Ben-Yoseph Y, Nadler H L
J Clin Pathol. 1978 Nov;31(11):1091-3. doi: 10.1136/jcp.31.11.1091.
A patient with Gaucher's disease is described, in whom the disease could not be diagnosed enzymically in liver and leucocytes using artificial substrate 4-methylumbelliferyl beta-glucoside. Normal activity was found in the liver, and about 60% of control activity was determined in the patient's leucocytes. In contrast, when [14C]-N-stearoyl glucocerebroside was employed as a substrate, activity as low as 5% of control has been found in all the proband's tissues, and carrier levels were determined in the proband's parents and maternal uncle.
本文描述了一名戈谢病患者,使用人工底物4-甲基伞形酮基β-葡萄糖苷无法通过酶法在肝脏和白细胞中诊断出该疾病。在肝脏中发现活性正常,在患者白细胞中测定的活性约为对照活性的60%。相比之下,当使用[14C]-N-硬脂酰葡萄糖脑苷脂作为底物时,在所有先证者的组织中发现活性低至对照的5%,并在其父母和舅舅中测定了携带者水平。