Identification of PEX7 as the second gene involved in Refsum disease
Open accessAbstract
Patients affected with Refsum disease (RD) have elevated levels of phytanic acid due to a deficiency of the peroxisomal enzyme phytanoyl-CoA hydroxylase (PhyH). In most patients with RD, disease-causing mutations in the PHYH gene have been identified, but, in a subset, no mutations could be found, indicating that the condition is genetically heterogeneous. Linkage analysis of a few patients diagnosed with RD, but without mutations in PHYH, suggested a second locus on chromosome 6q22-24. This region includes the PEX7 gene, which codes for the peroxin 7 receptor protein required for peroxisomal import of proteins containing a peroxisomal targeting signal type 2. Mutations in PEX7 normally cause rhizomelic chondrodysplasia punctata type 1, a severe peroxisomal disorder. Biochemical analyses of the patients with RD revealed defects not only in phytanic acid alpha-oxidation but also in plasmalogen synthesis and peroxisomal thiolase. Furthermore, we identified mutations in the PEX7 gene. Our data show that mutations in the PEX7 gene may result in a broad clinical spectrum ranging from severe rhizomelic chondrodysplasia punctata to relatively mild RD and that clinical diagnosis of conditions involving retinitis pigmentosa, ataxia, and polyneuropathy may require a full screen of peroxisomal functions.
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Peripheral neuropathy has been reported in a clinical subset of RCDP patients.
“In line with myelination defects also in the PNS, peripheral neuropathy has been reported in a clinical subset of RCDP patients [201].”
From Peroxisomes in brain development and function (2016) · cites this paper as [201]
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- Authors
- van den Brink, D. M., Brites, P., Haasjes, J., Wierzbicki, A. S., Mitchell, J., Lambert-Hamill, M., de Belleroche, J., Jansen, G. A., Waterham, H. R., & Ronald Wanders, J. A.
- Affiliations
- Amsterdam UMC Location University of Amsterdam (NL)
- St Thomas' Hospital (GB)
- Charing Cross Hospital (GB)
- Venue
- The American Journal of Human Genetics
- Publisher
- Elsevier BV
- Published
- 2003-02
- Volume
- 72
- Issue
- 2
- Pages
- 471-477
- ISSN
- 0002-9297 (ISSN-L)
- PMC
- PMC379239
- OpenAlex
- W2096184116
- Cited by
- 171
- References
- 34
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 7 · 2023: 3 · 2022: 6 · 2021: 7 · 2020: 8 · 2019: 8 · 2018: 6 · 2017: 6 · 2016: 10 · 2015: 4 · 2014: 9 · 2013: 4 · 2012: 10
- FWCI
- 7.19
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- The American Journal of Human Genetics (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Pure Amsterdam UMC (publishedVersion)
- UvA-DARE (University of Amsterdam) (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Research Portal (King's College London) (submittedVersion)
- Pure Amsterdam UMC (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Clinical Biochemistry › Metabolism and Genetic Disorders
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Hereditary Neurological Disorders
- Life Sciences › Neuroscience › Neurology › Neurological diseases and metabolism
- Keywords
- Refsum disease, PEX7, phytanic acid, peroxisomal disorders, rhizomelic chondrodysplasia punctata, plasmalogen synthesis, genetic heterogeneity, retinitis pigmentosa, ataxia, polyneuropathy, peroxisomal import
- MeSH terms
- Peroxisomal Targeting Signal 2 Receptor, Acetyl-CoA C-Acetyltransferase, Adult, Alleles, Cells, Cultured, Chromosomes, Human, Pair 6, Female, Fibroblasts, Humans, Mixed Function Oxygenases, Genetic Linkage, Male, Mutation, Phytanic Acid, Plasmalogens, Refsum Disease, Skin, Receptors, Cytoplasmic and Nuclear, Siblings
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