1989
DOI: 10.1172/jci113956
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Peroxisomal bifunctional enzyme deficiency.

Abstract: Peroxisomal function was evaluated in a male infant with clinical features of neonatal adrenoleukodystrophy. Very long chain fatty acid levels were elevated in both plasma and fibroblasts, and beta-oxidation of very long chain fatty acids in cultured fibroblasts was significantly impaired. Although the level of the bile acid intermediate trihydroxycoprostanoic acid was slightly elevated in plasma, phytanic acid and L-pipecolic acid levels were normal, as was plasmalogen synthesis in cultured fibroblasts. The l… Show more

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Cited by 199 publications
(86 citation statements)
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“…Although the enzymes of the plant peroxisomal ␤ -oxidation systems have been well characterized biochemically (see Gerhardt, 1992), it is not known whether the ␤ -oxidation system plays as important a role in plants as it does in animals. Loss of a single bifunctional protein acting in the ␤ -oxidation pathway in humans can cause multiple disease symptoms and is eventually fatal (Watkins et al, 1989).…”
Section: Introductionmentioning
confidence: 99%
“…Although the enzymes of the plant peroxisomal ␤ -oxidation systems have been well characterized biochemically (see Gerhardt, 1992), it is not known whether the ␤ -oxidation system plays as important a role in plants as it does in animals. Loss of a single bifunctional protein acting in the ␤ -oxidation pathway in humans can cause multiple disease symptoms and is eventually fatal (Watkins et al, 1989).…”
Section: Introductionmentioning
confidence: 99%
“…On the basis that D-PBE could compensate for the absence of L-PBE, but not vice versa, it was suggested that the first set of enzymes is involved in basal degradation of branched-and straightchain fatty acids, while the second set of enzymes is a highly regulated beta-oxidation system which responds to changes in lipid homeostasis [12,13]. An additional important accessory protein is sterol carrier protein 2 (SCP2, formerly known as non-specific lipid transfer protein).…”
Section: Degradation Of Chlorophyll-derived Branched-chain Fatty Acidsmentioning
confidence: 99%
“…However, the strongly elevated concentration of plasma VLCFA and the elevated pristanic acid/phytanic acid ratio are suggestive of a defect in peroxisomal β-oxidation, as directly demonstrated by the deficient oxidation of C 26:0 and pristanic acid in cultured skin fibroblasts (Table 4). The normal profile of plasma bile acids (Table 2) suggests that bifunctional enzyme and peroxisomal thiolase are normally active, since patients with established deficiencies of these enzymes (Goldfischer et al 1986;Schram et al 1987;Watkins et al 1989) show at least slightly elevated concentrations of abnormal plasma bile acids (Table 5). Furthermore, an immunoblot analysis showed normal 41kDa thiolase, while the patient described by Goldfischer and colleagues (1986) showed absence of immunoreactive thiolase protein.…”
Section: New Peroxisomal Disorder 661mentioning
confidence: 99%
“…Biochemically, however, peroxisomes were present and only the concentrations of very long-chain fatty acids (VLCFA), dihydroxycholestanoic acid (DHCA) and trihydroxycholestanoic acid (THCA) were elevated in plasma, which follows logically from the fact that peroxisomal 3-ketothiolase is involved in the β-oxidation of all these substrates (see Wanders et al 1995a). Patients lacking the peroxisomal bifunctional enzyme also display Zellweger-like symptoms and the same elevation of VLCFA, DHCA and THCA as in thiolase deficiency (Watkins et al 1989).…”
mentioning
confidence: 99%