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NEUROLOGY 1984;34:163
© 1984 American Academy of Neurology

Adrenoleukodystrophy

Very long-chain fatty acid metabolism in fibroblasts

William B. Rizzo, Joel Avigan, Juan Chemke and Joseph D. Schulman

From the Section on Biochemical Genetics, National Institute of Child Health and Human Development (Drs. Rizzo, Chemke, and Schulman), and the Laboratory of Cellular Metabolism, National Heart, Lung and Blood Institute (Dr. Avigan), NIH, Bethesda, MD.

We studied very long-chain fatty acid (VLFA) metabolism in cultured fibroblasts from patients with adrenoleukodystrophy (ALD). Total hexacosanoate (C26:0) content of ALD fibroblasts was sixfold higher than normal and did not return to normal when cells were grown in lipid-free medium. When normal or ALD fibroblasts were grown in medium containing 10% ALD serum (which is enriched in C26:0), there was no further increase in C26:0 content compared with cells grown in 10% normal human serum. Uptake and loss of 1-14C-palmitate (C16:0) and 1-14C-lignocerate (C24:0) by ALD fibroblasts were similar to normal fibroblasts. Catabolism of exogenous H-C26:0 to H2O was about 307 of normal. Oxidation of exogenous 1-14C-hexacosanoate, 1-14C-lignocerate, and 1-14C-palmitate in intact ALD fibroblasts was 42%, 27 ± 13% (SD), and 73 ± 47%, respectively, of normal. These results are consistent with, but do not conclusively prove, a VLFA oxidation defect in ALD fibroblasts.

Address correspondence and reprint requests to Dr. Rizzo, Department of Pediatrics, Medical College of Virginia, P.O. Box 2.59, MCV Station, Richmond, VA 23298.

Accepted for publication May 23, 1983.




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