Summary: Assays for the determination of serum -N-acetylglucosaminidase (EC 3.2.1.50) activity are described employing p-nitrophenyl-N-acetyl-a-D-glucosaminide, phenyl-N-acetyl-a-.D-glucosaminide, and UDP-N-acetylglucosamine as substrates. A log normal distribution of the serum enzyme activity was found. The determination of serum -N-acetylglucosaminidase activity proved to be a valuable tool for the recognition of homozygous and heterozygous carriers of the Sanfilippo B gene.The enzyme was characterized with regard to its pH optimum, K m , isoelectric point, and the influence of several bivalent cations was studied.Serum -N-acetylglucosaminidase was added to Sanfilippo B fibroblast cultures, which are deficient in this enzyme. This resulted in an intracellular enzyme level, which was one twelvth of that found after addition of an equal amount of enzyme derived from human urine. The pinocytosed serum enzyme, however, exhibited the same corrective activity towards the accumulated heparan sulfate as the urinary enzyme.