Adrenoleukodystrophy: Very long-chain fatty acid metabolism in fibroblasts

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

Research output: Contribution to journalArticlepeer-review

52 Scopus citations


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 3H-C26:0 to 3H14O was about 30% 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.

Original languageEnglish (US)
Pages (from-to)163-169
Number of pages7
Issue number2
StatePublished - Feb 1984
Externally publishedYes

ASJC Scopus subject areas

  • Clinical Neurology


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