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Hexosaminidase activity in white blood cells (WBCs)

Published: August 9, 2026Updated: August 16, 2026

This test measures the activity of an enzyme called hexosaminidase in your white blood cells. Hexosaminidase is involved in breaking down certain sugars in the body.

Quick summary

["This test helps diagnose genetic conditions affecting enzyme activity in blood cells."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
108338-5
Short code
Hexosaminidase A Msmt WBC
Synonyms
Hexosaminidase A Msmt WBC
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
4.5
Ref high
11
Critical range
2 N/A – 30 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
85004
SNOMED
900000000000003002
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

Why Is This Test Done?

Your healthcare provider may order this test if you have symptoms like developmental delays, intellectual disability, or neurological issues that could be linked to enzyme deficiencies. It’s particularly useful for screening or confirming conditions like Tay-Sachs disease, which affects hexosaminidase levels.

What to Expect Before the Test

No special preparation is needed. The test involves drawing a small amount of blood from a vein in your arm, similar to other blood tests. You may feel a slight pinch, but it usually doesn’t cause discomfort.

What the Test Results Mean

Results are compared to a reference range for healthy individuals. Lower than expected levels may indicate an enzyme deficiency, while higher levels may not be clinically significant unless part of a broader evaluation.

Possible Conditions Linked to Abnormal Results

Abnormally low hexosaminidase activity can be associated with lysosomal storage disorders, such as Tay-Sachs disease, which affects nerve cells and can cause severe symptoms. Further genetic testing may be needed for diagnosis.

Reference range

Adult: 4.5-11.0 x 10^9/LN/A

Specimen: serum

No special preparation required. Stay well hydrated.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

WBC Hexosaminidase Activity

Frequently asked questions

What causes abnormal hexosaminidase levels in this test?
Abnormal results may be due to genetic mutations that impair enzyme function, such as those seen in lysosomal storage disorders. Family history of similar conditions or symptoms like developmental delays can also influence test ordering.
How is this test different from other blood enzyme tests?
Unlike general blood enzyme tests that measure overall enzyme activity in serum, this test specifically evaluates hexosaminidase activity within white blood cells. It’s tailored for diagnosing conditions affecting enzyme function in cells.
Can lifestyle or diet affect this test result?
No, this test focuses on enzyme activity within cells and isn’t influenced by diet or lifestyle factors. However, genetic predisposition remains the primary determinant for abnormal results.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy