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Biochemical abnormalities in rhizomelic chondrodysplasia punctata.

Abstract
Biochemical studies with emphasis on peroxisomal functions were conducted in six patients with well-documented rhizomelic chondrodysplasia punctata (RCDP) and compared with findings in patients with Zellweger syndrome and neonatal adrenoleukodystrophy (ALD). Patients with RCDP had three characteristic biochemical abnormalities: (1) profound defect in plasmalogen (ether lipid) synthesis, which is significantly greater than the analogous defect in Zellweger syndrome or neonatal ALD; (2) reduction of phytanic acid oxidation activity to 1% to 5% of control, similar to that observed in Refsum disease, Zellweger syndrome, and neonatal ALD; (3) presence of the unprocessed form of peroxisomal 3-oxoacyl-coenzyme A thiolase in the postmortem liver of two patients. Other peroxisomal functions were normal, including levels of very long chain fatty acids, pipecolic acid, and bile acid intermediates, and immunoblot studies of peroxisomal acyl-CoA oxidase and bifunctional enzyme in postmortem liver. Unlike what is observed in Zellweger syndrome and neonatal ALD, catalase activity in cultured skin fibroblasts was sedimentable, indicating that peroxisome structure is not grossly deficient in RCDP. The biochemical abnormalities in RCDP were consistent and set it apart from all the other known peroxisomal disorders.
AuthorsG Hoefler, S Hoefler, P A Watkins, W W Chen, A Moser, V Baldwin, B McGillivary, J Charrow, J M Friedman, L Rutledge
JournalThe Journal of pediatrics (J Pediatr) Vol. 112 Issue 5 Pg. 726-33 (May 1988) ISSN: 0022-3476 [Print] United States
PMID2452243 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't, Research Support, U.S. Gov't, Non-P.H.S., Research Support, U.S. Gov't, P.H.S.)
Chemical References
  • Plasmalogens
  • Phytanic Acid
  • Acetyl-CoA C-Acyltransferase
Topics
  • Acetyl-CoA C-Acyltransferase (metabolism)
  • Adrenoleukodystrophy (metabolism)
  • Chondrodysplasia Punctata (metabolism)
  • Female
  • Fibroblasts (metabolism)
  • Humans
  • Infant
  • Infant, Newborn
  • Liver (metabolism)
  • Male
  • Microbodies (metabolism)
  • Phytanic Acid (metabolism)
  • Plasmalogens (biosynthesis)
  • Refsum Disease (metabolism)

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