Abstract

The incorporation of radioactivity from orally administered tritium-labeled phytol into phytanic acid of plasma triglycerides, phospholipids, and cholesterol esters was studied in a patient with heredopathia atactica polyneuritiformis (Refsum's disease). Radioactivity was very rapidly incorporated into triglyceride fatty acids. There was a much slower uptake of the label into phospholipid fatty acids. Despite their low content of phytanic acid, radioactivity was as rapidly incorporated into cholesterol ester fatty acids as into triglyceride fatty acids. Specific radioactivities of phytanic acid showed a similar time course. From this incorporation pattern it is concluded that plasma cholesterol esters and triglycerides act as the main vehicles for phytanic acid newly synthesized from exogenous phytol. Reduction of chlorophyll intake might be tried for lowering the phytanic acid content in the plasma of patients with heredopathia atactica polyneuritiformis.

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