title: Measurement of lysozyme in human body fluids: comparison of various enzyme immunoassay techniques and their diagnostic application.
abstract: Three variants of the immunoenzymometric assay of human lysozyme with HRP-labeled antibodies were compared. The highest sensitivity (with a detection limit of 0.2 micrograms lysozyme/L) was achieved by a one-step assay lasting 2 h. Between-batch precision for the techniques was 6-11%. Lysozyme reference values were determined in serum, cerebrospinal fluid and urine. In serum they are age-dependent and in urine sex-dependent when related to creatinine excretion. Serum lysozyme is increased in only 57% of the patients with active rheumatoid arthritis and is also unreliable for indicating remission. In Crohn's disease the serum lysozyme reflects activity better, but it does not exceed the diagnostic value of alpha-1-acidic glycoprotein (orosomucoid). The lysozyme quantification in cerebrospinal fluid is useful in distinguishing between viral or bacterial meningitis.
authors.affiliation: Institute of Pathological and Clinical Biochemistry, Faculty of Medicine, (Charite), Humboldt-University of Berlin, GDR.
authors.forename: B
authors.initials: B
authors.lastname: Porstmann
authors.forename: K
authors.initials: K
authors.lastname: Jung
authors.forename: H
authors.initials: H
authors.lastname: Schmechta
authors.forename: U
authors.initials: U
authors.lastname: Evers
authors.forename: M
authors.initials: M
authors.lastname: Pergande
authors.forename: T
authors.initials: T
authors.lastname: Porstmann
authors.forename: H J
authors.initials: HJ
authors.lastname: Kramm
authors.forename: H
authors.initials: H
authors.lastname: Krause
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D000368:Aged; D000375:Aging / Q000378:metabolism; D001172:Arthritis, Rheumatoid / Q000175:diagnosis*; D001826:Body Fluids / Q000201:enzymology*; D004796:Clinical Enzyme Tests; D003424:Crohn Disease / Q000175:diagnosis*; D003937:Diagnosis, Differential; D004795:Enzyme Stability; D005069:Evaluation Studies as Topic; D006801:Humans; D007124:Immunoenzyme Techniques; D007231:Infant, Newborn; D008581:Meningitis / Q000175:diagnosis*; D008587:Meningitis, Viral / Q000175:diagnosis; D008875:Middle Aged; D009113:Muramidase / Q000032:analysis*; D009422:Nervous System Diseases / Q000175:diagnosis; D012016:Reference Values
chemical_list: D009113:Muramidase