FIELD:
neurology; laboratory diagnostics.SUBSTANCE: used for the
differential diagnosis of Parkinson's
disease not associated with mutations in the GBA1
gene, and multiple
system atrophy. The patient's
peripheral venous blood is collected, from which mononuclear cells are isolated by
gradient centrifugation, followed by their differentiation into a
primary culture of macrophages in the presence of the macrophage colony-stimulating
growth factor M-CSF to ensure proliferation and differentiation of monocytes into mature macrophages. The obtained blood macrophage cells are applied to 903 filter cards at a concentration of 2×106 cells / ml. Whatman 903
Sample Collection Cards can be used as 903 filter cards. The activity of lysosomal enzymes is determined:
glucocerebrosidase GCase, alpha-galactosidase GLA,
acid sphingomyelinase ASMase, galactosylceramidase GALC by high-performance liquid
chromatography in combination with
tandem mass spectrometry. The value of the canonical linear
discriminant function CLDF is calculated using the stated formula. If the value of CLDF is ≥ 43.44, the patient is diagnosed with multiple
system atrophy. If the value of CLDF is < 43.44, Parkinson's
disease is diagnosed in patients who do not have a
mutation in the GBA1
gene.EFFECT: method enables reliable and accurate
differential diagnosis of Parkinson's
disease and multiple
system atrophy by assessing the activity of lysosomal enzymes.2 cl, 2 dwg, 2 ex