Peroxisomal disorder

{{Infobox medical condition (new)

| name = Peroxisomal disorder

| image = Peroxisome.svg

| caption = Basic structure of a peroxisome

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| field = Medical genetics

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Peroxisomal disorders represent a class of medical conditions caused by defects in peroxisome functions.{{Cite journal | last1 = Wanders | first1 = R. J. A. | last2 = Waterham | first2 = H. R. | title = Biochemistry of Mammalian Peroxisomes Revisited | journal = Annual Review of Biochemistry | volume = 75 | pages = 295–332 | year = 2006 | doi = 10.1146/annurev.biochem.74.082803.133329| pmid=16756494}} This may be due to defects in single enzymes{{Cite journal | last1 = Wanders | first1 = R. | last2 = Waterham | first2 = H. | title = Peroxisomal disorders: the single peroxisomal enzyme deficiencies | journal = Biochimica et Biophysica Acta (BBA) - Molecular Cell Research | volume = 1763 | issue = 12 | pages = 1707–20 | year = 2006 | doi = 10.1016/j.bbamcr.2006.08.010 | pmid=17055078| doi-access = free }} important for peroxisome function or in peroxins, proteins encoded by PEX genes that are critical for normal peroxisome assembly and biogenesis.{{Cite journal | last1 = Weller | first1 = S. | last2 = Gould | first2 = S. J. | last3 = Valle | first3 = D. | title = Peroxisome Biogenesis Disorders | journal = Annual Review of Genomics and Human Genetics | volume = 4 | pages = 165–211 | year = 2003 | pmid = 14527301 | doi = 10.1146/annurev.genom.4.070802.110424}}

Peroxisome biogenesis disorders

Peroxisome biogenesis disorders (PBDs) include the Zellweger syndrome spectrum (PBD-ZSD) and rhizomelic chondrodysplasia punctata type 1 (RCDP1).{{Cite journal | last1 = Steinberg | first1 = S. | last2 = Dodt | first2 = G. | last3 = Raymond | first3 = G. | last4 = Braverman | first4 = N. | last5 = Moser | first5 = A. | last6 = Moser | first6 = H. | title = Peroxisome biogenesis disorders | journal = Biochimica et Biophysica Acta (BBA) - Molecular Cell Research | volume = 1763 | issue = 12 | pages = 1733–48 | year = 2006 | doi = 10.1016/j.bbamcr.2006.09.010 | pmid=17055079| doi-access = }}{{cite journal |vauthors=Steinberg SJ, Raymond GV, Braverman NE, et al |veditors=Adam MP, Ardinger HH, Pagon RA, et al |title=Zellweger Spectrum Disorder |journal=GeneReviews® [Internet] |publisher=University of Washington |id=NBK1448 |pmid=20301621 |date=2020 |url=https://www.ncbi.nlm.nih.gov/books/NBK1448/}} PBD-ZSD represents a continuum of disorders including infantile Refsum disease, neonatal adrenoleukodystrophy, and Zellweger syndrome. Collectively, PBDs are autosomal recessive developmental brain disorders that also result in skeletal and craniofacial dysmorphism, liver dysfunction, progressive sensorineural hearing loss, and retinopathy.

PBD-ZSD is most commonly caused by mutations in the PEX1, PEX6, PEX10, PEX12, and PEX26 genes.{{Cite journal | last1 = Steinberg | first1 = S. | last2 = Chen | first2 = L. | last3 = Wei | first3 = L. | last4 = Moser | first4 = A. | last5 = Moser | first5 = H. | last6 = Cutting | first6 = G. | last7 = Braverman | first7 = N. | title = The PEX Gene Screen: molecular diagnosis of peroxisome biogenesis disorders in the Zellweger syndrome spectrum | journal = Molecular Genetics and Metabolism | volume = 83 | pages = 252–263 | year = 2004 | doi = 10.1016/j.ymgme.2004.08.008 | pmid=15542397 | issue=3}}{{Cite journal | last1 = Yik | first1 = W. Y. | last2 = Steinberg | first2 = S. J. | last3 = Moser | first3 = A. B. | last4 = Moser | first4 = H. W. | last5 = Hacia | first5 = J. G. | title = Identification of novel mutations and sequence variation in the Zellweger syndrome spectrum of peroxisome biogenesis disorders | journal = Human Mutation | volume = 30 | issue = 3 | pages = E467–E480 | year = 2009 | doi = 10.1002/humu.20932 | pmc = 2649967 | pmid=19105186}} This results in the over-accumulation of very long chain fatty acids and branched chain fatty acids, such as phytanic acid. In addition, PBD-ZSD patients show deficient levels of plasmalogens, ether-phospholipids necessary for normal brain and lung function.{{cn|date=September 2021}}

RCDP1 is caused by mutations in the PEX7 gene, which encodes the PTS2 receptor.{{Cite journal | last1 = Braverman | first1 = N. | last2 = Steel | first2 = G. | last3 = Obie | first3 = C. | last4 = Moser | first4 = A. | last5 = Moser | first5 = H. | last6 = Gould | first6 = S. J. | last7 = Valle | first7 = D. | title = Human PEX7 encodes the peroxisomal PTS2 receptor and is responsible for rhizomelic chondrodysplasia punctata | journal = Nature Genetics | volume = 15 | pages = 369–376 | year = 1997 | pmid = 9090381 | doi = 10.1038/ng0497-369 | issue=4| s2cid = 33855310 }} RCDP1 patients can develop large tissue stores of branched chain fatty acids, such as phytanic acid, and show reduced levels of plasmalogens.

class="sortable wikitable"
Name

! OMIM

! Gene

! ICD-10

Zellweger syndrome

| {{OMIM|214100

none}}

| PEX1, PEX2, PEX3, PEX5, PEX6, PEX12, PEX14, PEX26

| Q87.82

Infantile Refsum disease

| {{OMIM|266510

none}}

| PEX1, PEX2, PEX26

| E80.3

Neonatal adrenoleukodystrophy

| {{OMIM|202370

none}}

| PEX5, PEX1, PEX10, PEX13, PEX26

| E71.331

RCDP Type 1

| {{OMIM|215100

none}}

| PEX7

| Q77.3

Heimler syndrome

| {{OMIM|234580

none}}

| PEX1, PEX6

|

Enzyme and transporter defects

Peroxisomal disorders also include:

class="sortable wikitable"
Name

! OMIM

! Gene

! ICD-10 NA{{cite book|author=World Health Organization|title=Application of the international classification of diseases to neurology: ICD-NA.|url=https://books.google.com/books?id=85RxDqXrx2EC&pg=PA119|accessdate=23 November 2010|date=7 December 1997|publisher=World Health Organization|isbn=978-92-4-154502-0|pages=119–}}

Pipecolic acidemia

| {{OMIM|600964

none}}

| PHYH

| E80.301

Acatalasia

| {{OMIM|115500

none}}

| CAT

| E80.310

Hyperoxaluria type 1

| {{OMIM|259900

none}}

| AGXT

| E80.311

Acyl-CoA oxidase deficiency

| {{OMIM|264470

none}}

| ACOX1

| E80.313

D-bifunctional protein deficiency

| {{OMIM|261515

none}}

| HSD17B4

| E80.314

Dihydroxyacetonephosphate acyltransferase deficiency

| {{OMIM|222765

none}}

| GNPAT

| E80.315

X-linked adrenoleukodystrophy

| {{OMIM|300100

none}}

| ABCD1

| E71.33

α-Methylacyl-CoA racemase deficiency

| {{OMIM|604489

none}}

| AMACR

|

RCDP Type 2

| {{OMIM|222765

none}}

| DHAPAT

| Q77.3

RCDP Type 3

| {{OMIM|600121

none}}

| AGPS

| Q77.3

Adult Refsum disease-1

| {{OMIM|266500

none}}

| PHYH

| G60.1

Mulibrey nanism

| {{OMIM|253250

none}}

| TRIM37

|

References

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