muramidase and Waldenstrom-Macroglobulinemia

Topics: Hexosaminidases; Humans; Isoenzymes; Karyotyping; Leukemia; Lymphocytes; Lymphoma; Lymphoproliferative Disorders; Muramidase; Nucleotidyltransferases; Plasmacytoma; Prognosis; Waldenstrom Macroglobulinemia

Topics: Bence Jones Protein; Humans; Immunoglobulin G; Immunoglobulins; Leukemia, Myeloid; Leukemia, Plasma Cell; Lymphoma; Multiple Myeloma; Muramidase; Proteins; Proteinuria; Waldenstrom Macroglobulinemia

Lysozyme activity was determined in the serum, urine and leukocytes of 53 patients with immunocytoma and 24 patients with lymphoproliferative syndromes without associated monoclonal gammapathy. In patients with multiple myeloma the frequency of low serum lysozyme activity and high leukocyte lysozyme activity was higher. In the cases with renal failure, lysozyme activity was raised in serum and urine, and the 24-hour urinary lysozyme excretion was increased. In 7 patients with increased urinary lysozyme excretion no clinical or laboratory evidence of renal complications was found. Relative monocytosis in peripheral blood was observed in half of the cases of multiple myeloma, and in these patients also in about half of the cases the lysozyme activity was raised in the leukocytes and urine, and the 24-hour urinary lysozyme excretion was increased. In patients with Hodgkin's disease, lymphosarcoma and chronic lymphatic leukemia the frequency of low serum lysozyme activity was increased.

Topics: Adult; Aged; Humans; Kidney Diseases; Kidney Failure, Chronic; Leukocytes; Lymphoproliferative Disorders; Middle Aged; Multiple Myeloma; Muramidase; Waldenstrom Macroglobulinemia

Lysozyme activity was studied in blood smears, serum, and urine of patients suffering from leukaemia or other haematological diseases. Increased enzyme activity was found in myelocytic, myelomonocytic and monocytic leukaemia and equally in secondary granulocytosis and polycythaemia vera. Reduced rates were found in lymphocytie leukaemia, malignant lymphoma with bone marrow involvement, and myelophthisic conditions. A rise in urinary lysozyme occurred when the serum level exceeded 50 microgram/ml. Abundant activities were found in myelomonocytic and monocytic leukaemias. Using the bacteriolytic method in blood smears, no enzyme activity was demonstrated in cells of acute or chronic lymphocytic leukaemia, in monocytic leukaemia however, almost all cells show strong reaction. In acute myelocytic or myelomonocytic leukaemia, the portion of positive cells changes from case to case depending on the degree of cell differentiation and maturation. In chronic myelocytic leukaemia there was no difference as compared to enzyme activity of myelocytes in bone marrow of control cases. Thus the bacteriolytic demonstration of lysozyme in blood smears may additionally contribute to distinction of different types of blastic leukaemias, and serum lysozyme also may allow more reliable insight into granulocytic and monocytic myelopoiesis than morphologic studies of blood or bone marrow smears can do, e.g. in agranulocytosis and pancytopenia.

Topics: Anemia, Aplastic; Hematologic Diseases; Humans; Leukemia, Erythroblastic, Acute; Leukemia, Lymphoid; Leukemia, Myeloid; Leukemia, Myeloid, Acute; Leukocytes; Lymphoma, Large B-Cell, Diffuse; Lymphoma, Non-Hodgkin; Muramidase; Waldenstrom Macroglobulinemia

Topics: Acid Phosphatase; Animals; Animals, Newborn; Cat-Scratch Disease; Glucuronidase; Hexosaminidases; Humans; Infectious Mononucleosis; Leukemia, Lymphoid; Lymphocyte Activation; Lymphocytes; Muramidase; Rats; Waldenstrom Macroglobulinemia

Topics: Adolescent; Adult; Arthritis, Rheumatoid; Body Fluids; Clinical Enzyme Tests; Female; Humans; Leukemia; Leukemia, Lymphoid; Leukemia, Myeloid; Male; Middle Aged; Multiple Myeloma; Muramidase; Pregnancy; Synovial Fluid; Waldenstrom Macroglobulinemia