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Assays / Genetic
Enzymes / Catalase
Latency
Principle Of Method: Skin fibroblasts
are treated with a concentration of digitonin which makes the cytoplasmic
membrane leaky, but which does not affect the permeability of the
peroxisomal membrane. Cells are separated into a supernatant fraction
containing cytoplasmic enzymes and a pellet fraction consisting
of organelle-associated enzymes for the spectrophotometric determination
of catalase activity.
Uses And Limitations Of The Method:
This method is used principally for the further characterisation
of peroxisomal patients and not as a preliminary screening method.
It can be used to categorise patients with biochemical evidence
of a peroxisomal disorder into two groups: (1) peroxisomal disorders
affecting peroxisome biogenesis or integrity and (2) peroxisomal
disorders caused by enzyme defects which do not affect the integrity
of the organelle. Disorders which affect peroxisome biogenesis include
Zellweger
syndrome, neonatal
adrenoleucodystrophy and infantile
Refsum disease. Patients with these
disorders are generally diagnosed by the measurement of very
long chain fatty acids levels
or plasmalogen
biosynthesis activity. Most patients
with one of these disorders can be detected using this method. However,
it is possible for mature peroxisomes to be present in skin fibroblasts,
but absent in a critical organ such as the liver. Thus, the occasional
mosaic patient would not necessarily be detected.
Specimen Requirements: Fibroblasts cultured
from a skin biopsy are needed. Biopsy material should be
collected aseptically into a sterile bottle containing tissue culture
medium (available from the laboratory), and sent at room temperature
to arrive at the laboratory
within 24 hours.
Biopsies for tissue culture
should not be frozen.
Fibroblast cultures established in other
laboratories should be sent in plastic 25 cm2 flasks
filled with medium.
The Laboratory Recommends
Use Of A Courier Service Or Royal Mail Special Delivery For Sending
All Specimens To The Laboratory.
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