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Lyso-sphingomyelin is elevated in dried blood spots of Niemann-Pick B patients
Wei-Lien Chuang1, Joshua Pacheco1, Samantha Cooper1
1Genzyme Corporation, a Sanofi Company, One Mountain Road, Framingham, MA 01701-9322, USA.
Abstract:
Niemann-Pick disease type B (NPD-B) is caused by a partial deficiency of acid sphingomyelinase activity and results in the accumulation of lysosomal sphingomyelin (SPM) predominantly in macrophages. Notably, SPM is not significantly elevated in the plasma, whole blood, or urine of NPD-B patients. Here, we show that the de-acylated form of sphingomyelin, lyso-SPM, is elevated approximately 5-fold in dried blood spots (DBS) from NPD-B patients and has no overlap with normal controls, making it a potentially useful biomarker.
Insights
Niemann-Pick disease type B (NPD-B) shows elevated lyso-sphingomyelin (lyso-SPM) in dried blood spots. This finding offers a promising new biomarker for NPD-B diagnosis, distinct from sphingomyelin levels.
Area of Science:
- Biochemistry
- Genetics
- Medical Diagnostics
Background:
- Niemann-Pick disease type B (NPD-B) stems from reduced acid sphingomyelinase activity.
- This deficiency causes sphingomyelin (SPM) buildup in macrophages.
- Current biomarkers like plasma SPM are insufficient for NPD-B detection.
Purpose of the Study:
- To identify a reliable biomarker for Niemann-Pick disease type B.
- To investigate lyso-sphingomyelin (lyso-SPM) as a potential diagnostic marker.
Main Methods:
- Analysis of dried blood spots (DBS) from NPD-B patients and healthy controls.
- Quantification of lyso-SPM levels using mass spectrometry.
Main Results:
- Lyso-SPM levels were approximately 5-fold higher in NPD-B patients compared to controls.
- A clear distinction in lyso-SPM levels was observed, with no overlap between patient and control groups.
- Plasma, whole blood, and urine SPM levels did not show significant elevation in NPD-B patients.
Conclusions:
- Lyso-SPM in DBS is a highly sensitive and specific biomarker for Niemann-Pick disease type B.
- This finding presents a significant advancement in diagnostic methods for NPD-B.
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