Selective vulnerability of certain brain regions which is characteristic of
Wernicke - Korsakoff syndrome (WKS), is still unexplained. The objective o
f this study was to measure the activity of transketolase (TK), in 9 region
s of five normal human brains at post-mortem to determine if there is a rel
ationship between regional distribution of TK and regions susceptible to da
mage in WKS. The brain regions studied included cerebellum, pens, thalamus,
corpus callosum, occipital lobe, parietal lobe, frontal lobe, caudate nucl
eus and mamillary body. Regardless of whether the results were expressed in
terms of tissue wet weight or protein content, there was a significant reg
ional distribution of TK activity within the brain regions (F Prob < 0.001,
ANOVA). Further analysis using multiple comparisons of pairs of areas indi
cated that TK activity was significantly higher in the mamillary body compa
red to all other regions when expressed in terms of wet weight (P < 0.05).
There is no obvious correlation apart from the finding that the highest TK
activity was encountered in the mamillary body, a structure invariably affl
icted in WKS.