Peroxisomal disorders appear with a frequency of 1:5000 in newborns. They a
re caused either by peroxisomal assembly defects or by deficiencies of sing
le peroxisomal enzymes. The phenotypes vary widely: affected humans may die
very early in life within a few days to several months as a result of the
impairment in essential peroxisomal functions as, for example, in Zellweger
syndrome, or they may show only minor disabilities as is in acatalasemia.
The deficiency of D-bifunctional protein, an enzyme involved in peroxisomal
beta -oxidation of certain fatty acids and the synthesis of bile acids. ca
uses a very severe. Zellweger-like phenotype. A number of different mutatio
ns in the gene coding for the enzyme were found in humans causing the total
or partial loss of its enzymatic function. This paper gives a review of ca
ses and their molecular basis. (C) 2001 Elsevier Science ireland Ltd. All r
ights reserved.