In humans, mutations inactivating multifunctional protein-2 (MFP-2), and thus peroxisomal -oxidation, cause neuronal heterotopia and demyelination, which is clinically reflected by hypotonia, seizures, and death within the first year of life. In contrast, our recently generated MFP-2-deficient mice did not show neurodevelopmental abnormalities but exhibited aberrations in bile acid metabolism and one of three of them died early postnatally. In the postweaning period, all survivors developed progressive motor deficits, including abnormal cramping reflexes of the limbs and loss of mobility, with death at 6 months. During the last decades it has been clearly established that peroxisomes are ubiquitously present in mammalian tissues. These organelles are involved in multiple processes such as the catabolism and synthesis of lipids and sterols and the degradation of hydrogen peroxide. Peroxisomal -oxidation, in which multifunctional protein-2 (MFP-2) plays a pivotal role, is crucial for the breakdown of very-long-chain fatty acids, branched chain fatty acids, and cholesterol.