“…High levels of biotin are present in kidney and liver cells (Bhagavan and Coursin, 1970;Wood and Warnke, 1981;Wang and Pevsner, 1999), and in select cells of nonmammalian nervous systems (Ma, 1994;Ziegler et al, 1995; hearing loss, ataxia, and tremor (Wolf and Feldman, 1982;Suchy et al, 1985;Wolf et al, 1983Wolf et al, , 1985Wolf, 2001). Second, active carrier-mediated transport mechanisms raise biotin in CSF to levels 50 -250% greater than plasma, and maintain the activity of biotin-dependent enzymes in brain even during challenge with low dietary biotin (Bhagavan and Coursin, 1970;Chiang and Mistry, 1974;Sander et al, 1982;Mock, 1987, 1988;Lo et al, 1991).…”