Cerebellar and hepatic alterations in ACBD5-deficient mice are associated with unexpected, distinct alterations in cellular lipid homeostasis.
Open accessAbstract
ACBD5 deficiency is a novel peroxisome disorder with a largely uncharacterized pathology. ACBD5 was recently identified in a tethering complex mediating membrane contacts between peroxisomes and the endoplasmic reticulum (ER). An ACBD5-deficient mouse was analyzed to correlate ACBD5 tethering functions with the disease phenotype. ACBD5-deficient mice exhibit elevated very long-chain fatty acid levels and a progressive cerebellar pathology. Liver did not exhibit pathologic changes but increased peroxisome abundance and drastically reduced peroxisome-ER contacts. Lipidomics of liver and cerebellum revealed tissue-specific alterations in distinct lipid classes and subspecies. In line with the neurological pathology, unusual ultra-long chain fatty acids (C > 32) were elevated in phosphocholines from cerebelli but not liver indicating an organ-specific imbalance in fatty acid degradation and elongation pathways. By contrast, ether lipid formation was perturbed in liver towards an accumulation of alkyldiacylglycerols. The alterations in several lipid classes suggest that ACBD5, in addition to its acyl-CoA binding function, might maintain peroxisome-ER contacts in order to contribute to the regulation of anabolic and catabolic cellular lipid pathways.
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Impaired peroxisomal β-oxidation in ACBD5-deficient mice leads to elevations of plasma VLCFAs and significant tissue-specific alterations in lipid composition, closely resembling the lipid alterations observed in plasma and fibroblasts from RDLKD patients.
“At the molecular level, impaired peroxisomal β-oxidation in the ACBD5-deficient mice leads to elevations of plasma VLCFAs and to significant, tissue-specific alterations in lipid composition, thus closely resembling the lipid alterations observed in plasma and fibroblasts from RDLKD patients (Darwisch et al., 2020; Granadeiro et al., 2024).”
From The neurological pathology of peroxisomal ACBD5 deficiency – lessons from patients and mouse models (2025) · cites this paper as Darwisch et al., 2020
Split into 2 atoms — 0 confirmed, 2 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.
Experimental — accuracy not yet measuredBoth ACBD5-deficient mouse strains developed retinal dystrophy characterized by photoreceptor cell loss and microglial activation.
“Like human patients, both mouse strains developed retinal dystrophy, characterized by photoreceptor cell loss and microglial activation (Darwisch et al., 2020; Granadeiro et al., 2024).”
From The neurological pathology of peroxisomal ACBD5 deficiency – lessons from patients and mouse models (2025) · cites this paper as Darwisch et al., 2020
The Results section reports retinal degeneration in the Acbd5−/− mouse strain, with reduced photoreceptor cells and increased microglia. The paper describes one ACBD5-deficient mouse strain, so it does not by itself support the claim that both strains developed this phenotype. No page number is available in our copy. (LLM, conf=0.86)
Experimental — accuracy not yet measuredBoth Acbd5-/- mouse strains display approximately twofold increases in hexacosanoic acid (C26:0) levels in tissues and plasma, mirroring biochemical abnormalities observed in ACBD5-deficient patients.
“Both Acbd5–/– mouse strains display approximately twofold increases in hexacosanoic acid (C26:0) levels in tissues and plasma, mirroring biochemical abnormalities observed in ACBD5-deficient patients (Darwisch et al., 2020; Granadeiro et al., 2024).”
From The neurological pathology of peroxisomal ACBD5 deficiency – lessons from patients and mouse models (2025) · cites this paper as Darwisch et al., 2020
The Results section reports elevated C26:0 in the plasma and tissues of the Acbd5−/− mice studied, and the Discussion notes elevated very-long-chain fatty acids in ACBD5-deficient patients. But the Results specify a threefold increase, not approximately twofold, and this paper does not establish the finding for both mouse strains. (LLM, conf=0.90)
Experimental — accuracy not yet measuredAll analyzed tissues-liver, cerebellum, and spinal cord-show increased incorporation of VLCFAs into phosphatidylcholines in Acbd5-/- mice.
“As expected from elevated VLCFA levels, all analyzed tissues—liver, cerebellum, and spinal cord—show increased incorporation of VLCFAs into phosphatidylcholines.”
From The neurological pathology of peroxisomal ACBD5 deficiency – lessons from patients and mouse models (2025) · cites this paper as Darwisch et al., 2020
The Results section on lipidomic profiles reports increased VLCFAs in liver and cerebellar phospholipids and describes elevated VLCFA-containing phosphatidylcholines in Acbd5−/− mice. But the Methods section on tissue lipidomics says only liver and cerebellum were analyzed; the paper does not establish increased incorporation into phosphatidylcholines in spinal cord. Page numbers are unavailable in our copy. (LLM, conf=0.88)
Experimental — accuracy not yet measuredBoth Acbd5-/- models show cerebellar degeneration marked by Purkinje cell loss, pronounced axonal swellings, and demyelination of cerebellar white matter tracts.
“Consistent with these motor deficits, both Acbd5–/– models show cerebellar degeneration marked by Purkinje cell loss, pronounced axonal swellings, and demyelination of cerebellar white matter tracts (Darwisch et al., 2020; Granadeiro et al., 2024), which correlates with the cerebellar symptoms typically observed in RDLKD patients.”
From The neurological pathology of peroxisomal ACBD5 deficiency – lessons from patients and mouse models (2025) · cites this paper as Darwisch et al., 2020
The Results section ('Acbd5−/− mice develop a progressive degenerative phenotype in the cerebellum') reports Purkinje cell loss, frequent axonal swellings, and slight but significant demyelination in cerebellar homogenates from the mice studied. It does not establish demyelination specifically in cerebellar white matter tracts or findings in both models; its discussion attributes cerebellar-peduncle demyelination to patients, not these mice. (LLM, conf=0.88)
Experimental — accuracy not yet measured
Nervous tissue phosphatidylcholines in Acbd5-/- mice can reach up to C42, while fatty acid chains in phospholipids typically do not exceed C36.
“While fatty acid chains in these phospholipids typically do not exceed C36, nervous tissue phosphatidylcholines in Acbd5–/– mice can reach up to C42.”
From The neurological pathology of peroxisomal ACBD5 deficiency – lessons from patients and mouse models (2025) · cites this paper as Darwisch et al., 2020
The Results (page unavailable) report ultra-long-chain fatty acids in cerebellar phosphatidylcholines of Acbd5−/− mice, supporting the tissue-specific finding. They do not establish a C42 maximum: the paper reports phosphatidylcholines with a total carbon chain length of C72–C80, and it does not state that fatty acid chains in phospholipids typically stop at C36. (LLM, conf=0.85)
Experimental — accuracy not yet measuredBoth ACBD5-deficient mouse models exhibit prominent neurological phenotypes, including hindlimb-clasping reflex loss and ataxia, closely reflecting the locomotor dysfunction seen in patients.
“Both ACBD5-deficient mouse models exhibit prominent neurological phenotypes, including hindlimb-clasping reflex loss and ataxia, closely reflecting the locomotor dysfunction seen in patients.”
From The neurological pathology of peroxisomal ACBD5 deficiency – lessons from patients and mouse models (2025) · cites this paper as Darwisch et al., 2020
The Results section ('Acbd5−/− mice develop a progressive degenerative phenotype in the cerebellum'; page unavailable) reports hind limb clasping, unsteady gait and impaired coordination in the Acbd5−/− mice. The Discussion says this model has pathology similar to that of ACBD5-deficient patients. Our copy does not establish these findings for two ACBD5-deficient mouse models, and it describes hind limb clasping rather than loss of a clasping reflex. (LLM, conf=0.88)
Experimental — accuracy not yet measuredFatty acids accumulating in membrane phospholipids in the CNS of Acbd5-/- mice exhibit a higher degree of unsaturation compared to those in the liver.
“Additionally, fatty acids accumulating in membrane phospholipids in the CNS exhibit a higher degree of unsaturation compared to those in the liver (Darwisch et al., 2020).”
From The neurological pathology of peroxisomal ACBD5 deficiency – lessons from patients and mouse models (2025) · cites this paper as Darwisch et al., 2020
The Results section (page unavailable) reports that highly unsaturated fatty acids accumulated in Acbd5−/− cerebellum but not liver, and that these fatty acids were enriched specifically in membrane phosphatidylcholine (PC). The claim broadens that finding from cerebellum to the CNS and from PC to membrane phospholipids generally; the paper reports no major organ-specific difference for phosphatidylethanolamine (PE). (LLM, conf=0.85)
Experimental — accuracy not yet measuredLevels of alkyl-diacyl- and alkyl-acylglycerols are approximately doubled in the liver of Acbd5tmn1a mice.
“Notably, levels of alkyl-diacyl- and alkyl-acylglycerols are approximately doubled in the liver (Darwisch et al., 2020).”
From The neurological pathology of peroxisomal ACBD5 deficiency – lessons from patients and mouse models (2025) · cites this paper as Darwisch et al., 2020
The Results section on lipidomic profiles reports significantly increased liver levels of both alkyldiacylglycerols (TG[O]) and alkylmonoacylglycerols (DG[O]) in Acbd5−/− mice. The Animal breeding section identifies these mice as carrying the Acbd5tm1a allele. Our copy does not state that either lipid level was approximately doubled, so the magnitude is not verified. (LLM, conf=0.85)
Experimental — accuracy not yet measuredPeroxisomes proliferate or decrease in number in response to environmental stimuli, while impaired membrane growth related to ACBD5-deficiency may affect this dynamic process and reduce the responsiveness of the peroxisomal system to physiologic stressors.
“Peroxisomes proliferate or decrease in number in response to environmental stimuli, while impaired membrane growth related to ACBD5-deficiency may affect this dynamic process and reduce the responsiveness of the peroxisomal system to physiologic stressors (Darwisch et al., 2020;Schrader et al., 2006).”
From <scp>ACBD5</scp>‐related retinal dystrophy with leukodystrophy due to novel mutations in <i>ACBD5</i> and with additional features including ovarian insufficiency (2024) · cites this paper as Darwisch et al., 2020
Split into 2 atoms — 0 confirmed, 2 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.
Experimental — accuracy not yet measuredDHA levels were only slightly reduced in liver lysophosphatidylcholines, and no differences were detected in nervous tissue between Acbd5-/- and wild-type mice.
“However, DHA levels were only slightly reduced in liver lysophosphatidylcholines, and no differences were detected in nervous tissue between Acbd5–/– and wild-type mice (Darwisch et al., 2020; Granadeiro et al., 2024), suggesting compensatory mechanisms, possibly via upregulated DHA synthesis.”
From The neurological pathology of peroxisomal ACBD5 deficiency – lessons from patients and mouse models (2025) · cites this paper as Darwisch et al., 2020
Lipidomic data from Acbd5tmn1a mice reveal a moderate reduction of alkyl-PE and alkyl-PC in the cerebellum, but not in the liver.
“Lipidomic data from Acbd5tmn1a mice reveal a moderate reduction of alkyl-PE and alkyl-PC in the cerebellum, but not in the liver.”
From The neurological pathology of peroxisomal ACBD5 deficiency – lessons from patients and mouse models (2025) · cites this paper as Darwisch et al., 2020
Acbd5tmn1a mice display significantly increased peroxisome numbers in hepatocytes.
“Interestingly, Acbd5tmn1a mice display significantly increased peroxisome numbers in hepatocytes, which may partially compensate for the reduction in peroxisomal β-oxidation capacities and supply (Darwisch et al., 2020).”
From The neurological pathology of peroxisomal ACBD5 deficiency – lessons from patients and mouse models (2025) · cites this paper as Darwisch et al., 2020
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References 72 · Cited by 32
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- Authors
- Darwisch, W., von Spangenberg, M., Lehmann, J., Singin, Ö., Deubert, G., Kühl, S., Roos, J., Horstmann, H., Körber, C., Hoppe, S., Zheng, H., Kuner, T., Pras-Raves, M. L., van Kampen, A. H. C., Waterham, H. R., Schwarz, K. V., Okun, J. G., Schultz, C., Vaz, F. M., & Islinger, M.
- Affiliations
- Heidelberg University (DE)
- Amsterdam UMC Location University of Amsterdam (NL)
- University Hospital Heidelberg (DE)
- Corresponding author
- Islinger, Markus
- ORCID
- Venue
- Communications Biology
- Published
- 2020-11-26
- Volume
- 3
- Issue
- 1
- Pages
- 713-713
- ISSN
- 2399-3642 (ISSN-L)
- PMC
- PMC7691522
- OpenAlex
- W3108622438
- Cited by
- 32
- References
- 72
- Citations by year
- 2026: 5 · 2025: 7 · 2024: 3 · 2023: 7 · 2022: 7 · 2021: 3
- FWCI
- 2.82
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Communications Biology (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- Pure Amsterdam UMC (submittedVersion, cc-by)
- Funders
- Deutsche Forschungsgemeinschaft (397476530)
- Universität Heidelberg
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Clinical Biochemistry › Metabolism and Genetic Disorders
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Biochemistry › Lipid metabolism and biosynthesis
- Life Sciences › Neuroscience › Neurology › Neurological diseases and metabolism
- Keywords
- peroxisome biogenesis disorders, cerebellar pathology, hepatic lipid metabolism, very long chain fatty acids, ether lipids, fatty acid elongation, acyl-CoA binding, lipid homeostasis
- MeSH terms
- Animals, Carrier Proteins, Cerebellum, Endoplasmic Reticulum, Female, Homeostasis, Liver, Male, Mice, Knockout, Peroxisomal Disorders, Peroxisomes, Lipid Metabolism, Mice
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