ABSTRACT. Zellweger syndrome is the prototype of a are deficient, usually in association with the absence or deficiency growing group of genetic diseases caused by an absence or of peroxisomal structures (6,11). In addition, there are several deficiency of peroxisomes. The defect causes the enzyme recent reports of patients with some aspects of the Zellweger catalase to remain in the cytosol instead of being packaged syndrome phenotype but in whom liver peroxisomes were norinto peroxisomes. This mislocalization can be easily demal in size and structure (15)(16)(17). In one of these patients, two tected by sedimentation analysis. Amniocytes were homog-peroxisomal oxidases were initially reported to be deficient (16) enized and then centrifuged to pellet organelles. Catalase and subsequently a thiolase deficiency was found (1 7). The was found to sediment with the peroxisomes in the homog-existence of this heterogeneity presents a challenge to the prenatal enates of normal cells, but to remain in the supernatant diagnosis of peroxisomal disorders, because it is possible that in with Zellweger syndrome amniocyte homogenates. This some affected fetuses one or more of the current prenatal assays striking difference is unambiguous and reproducible, and might not reveal abnormalities. provides a simple method for prenatal diagnosis. MoreHerein we present an approach to the prenatal diagnosis of over, it allows one to differentiate diseases in which per-Zellweger syndrome that is based on a different principle than oxisomes are deficient from other peroxisomal diseases in most of the existing analytical or enzyme assays. This approach which the organelle is intact, but one enzyme is defective. measures by sedimentation analysis the subcellular distribution Electron microscopic observations support the biochemical of catalase, an enzyme that normally is located mainly in the determinations. Normal amniocytes contain small peroxi-peroxisomal matrix but in Zellweger syndrome is mainly cytosomes in which a weak cytochemical reaction for catalase solic. A related approach was employed by Wanders et al. (IS), may be demonstrated. Zellweger amniocytes appear to lack who determined the subcellular location of catalase in amniothese organelles, although some cells have rare structures cytes by assaying its latency as a function of digitonin concentrathat might be residual or abnormal peroxisomes. (Pediatr tion. The procedure described herein provides a convenient and Res 24:63-67, 1988) readily quantifiable chemical measure of membrane-bounded catalase. Over and above its diagnostic value, this technique may