To obtain a simple and reliable clinical parameter for the diagnosis of mul
tiple sclerosis among patients with neurological diseases. Patients find me
thods - Heparinized peripheral blood was obtained from patients with multip
le sclerosis and those with noninflammatory neurological diseases and healt
hy volunteers. A new enzyme immunoassay method determining medullasin level
s in human granulocytes was developed by using mouse monoclonal antibody ag
ainst medullasin. Results - A newly developed enzyme immunoassay method for
medullasin can detect as little as 1 ng/ml medullasin and results can be o
btained within 2 h. Eighty-five out of 112 patients with multiple sclerosis
(75.8%) showed positive results (above means of normals + 2 SD) in the med
ullasin test, while 15.4%, (12/78) of patients with non-inflammatory neurol
ogical disease had positive results. Conclusion - This newly developed enzy
me immunoassay method for medullasin is considered to be a useful paraclini
cal test for the diagnosis of multiple sclerosis.