title: A sensitive procedure for the diagnosis of N-acetyl-galactosamine-6-sulfate sulfatase deficiency in classical Morquio's disease.
abstract: The trisaccharide 6-sulfo-N-acetylgalactosamine-glucuronic acid-6-sulfo-N-acetyl-[1-3H]galactosaminitol was used as a substrate for the determination of N-acetylgalactosamine-6-sulfate sulfatase activity. The amount of liberated sulfate was measured indirectly by separating monosulfated reaction products from the substrate on Dowex 1 X 2 microcolumns in a simple two step procedure. Fibroblast homogenates from patients with various genotypes, except classical Morquio's disease, released 410 +/- 90 pmol sulfate/h/mg cell protein. The enzyme exhibited a pH optimum of pH 4.8 and a KM of about 1 X 10(-4) mol/1. It was strongly inhibited by phosphate, sulfate and chloride ions. In three cell lines from patients with classical Morquio's disease a residual activity between 1 and 2% of the mean normal activity was found. All cell lines tested released sulfate from 6-sulfo-N-acetylglucosamine-glucuronic acid-[1-3H]-anhydromannitol. Cell extracts from cultured amniotic fluid cells exhibited a N-acetylgalactosamine-6-sulfate sulfatase activity between 120 and 320 pmol/h/mg protein. An enzyme activity of 370 +/- 100 pmol sulfate/h/mg protein was found in peripheral leucocytes from healthy donors. The determination of N-acetyl-galactosamine-6-sulfate sulfatase activity in one family with an affected patient indicated that the enzyme deficiency is also expressed in leucocytes.
mesh_terms: D000653:Amniotic Fluid / Q000166:cytology / Q000201:enzymology; D002460:Cell Line; D002675:Child, Preschool; D002809:Chondroitin Sulfates; D002810:Chondroitinases and Chondroitin Lyases / Q000172:deficiency*; D002811:Chondroitinsulfatases / Q000172:deficiency* / Q000378:metabolism; D002852:Chromatography, Ion Exchange; D004796:Clinical Enzyme Tests / Q000379:methods; D005347:Fibroblasts / Q000201:enzymology; D005838:Genotype; D006801:Humans; D007962:Leukocytes / Q000201:enzymology; D008297:Male; D009085:Mucopolysaccharidosis IV / Q000175:diagnosis* / Q000201:enzymology
chemical_list: D002809:Chondroitin Sulfates; D002811:Chondroitinsulfatases; D002810:Chondroitinases and Chondroitin Lyases