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  • 1
    ISSN: 1432-1076
    Keywords: Cerebro-hepato-renal syndrome ; Plasmalogens ; Peroxisomes ; Zellweger syndrome
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract We have analyzed the phospholipid composition of various organs of patients with the cerebro-hepato-renal (Zellweger) syndrome. The phospholipid composition of tissues from controls and patients was very similar except for their plasmalogen contents. In controls about 50% of the phosphatidylethanolamine fraction of brain, heart, kidney and skeletal muscle and about 10% of that fraction in control liver tissue was found to consist of plasmalogen. In control heart muscle, but not in other control tissues about 25% of the phosphatidylcholine fraction consist of plasmalogens. In contrast, plasmalogens were nearly absent in the corresponding tissues of Zellweger patients. The amount of phosphatidylethanolamine plasmalogens in both erythrocytes and fibroblasts of Zellweger patients is lowered significantly compared to control erythrocytes and control fibroblasts respectively, although this reduction is not as dramatic as in brain, heart, kidney, skeletal muscle and liver of patients. Phosphatidylcholine-plasmalogens are only present in low amounts in both controls, heterozygotes and patients. In recent years considerable evidence has accumulated to show that peroxisomes are involved in cellular lipid metabolism. Notably, the key enzymes of ether lipid (plasmalogen) biosynthesis in rodents were recently found to be located in peroxisomes. Since electronmicroscopic studies have shown that peroxisomes are absent in liver and kidney of patients with the cerebro-hepato-renal syndrome, our results suggest that an inability to integrate these key enzymes in a functional peroxisome leads to a severe disturbance in plasmalogen biosynthesis. We propose that the multiple clinical and biochemical defects in Zellweger patients are secondary to a deficiency in peroxisomal function.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-1076
    Keywords: Beta-ketothiolase deficiency ; 2-methyl-3-hydroxybutyric aciduria ; 2-Methyl-acetoacetyl-coenzyme-A-thiolase deficiency ; Organic aciduria
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract A boy of 6.5 years and his 36-year-old father were found to excrete elevated amounts of urinary 2-methyl-3-hydroxybutyric acid and tiglylglycine, as is found in patients with a presumed β-ketothiolase deficiency. Psychomotor development of both patients was normal. The clinical picture was mild, as only during periods with infections does metabolic acidosis develop and clinical abnormalities become noticeable. In vivo loading tests with protein and especially with L(+) isoleucine resulted in massive excretion of 2-methyl-3-hydroxy-butyric acid and tiglyglycine. Enzymatic activity of 3-keto-acyl-CoA thiolase was not detectable in patients fibroblasts using 2-methyl-acetoacetyl-CoA as substrate, whereas with acetoacetyl-CoA as substrate, a lowered activity was found. As ketogenesis in these patients was normal, these findings strongly suggest that the inborn metabolic defect known as β-ketothiolase deficiency is caused by a deficiency of the mitochondrial acetoacyl-CoA specific thiolase isoenzyme involved in thiolysis of (2-methyl) acetoacetyl-CoA, whereas the isoenzyme involved in ketogenesis is not affected.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    Journal of inherited metabolic disease 2 (1979), S. 13-14 
    ISSN: 1573-2665
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract A 7 1/2-year-old boy with a massive excretion of argininosuccinic acid is described. He exhibited only moderate mental retardation, cerebellar ataxia and both abnormal hair and skin. Argininosuccinate lyase activity in the erythrocytes of his parents and his sister was in the range expected for heterozygotes. The patient was put on a low protein diet with arginine supplementation and improved clinically and biochemically on this regime. The variability of the phenotypic expression of argininosuccinate lyase deficiency is stressed.
    Type of Medium: Electronic Resource
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