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  • 1
    ISSN: 1432-0533
    Keywords: Leukodystrophy ; Very long chain fatty acids ; Phytanic acid ; Peroxisomal disease ; Adrenoleukodystrophy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Very long chain fatty acids (VLCFA) were found to be markedly increased and phytanic acid was borderline above normal in formalin-fixed brain white matter of case with an unusual type of familial leukodystrophy with epitheloid cells as described previously by Gullotta et al. [Neuropädiatrie (1970) 2: 173–186]. Increased VLCFA in brain clearly demonstrate that the patient had suffered from a peroxisomal disease. This diagnosis is corroborated by ultrastructural findings in brain showing typical lamellar inclusions. The particular type of peroxisomal disorder present in case (heterozygote of X-linked adrenoleukodystrophy?) remains speculative.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-0533
    Keywords: Neurovisceral lipidosis ; Niemann-Pick disease type C ; Oligomembranous cytoplasmic bodies ; Lipids ; Sphingomyelinase ; Prenatal diagnosis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary One postnatal and one prenatal case (same family) of a neurovisceral lipidosis compatible with a diagnosis of Niemann-Pick disease type C were studied. The postnatal case, aged 4 and 6/12 at death, was characterized morphologically (foamy cells in the bone marrow; storage histiocytes in rectal submucosa and extraneural viscera and ballooned neurons, the two types of cells containing pleomorphic and oligomenbranous inclusion bodies, respectively; central demyelination) as well as biochemically (elevated spleen and liver content of sphingomyelin, cholesterol, glucosyl ceramide and lysobisphosphatidic acid). Sphingomyelinase activity (SM) was not significantly lowered and showed no greatly abnormal electrofocused pattern of activity; its extractability from brain, liver and spleen was distinctly hindered, a finding interpreted as expression of a reduced bioavailability of the enzyme. — The prenatal case was diagnosed by low SM in amniotic fluid. Diminished SM was confirmed in cultured amniotic cells and in tissues of the aborted fetus which, additionally, showed an elevated sphingomyelin and cholesterol content in the liver. A prenatal diagnosis of Niemann-Pick disease type C was made for the first time. The phenotypical variation of the disease may reflect genetic heterogeneity and, there-fore, a prenatally lowered SM need not be a constant finding. — The apparent normalization of SM in the postnatal case was accompanied by a decrease of visceromegaly raising the question of a causal relationship between the two phenomena.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    Acta neuropathologica 27 (1974), S. 177-180 
    ISSN: 1432-0533
    Keywords: Metachromatic Leukodystrophy ; Pseudoisocyanine ; Histochemistry ; Metachromasia
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary With a new staining method, using pseudoisocyanine as a metachromatic dye, accumulations of stored sulfatides in all forms of MLD could be detected on frozen sections of peripheral nerve and other tissues. With pseudoisocyanine sulfatide-micelles develop a “polymeric band” characterized by its maximum absorption at 583 nm (maximum absorption of the monomeric dye is at 530 nm). By staining sulfatide depositions with pseudoisocyanine a red-violet metachromasia is developed on a nearly pale red or colorless background of tissue. The short staining time and the high sensitivity are additional advantages of the method.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Springer
    Journal of molecular medicine 52 (1974), S. 1177-1178 
    ISSN: 1432-1440
    Keywords: Gaucher's disease ; glucocerebrosidase ; heterozygous carriers ; methylumbelliferyl-β-glucosidase ; M. Gaucher ; Glucocerebrosidase ; Heterozygote ; Methylumbelliferyl-β-glucosidase
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung In einer Familie mit M. Gaucher Typ I wurde die Aktivität der Glucocerebrosidase in den Leukocyten von 10 ml Blut bestimmt. Im Sphingosinanteil mit Tritium markiertes Glucocerebrosid diente als Substrat, das freigesetzte Ceramid als Maß für die Enzymaktivität. Zwei Brüder mit der Erkrankung zeigten einen hochgradigen Enzymmangel; bei ihrer Mutter und einer gesunden Schwester wurden Enzymwerte gemessen, die zwischen den Werten der Patienten einerseits und denen eines gesunden Bruders sowie zweier Kontrollen andererseits lagen. Die intermediären Enzymwerte spiegeln offenbar den heterozygoten Überträgerzustand wider. Für die Methylumbelliferyl-β-glucosidase in den Leukocyten der Patienten wurde eine andere pH-Abhängigkeit gefunden als für die von zwei Kontrollen: Die Aktivität bei pH 4,2 war erniedrigt, die bei 5,0 erhöht.
    Notes: Summary In a family with Gaucher's disease type I the activity of glucocerebrosidase was measured in the leukocytes from 10 ml venous blood, using glucocerebroside tritiumlabeled in the sphingosine moiety as substrate and by determining the enzymatically released ceramide. Two brothers with the disease showed a marked deficiency of the enzyme activity. Intermediate enzyme levels as compared to the patients on the one hand and to the patients' healthy brother and to two controls on the other hand were detected both in the patients' healthy sister and the mother, thereby tentatively identifying the heterozygous carrier state.—Methylumbelliferyl-β-glucosidase of the patients' leukocytes exhibited an altered pH profile: In comparison with two controls the enzyme activity at pH 4.2 was markedly lower and that at pH 5.0 was increased.
    Type of Medium: Electronic Resource
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  • 5
    Electronic Resource
    Electronic Resource
    Springer
    Journal of molecular medicine 49 (1971), S. 1189-1191 
    ISSN: 1432-1440
    Keywords: Tay-Sachs disease ; hexosaminidases ; heterozygous carriers ; Tay-Sachssche Erkrankung ; Hexosaminidasen ; Heterozygote
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Es wird über Enzymuntersuchungen im Blut bzw. Gewebe von Patienten mit Tay-Sachsscher Erkrankung, Variante O, und im Blut von heterozygoten Überträgern dieser Variante berichtet. Dem fast vollständigen Mangel der N-Acetyl-β-D-hexosaminidasen A und B bei den erkrankten Kindern entspricht eine Erniedrigung des Enzym-A-Spiegels auf ca. 60, des B-Spiegels auf ca. 40 und der gesamten Hexosaminidase-Aktivität auf ca. 50% der Norm im Blut der Heterozygoten. Die Auftrennung der Enzyme A und B erfolgte aus Leukocytenextrakt und Blutplasma mit mikroanalytischer, isoelektrischer Fokussierung. Die Frage der genetischen Beziehung zwischen den Enzymen A und B wird diskutiert.—Die Enzymbestimmungen bei den Personen von 2 Stammbäumen ergeben, daß die Tay-Sachs-Variante O recessiv vererbt wird. Mit Untersuchungen der beschriebenen Art ist die genetische Beratung von Familien, in denen die Tay-Sachssche Erkrankung vorkommt, möglich.
    Notes: Summary The N-acety-β-D-hexosaminidase activitites in the blood and tissue of patients with the variant O of Tay-Sachs disease and in the blood of the corresponding heterozygous carriers were investigated. Both hexosaminidase A and B were missing in the Tay-Sachs patients. In the blood of the heterozygotes the A activity was found to be reduced to about 60% the B activity to about 40% and the total hexosaminidase activity to about 50% of the normal controls. The two enzymes were separated from each other by microanalytical isoelectric focusing. The genetic relationship between enzymes A and B is discussed.—The enzyme levels of the members of two pedigrees show that the Tay-Sachs variant O is a recessively inherited disease. The described methods provide a tool for the heterozygote detection in families with a risk of giving birth to Tay-Sachs children.
    Type of Medium: Electronic Resource
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  • 6
    ISSN: 1432-1440
    Keywords: Tay-Sachs disease ; prenatal diagnosis ; heterozygous carriers ; hexosaminidase A ; isoelectric focusing ; Tay-Sachssche Erkrankung ; pränatale Diagnose ; heterozygote Überträger ; Hexosaminidase A ; isoelektrische Fokussierung
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Bei drei Schwangerschaften mit einem Risiko für Tay-Sachssche Erkrankung (GM2-Gangliosidose, Typ 1) wurde in der zellfreien Amnionflüssigkeit die Hexosaminidase A durch mikroanalytische isoelektrische Fokussierung bestimmt. In allen 3 Fällen fanden sich im Verhältnis zu 3 Kontrollen etwa auf die Hälfte erniedrigte Enzymspiegel, so daß offenbar jeweils ein heterozygoter Überträgerstatus ohne Krankheitswert vorlag. In 2 Fällen wurden etwas atypische Teilaktivitäten der Hexosaminidase A (Enzym aufgespalten, teils mit verschobenem isoelektrischem Punkt) gefunden. In einem Fall wurde der Foet untersucht. Die Probleme der Differenzierung heterozygoter von Erkrankungsfällen mit evtl. noch deutlicher Restaktivität werden diskutiert.
    Notes: Summary In three pregnancies with a risk for Tay-Sachs disease (GM2-gangliosidosis, type 1), hexosaminidase A was determined in the cell-free amniotic fluid by microanalytical isoelectric focusing. In all three cases the enzyme avtivity was found to be about half normal, as compared with three controls, thereby tentatively identifying the fetuses as heterozygous carriers for Tay-Sachs disease. In two cases the reduced hexosaminidase A peak exhibited a slightly shifted isoelectric point (about pH 4.5 instead of 5.0) and/or a splitting into two minor peaks. One fetus was studied. Problems encountered in differentiating between heterozygous and deficient enzyme activities in prenatal diagnosis are discussed.
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  • 7
    ISSN: 1432-1203
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology , Medicine
    Notes: Abstract Sphingolipid activator protein (SAP) deficiency, previously described in two sibs and shown to be caused by the absence of the common saposin precursor (prosaposin), was further characterized by biochemical lipid and enzyme studies and by ultrastructural analysis. The 20 week old fetal sib had increased concentrations of neutral glycolipids, including mono-, di-, tri- and tetrahexosylceramide, in liver, kidney and cultured skin fibroblasts compared with the controls. Glucosylceramide and lactosylceramide were particularly elevated. The kidney of the affected fetus showed additional increases in the concentration of sulphatide, galactosylceramide and digalactosylceramide. Free ceramide was stored in the liver and kidney, and GM3 and GM2 gangliosides were elevated in the liver, but not the brain, of the fetus. Phospholipids, however, were normal in the affected fetus. In the liver biopsy of the propositus, who later died at 16 weeks of age, only a few lipids could be studied. Glucosylceramide, dihexosylceramide and ceramide were elevated in agreement with our previous study. Enzyme studies were undertaken using detergent free liposomal substrate preparations and fibroblast extracts. The sibs' β-glucocerebrosidase and β-galactocerebrosidase activities were clearly reduced, but their sphingomyelinase activities were normal. The normal activity of the latter enzyme and the almost normal tissue concentration of sphingomyelin in prosaposin deficiency suggest that the prosaposin derived SAPs are not required for sphingomyelinase activity in vivo. In keeping with the biochemical findings, skin biopsies from the sibs showed massive lysosomal storage with a vesicular and membranous ultrastructure. The function of SAPs in sphingolipid degradation and the role of SAPs for enzyme activity in vitro are discussed. In addition, the similarity in neutral glycolipid accumulations in Niemann Pick disease type C and in prosaposin deficiency are noted. The phenotype of the prosaposin deficient sibs resembled acute neuronopathic (type 2) Gaucher disease more than Farber disease in several aspects, but their genotype was unique.
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  • 8
    ISSN: 1432-1203
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology , Medicine
    Notes: Summary Cultured skin fibroblasts from controls and patients with lysosomal storage diseases were loaded with GM1 ganglioside that had been labelled with tritium in its ceramide moiety. After a 65-h or 240-h incubation, a large percentage of this ganglioside remained undegraded in GM1 gangliosidoses, whereas in the other storage diseases studied, one of its metabolites accumulated by 2–4 fold relative to controls. Labelled GM2 ganglioside accumulated in 4 variants of GM2 gangliosidosis, whereas labelled GM3 ganglioside accumulated in sialidosis, galactosialidoses and sphingolipid activator protein 1 (SAP-1, saposin B) and prosaposin (saposin A, B, C an D) deficient lipidoses. The reduced degradation of GM3 ganglioside in the SAP-1 and prosaposin deficiencies was attributed to the deficient function of SAP-1. The prosaposin deficient cells also showed a reduced re-utilization of radioactive metabolites from GM1 ganglioside (i.e. sphingosine and fatty acid) for phospholipid biosynthesis compared with fibroblasts from the SAP-1 deficient patient or normal controls. This anomaly was ascribed to the previously shown defect in ceramide degradation in prosaposin deficiency.
    Type of Medium: Electronic Resource
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  • 9
    ISSN: 1432-1076
    Keywords: Key words Farber disease ; Sandhoff disease ; Prenatal diagnosis ; Ceramidase ; Lipid loading tests
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract An earlier described patient with combined sphingolipidoses, Farber and Sandhoff disease, had two healthy older brothers and two further sibs, one with Sandhoff disease and one (a fetus) with Farber disease, showing segregation of the respective genes. The prenatal diagnosis in the latter was performed using lipid (sphingomyelin and glucosylceramide) loading tests on the cultured amniotic fluid cells. After 1–3 days of incubation the cells' lipid extract revealed radioactive ceramide to be released and highly accumulated. The deficiency in acid ceramidase was known from the patient with the combined diseases. Confirmation of the prenatal Farber diagnosis was done by similar loading tests on the fetal fibroblasts and by analysis of liver lipids of the less than 18-week-old fetus. Conclusion This is the first report on the use of lipid loading tests on intact cultured cells for prenatal diagnosis of Farber disease. The postnatal diagnosis of Farber disease can also be readily made using those tests, as was shown in four further cases.
    Type of Medium: Electronic Resource
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  • 10
    ISSN: 1432-1076
    Keywords: Sphingolipid activator protein deficiency ; Farber disease ; Gaucher disease ; Krabbe disease ; Prenatal diagnosis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract We describe a patient who presented shortly after birth with hyperkinetic behaviour, myoclonia, respiratory insufficiency and hepatosplenomegaly. Gaucher-like storage cells were found in bone marrow. A liver biopsy showed massive lysosomal storage morphologically different to that in known lipid storage disorders. Biochemically, the patient had partial deficiencies of β-galactocerebrosidase, β-glucocerebrosidase and ceramidase in skin fibroblast extracts, but the sphingomyelinase activity was normal. Glucosyl ceramide and ceramide were elevated in liver tissue. Loading of cultured fibroblasts with radioactive sphingolipid precursors indicated a profound defect in ceramide catabolism. Immunological studies in fibroblasts showed a total absence of cross-reacting material to sphingolipid activator protein 2 (SAP-2). The patient died at 16 weeks of age. The fetus from his mother's next pregnancy was similarly affected. The possibility that the disorder results from a primary defect at the level of SAP-2 is discussed. We have named this unique disorder SAP deficiency.
    Type of Medium: Electronic Resource
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