Abstract

In humans, peroxisomes harbor a complex set of enzymes acting on various lipophilic carboxylic acids, organized in two basic pathways, alpha-oxidation and beta-oxidation; the latter pathway can also handle omega-oxidized compounds. Some oxidation products are crucial to human health (primary bile acids and polyunsaturated FAs), whereas other substrates have to be degraded in order to avoid neuropathology at a later age (very long-chain FAs and xenobiotic phytanic acid and pristanic acid). Whereas total absence of peroxisomes is lethal, single peroxisomal protein deficiencies can present with a mild or severe phenotype and are more informative to understand the pathogenic factors. The currently known single protein deficiencies equal about one-fourth of the number of proteins involved in peroxisomal FA metabolism. The biochemical properties of these proteins are highlighted, followed by an overview of the known diseases.

Highlights

  • In humans, peroxisomes harbor a complex set of enzymes acting on various lipophilic carboxylic acids, organized in two basic pathways, ␣-oxidation and ␤-oxidation; the latter pathway can handle ␻-oxidized compounds

  • Lipophilic carboxylic acids, peroxisomes are required for the degradation of very long-chain (VLC) FAs (VLCFA), pristanic acid, and various other carboxylic acids and play an essential or important role in the formation of primary bile acids and PUFA

  • In addition to Zellweger syndrome (ZS) and related disorders, other diseases have been linked to peroxisomes, notably X-linked adrenoleukodystrophy (X-ALD) and Refsum disease (Table 1)

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Summary

Neonatal fat

N malabsorption and cholestasis; adultonset sensorimotor neuropathy (pigmentary retinopathy; demyelinating polyneuropathy). Neonatal hypotonia; seizures; macrocephaly; visual impairment, severe psychomotor retardation, and characteristic facial dysmorphias. Caseous and desquamating skin; hyperkeratosis; respiratory complications; eosinophilia. Abnormal ‫ف‬Ò brain development, optic atrophy and hypoplasia, persistent lactic acidemia

Phytanic acid
PEROXISOME BIOGENESIS
Mainly cytosolic
Cellular and molecular pathology of phytanic acid
Findings
Auxiliary enzymes and new candidates
Full Text
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