Diagnostic value of determinations of lysosomal hydrolases in CSF of patients with neurological diseases

Abstract
The activities of 4 lysosomal acid hydrolases, .beta.-galactosidase [EC 3.2.1.23], .alpha.-mannosidase [EC 3.2.1.24] at pH 4.5 and 5.5, N-acetyl-.beta.-glucosaminidase [EC 3.2.1.30) and acid phosphatase [EC 3.1.3.2], were measured in serum and CSF from 179 patients with different neurological diseases and from 20 healthy controls. In patients with tumors, decreased activity of .beta.-galactosidase was found in both serum and CSF and in patients with multiple sclerosis and collagen diseases, decreased activities of .beta.-galactosidase and N-acetyl-.beta.-glucosaminidase were found in CSF fluid. The variations of enzyme activities were great between the individual patients even within these groups and analysis of lysosomal enzymes seems to have a very poor clinical value.