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Preferred Sample Type

I Cell Screen

Suitable Specimen Types

  • Li Hep Plasma
1 ml heparinised blood (0.2ml plasma)

Specimen Transport

Send sample frozen to referral laboratory.

Sample Processing in Laboratory

Usual

Sample Preparation

Centrifuge sample and store frozen.

Turnaround Time

2 weeks

Sample Stability

-20 ºC

I Cell Screen

General Information

The I-cell screen measures the activity of the enzyme Arylsulphatase A, which is greatly increased in Mucolipidoses type II (I-cell disease) and type III (pseudo-Hurler polydystrophy). These disorders are both caused by a deficiency of an enzmye called N-acetylglucosamine-1-phosphotransferase. This enzyme phophorylates mannose residues on the carboyhydrate chain of lysosomal enzymes allowing their uptake into the lysosome. The failure to phosphorylate the mannose residues in these diseases leads to the secretion of these enzymes into the intercellular fluid and blood. As a consequence the activity of a wide range of lysosomal enzymes is deficient in some tissues whilst their concentration in plasma is grossly elevated.

Patient Preparation

None

Notes

Grossly haemolysed specimens may make interpretation difficult.

Reference Range

Provided by reference laboratory.