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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
|
pubmed:dateCreated |
1997-3-20
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pubmed:abstractText |
Investigations of peroxisomal function were undertaken in an 8-year-old girl who developed motor difficulties at the age of 3.5 years and went on to develop a progressive ataxia and dysarthria. There were no other neurological abnormalities and she was of normal intelligence. Analysis of plasma very long-chain fatty acids revealed a normal C26 concentration and normal C24/C22 and C26/C22 ratios. Analysis of branched-chain fatty acids showed an elevated plasma phytanic acid concentration of 60 mumol/L (normal < 15) and a considerably elevated pristanic acid concentration of 50 mumol/L (normal < 2). Plasma concentrations of the C27 bile acids 3 alpha, 7 alpha-dihydroxycholestanoic acid (DHCA) and 3 alpha, 7 alpha, 12 alpha-trihydroxycholestanoic acid (THCA) and of the C29-dicarboxylic acid were also increased. We postulated that these results might be due to deficiency of the peroxisomal branched-chain acyl-CoA oxidase, but when oxidation of branched-chain fatty acids was studied in cultured skin fibroblasts it was found to be normal. Alternative explanations for the accumulation of branched-chain substrates for peroxisomal beta-oxidation are discussed. Treatment with a low-phytanic acid diet arrested the progression of the ataxia and led to a slight improvement.
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pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:chemical | |
pubmed:status |
MEDLINE
|
pubmed:issn |
0141-8955
|
pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
19
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
761-8
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pubmed:dateRevised |
2007-3-21
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pubmed:meshHeading |
pubmed-meshheading:8982949-Ataxia,
pubmed-meshheading:8982949-Bile Acids and Salts,
pubmed-meshheading:8982949-Child,
pubmed-meshheading:8982949-Fatty Acids,
pubmed-meshheading:8982949-Female,
pubmed-meshheading:8982949-Fibroblasts,
pubmed-meshheading:8982949-Humans,
pubmed-meshheading:8982949-Oxidation-Reduction,
pubmed-meshheading:8982949-Phytanic Acid
|
pubmed:year |
1996
|
pubmed:articleTitle |
Ataxia associated with increased plasma concentrations of pristanic acid, phytanic acid and C27 bile acids but normal fibroblast branched-chain fatty acid oxidation.
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pubmed:affiliation |
Biochemistry Unit, Institute of Child Health, London, UK.
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pubmed:publicationType |
Journal Article,
Case Reports
|