Abstract

An assay for cystathionine synthase in cultured fibroblasts, of high sensitivity and not rate-limited for substrate, is described. Enzymatic activity was found to be highest in controls (mean ± SEM = 20.97 ± 1.81 nmole cystathionine/mg protein/hour), intermediate in obligate heterozygotes for synthase deficiency (4.40 ± 0.92), and lowest in patients (0.77 ± 0.42), with no overlap between controls and heterozygotes. One clinically and biochemically atypical patient had a synthase activity at the low end of the heterozygote range. Thus, this method is effective for the detection of heterozygotes for cystathionine synthase deficiency.

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