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Infantile Refsum disease: deficiency of catalase-containing particles (peroxisomes), alkyldihydroxyacetone phosphate synthase and peroxisomal beta-oxidation enzyme proteins.

Abstract
In recent years a number of biochemical abnormalities have been described in patients with the infantile form of Refsum disease, including the accumulation of very long chain fatty acids, trihydroxycoprostanoic acid and pipecolic acid. In this paper we show that catalase-containing particles (peroxisomes), alkyl dihydroxyacetone phosphate synthase and acyl-CoA oxidase protein are deficient in patients with infantile Refsum disease. These findings suggest that in the infantile form of Refsum disease, as in the cerebro-hepato-renal (Zellweger) syndrome the multiplicity of biochemical abnormalities is due to a deficiency of peroxisomes and hence to a generalized loss of peroxisomal functions. As a consequence the infantile form of Refsum disease can be diagnosed biochemically by methods already available for the prenatal and postnatal diagnosis of the cerebro-hepato-renal (Zellweger) syndrome.
AuthorsR J Wanders, R B Schutgens, G Schrakamp, H van den Bosch, J M Tager, A W Schram, T Hashimoto, B T Poll-Thé, J M Saudubrau
JournalEuropean journal of pediatrics (Eur J Pediatr) Vol. 145 Issue 3 Pg. 172-5 (Aug 1986) ISSN: 0340-6199 [Print] Germany
PMID2429839 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Oxidoreductases
  • L-Lactate Dehydrogenase
  • Acyl-CoA Oxidase
  • Transferases
  • Alkyl and Aryl Transferases
  • alkylglycerone-phosphate synthase
  • Digitonin
Topics
  • Acatalasia
  • Acyl-CoA Oxidase
  • Alkyl and Aryl Transferases
  • Cell Membrane Permeability (drug effects)
  • Cross Reactions
  • Digitonin (pharmacology)
  • Humans
  • Immunologic Techniques
  • L-Lactate Dehydrogenase (metabolism)
  • Liver (enzymology)
  • Microbodies (enzymology)
  • Oxidoreductases (deficiency)
  • Refsum Disease (enzymology)
  • Transferases (deficiency)

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