Serum carnosinase activity was assayed in five groups of patients with
neurological disorders. Enzyme activities in patients with idiopathic
epilepsy (mean +/- S.E.M., 148 +/- 11 nmol/ml per min) and motor neur
one disease(l55 +/- 15 nmol/ml per min) were similar to the control gr
oup (161 +/- 7 nmol/ml per min). Reduced serum carnosinase activity wa
s observed in patients with Parkinson's disease(109 +/- 11 nmol/ml per
min, P < 0.005), multiple sclerosis (82.5 +/- 10.0 nmol/ml per min, P
< 0.005) and patients following a cerebrovascular accident (74.6 +/-
5.4 nmol/ml per min, P < 0.001) compared with the control group. Carno
sinase activity, 5-10% of that found in serum, was detected in CSF sam
ples. The cause of reduced serum carnosinase activities in central ner
vous system disorders is unclear, although anoxic damage to carnosinas
e-producing cells or disruption of the blood-brain barrier may be resp
onsible.