Pseudo-Zellweger Syndrome

  • Jacob Valk
  • Marjo S. van der Knaap


A disorder has been described with clinical, chemical, and pathological features remarkably similar to those of the Zellweger’s cerebrohepatorenal syndrome. However, in the Zellweger syndrome, peroxisomes cannot be detected in hepatocytes and renal tubular epithelium, using cytochemistry or ultrastructural examination, whereas in the pseudo-Zellweger syndrome, hepatocytes contain abundant peroxisomes, many of which are larger than normal. Study of peroxisomal enzyme activities reveals that the dihydroxyacetone phosphate acyltransferase activity is not diminished, while the activity of this enzyme is severely reduced in the Zellweger syndrome. Dihydroxyacetone phosphate acyltransferase is an enzyme bound to the peroxisomal membrane, and its presence in the pseudo-Zellweger syndrome is consistent with the morphological observation of abundant peroxisomes. The biochemical abnormalities consist of an accumulation of very long-chain fatty acids, pipecolic acid, and abnormal bile acids. There is good evidence that the basic defect involves the peroxisomal enzyme 2-oxoacyl-CoA thiolase, an enzyme of the ß-oxidation chain. Thiolase is probably involved not only in the oxidation of very long-chain fatty acids but also in the biosynthesis of bile acids.


Bile Acid Basic Defect Tubular Epithelium Ultrastructural Examination Dihydroxyacetone Phosphate 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. Goldfischer S, Collins J, Rapin I, Neumann P, et al. (1986) Pseudo-Zellweger syndrome: deficiencies in several peroxisomal oxidative activities. J Pediatrics 108: 25–32CrossRefGoogle Scholar
  2. Schram AW, Goldfischer S, Roermund van CWT, BrouwerKelder EM, et al. (1987) Human peroxisomal 3-oxoacylcoenzyme a thiolase deficiency. Proc Natl Acad Sci 84: 2494–2496PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1989

Authors and Affiliations

  • Jacob Valk
    • 1
  • Marjo S. van der Knaap
    • 2
  1. 1.Department of Diagnostic Radiology and NeuroradiologyFree University HospitalAmsterdamThe Netherlands
  2. 2.Department of Child NeurologyAcademic HospitalUtrechtThe Netherlands

Personalised recommendations