The first steps of ether lipid biosynthesis are exclusively localized to pe
roxisomes and hence some peroxisomal disorders are characterized by a sever
e deficiency of plasmalogens, the main ether lipids in humans. Here we repo
rt on gene defects of plasmalogen biosynthesis, chromosomal localization of
the corresponding genes and, as a consequence of plasmalogen deficiency, o
n structural alterations of caveolae, clathrin-coated pits, endoplasmic ret
iculum and Golgi cisternae, as well as on the reduced rate of transferrin r
eceptor cycling. The data suggest that plasmalogens, analogous to cholester
ol, are essential for correct membrane functioning and their deficiency res
ults in impaired membrane trafficking.