity in leukocytes: diagnosis of homozygotes and heterozygotes of the Hurler syndrome. Eur J Pediatr. 1976, 122: 103-105. 10.1007/BF00466268.CrossRefPubMed
5.
go back to reference Gelb MH, Turecek F, Scott CR, Chamoles NA: Direct multiplex assay of enzymes in dried blood spots by tandem mass spectrometry for the newborn screening of lysosomal storage disorders. J Inherit Metab Dis. 2006, 29: 397-404. 10.1007/s10545-006-0265-4.PubMedCentralCrossRefPubMed Gelb MH, Turecek F, Scott CR, Chamoles NA: Direct multiplex assay of enzymes in dried blood spots by tandem mass spectrometry for the newborn screening of lysosomal storage disorders. J Inherit Metab Dis. 2006, 29: 397-404. 10.1007/s10545-006-0265-4.PubMedCentralCrossRefPubMed
6.
go back to reference Fuller M, Lovejoy M, Brooks DA, Harkin ML, Hopwood JJ, Meikle PJ: Immunoquantification of alpha-galactosidase: evaluation for the diagnosis of Fabry disease. Clin Chem. 2004, 50: 1979-1985. 10.1373/clinchem.2004.037937.CrossRefPubMed Fuller M, Lovejoy M, Brooks DA, Harkin ML, Hopwood JJ, Meikle PJ: Immunoquantification of alpha-galactosidase: evaluation for the diagnosis of Fabry disease. Clin Chem. 2004, 50: 1979-1985. 10.1373/clinchem.2004.037937.CrossRefPubMed
7.
go back to reference Civallero G, Michelin K, de Mari J, Viapiana M, Burin M, Coelho JC, Giugliani R: Twelve different enzyme assays on dried-blood filter paper samples for detection of patients with selected inherited lysosomal storage diseases. Clin Chim Acta. 2006, 372: 98-102. 10.1016/j.cca.2006.03.029.CrossRefPubMed Civallero G, Michelin K, de Mari J, Viapiana M, Burin M, Coelho JC, Giugliani R: Twelve different enzyme assays on dried-blood filter paper samples for detection of patients with selected inherited lysosomal storage diseases. Clin Chim Acta. 2006, 372: 98-102. 10.1016/j.cca.2006.03.029.CrossRefPubMed
8.
go back to reference Chamoles NA, Blanco MB, Gaggioli D, Casentini C: Hurler-like phenotype: enzymatic diagnosis in dried blood spots on filter paper. Clin Chem. 2001, 47: 2098-2102.PubMed Chamoles NA, Blanco MB, Gaggioli D, Casentini C: Hurler-like phenotype: enzymatic diagnosis in dried blood spots on filter paper. Clin Chem. 2001, 47: 2098-2102.PubMed
9.
go back to reference Gasparotto N, Tomanin R, Frigo AC, Niizawa G, Pasquini E, Blanco M, Donati MA, Keutzer J, Zacchello F, Scarpa M: Rapid diagnostic testing procedures for lysosomal storage disorders: alpha-glucosidase and beta-galactosidase assays on dried blood spots. Clin Chim Acta. 2009, 402 (1-2): 38-41. 10.1016/j.cca.2008.12.006.CrossRefPubMed Gasparotto N, Tomanin R, Frigo AC, Niizawa G, Pasquini E, Blanco M, Donati MA, Keutzer J, Zacchello F, Scarpa M: Rapid diagnostic testing procedures for lysosomal storage disorders: alpha-glucosidase and beta-galactosidase assays on dried blood spots. Clin Chim Acta. 2009, 402 (1-2): 38-41. 10.1016/j.cca.2008.12.006.CrossRefPubMed
10.
go back to reference Kallwass H, Carr C, Gerrein J, Titlow M, Pomponio R, Bali D, Dai J, Kishnani P, Skrinar A, Corzo D, Keutzer J: Rapid diagnosis of late-onset Pompe disease by fluorometric assay of alpha-glucosidase activities in dried blood spots. Mol Genet Metab. 2007, 90: 449-452. 10.1016/j.ymgme.2006.12.006.CrossRefPubMed Kallwass H, Carr C, Gerrein J, Titlow M, Pomponio R, Bali D, Dai J, Kishnani P, Skrinar A, Corzo D, Keutzer J: Rapid diagnosis of late-onset Pompe disease by fluorometric assay of alpha-glucosidase activities in dried blood spots. Mol Genet Metab. 2007, 90: 449-452. 10.1016/j.ymgme.2006.12.006.CrossRefPubMed
11.
go back to reference Li Y, Scott CR, Chamoles NA, Ghavami A, Pinto BM, Turecek F, Gelb MH: Direct multiplex assay of lysosomal enzymes in dried blood spots for newborn screening. Clin Chem. 2004, 50: 1785-1796. 10.1373/clinchem.2004.035907.PubMedCentralCrossRefPubMed Li Y, Scott CR, Chamoles NA, Ghavami A, Pinto BM, Turecek F, Gelb MH: Direct multiplex assay of lysosomal enzymes in dried blood spots for newborn screening. Clin Chem. 2004, 50: 1785-1796. 10.1373/clinchem.2004.035907.PubMedCentralCrossRefPubMed
12.
go back to reference Lukacs Z, Keil A, Peters V, Kohlschutter A, Hoffmann GF, Cantz M, Kopitz J: Towards quality assurance in the determination of lysosomal enzymes: a two-centre study. J Inherit Metab Dis. 2003, 26: 571-581. 10.1023/A:1025904132569.CrossRefPubMed Lukacs Z, Keil A, Peters V, Kohlschutter A, Hoffmann GF, Cantz M, Kopitz J: Towards quality assurance in the determination of lysosomal enzymes: a two-centre study. J Inherit Metab Dis. 2003, 26: 571-581. 10.1023/A:1025904132569.CrossRefPubMed
13.
go back to reference Chamoles NA, Blanco M, Gaggioli D, Casentini C: Gaucher and Niemann-Pick diseases--enzymatic diagnosis in dried blood spots on filter paper: retrospective diagnoses in newborn-screening cards. Clin Chim Acta. 2002, 317: 191-197. 10.1016/S0009-8981(01)00798-7.CrossRefPubMed Chamoles NA, Blanco M, Gaggioli D, Casentini C: Gaucher and Niemann-Pick diseases--enzymatic diagnosis in dried blood spots on filter paper: retrospective diagnoses in newborn-screening cards. Clin Chim Acta. 2002, 317: 191-197. 10.1016/S0009-8981(01)00798-7.CrossRefPubMed
14.
go back to reference Chamoles NA, Blanco MB, Iorcansky S, Gaggioli D, Specola N, Casentini C: Retrospective diagnosis of GM1 gangliosidosis by use of a newborn-screening card. Clin Chem. 2001, 47: 2068-PubMed Chamoles NA, Blanco MB, Iorcansky S, Gaggioli D, Specola N, Casentini C: Retrospective diagnosis of GM1 gangliosidosis by use of a newborn-screening card. Clin Chem. 2001, 47: 2068-PubMed
15.
go back to reference Chamoles NA, Blanco M, Gaggioli D: Fabry disease: enzymatic diagnosis in dried blood spots on filter paper. Clin Chim Acta. 2001, 308: 195-196. 10.1016/S0009-8981(01)00478-8.CrossRefPubMed Chamoles NA, Blanco M, Gaggioli D: Fabry disease: enzymatic diagnosis in dried blood spots on filter paper. Clin Chim Acta. 2001, 308: 195-196. 10.1016/S0009-8981(01)00478-8.CrossRefPubMed
16.
go back to reference Chamoles NA, Blanco M, Gaggioli D: Diagnosis of alpha-L-iduronidase deficiency in dried blood spots on filter paper: the possibility of newborn diagnosis. Clin Chem. 2001, 47: 780-781.PubMed Chamoles NA, Blanco M, Gaggioli D: Diagnosis of alpha-L-iduronidase deficiency in dried blood spots on filter paper: the possibility of newborn diagnosis. Clin Chem. 2001, 47: 780-781.PubMed
17.
go back to reference Chamoles NA, Niizawa G, Blanco M, Gaggioli D, Casentini C: Glycogen storage disease type II: enzymatic screening in dried blood spots on filter paper. Clin Chim Acta. 2004, 347: 97-102. 10.1016/j.cccn.2004.04.009.CrossRefPubMed Chamoles NA, Niizawa G, Blanco M, Gaggioli D, Casentini C: Glycogen storage disease type II: enzymatic screening in dried blood spots on filter paper. Clin Chim Acta. 2004, 347: 97-102. 10.1016/j.cccn.2004.04.009.CrossRefPubMed
18.
go back to reference WHO: Hereditary Diseases Programme: guidelines for the development of national programmes for monitoring birth defects. 1993, 11-12. WHO/HDP/ICBDMS/GL/93.4 (54 pp.) WHO: Hereditary Diseases Programme: guidelines for the development of national programmes for monitoring birth defects. 1993, 11-12. WHO/HDP/ICBDMS/GL/93.4 (54 pp.)
19.
go back to reference Olivova P, van der Veen K, Cullen E, Rose M, Zhang XK, Sims KB, Keutzer J, Browning MF: Effect of sample collection on alpha-galactosidase A enzyme activity measurements in dried blood spots on filter paper. Clin Chim Acta. 2009, 403: 159-162. 10.1016/j.cca.2009.02.008.CrossRefPubMed Olivova P, van der Veen K, Cullen E, Rose M, Zhang XK, Sims KB, Keutzer J, Browning MF: Effect of sample collection on alpha-galactosidase A enzyme activity measurements in dried blood spots on filter paper. Clin Chim Acta. 2009, 403: 159-162. 10.1016/j.cca.2009.02.008.CrossRefPubMed
20.
go back to reference De Jesus VR, Zhang XK, Keutzer J, Bodamer OA, Muhl A, Orsini JJ, Caggana M, Vogt RF, Hannon WH: Development and evaluation of quality control dried blood spot materials in newborn screening for lysosomal storage disorders. Clin Chem. 2009, 55: 158-164. 10.1373/clinchem.2008.111864.CrossRefPubMed De Jesus VR, Zhang XK, Keutzer J, Bodamer OA, Muhl A, Orsini JJ, Caggana M, Vogt RF, Hannon WH: Development and evaluation of quality control dried blood spot materials in newborn screening for lysosomal storage disorders. Clin Chem. 2009, 55: 158-164. 10.1373/clinchem.2008.111864.CrossRefPubMed
Metadata
Title
Reference values for lysosomal enzymes activities using dried blood spots samples - a Brazilian experience
Authors
Karen B Müller
Mayra DB Rodrigues
Vanessa G Pereira
Ana M Martins
Vânia D'Almeida
Publication date
01-12-2010
Publisher
BioMed Central
Published in
Diagnostic Pathology / Issue 1/2010
Electronic ISSN: 1746-1596
DOI
https://doi.org/10.1186/1746-1596-5-65

Other articles of this Issue 1/2010

Diagnostic Pathology 1/2010 Go to the issue