2014
DOI: 10.1007/s00403-014-1478-2
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Ultrastructure of skin from Refsum disease with emphasis on epidermal lamellar bodies and stratum corneum barrier lipid organization

Abstract: Classic Refsum disease (RD) is a rare, autosomal recessively-inherited disorder of peroxisome metabolism due to a defect in the initial step in the alpha oxidation of phytanic acid (PA), a C 16 saturated fatty acid with four methyl side groups, which accumulates in plasma and lipid enriched tissues (please see van den Brink, et al. 2006). It has been proposed that the disease complex in RD is in part due to the high affinity of phytanic acid for retinoid X receptors and peroxisome proliferator-activated recept… Show more

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Cited by 9 publications
(6 citation statements)
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References 33 publications
(32 reference statements)
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“…Moreover, mutations in ceramide synthase 3 have also been shown to be a cause of autosomal recessive congenital ichthyosis that leads to a specific loss of ceramides with very long acyl chains from C26‐C34 . In Refsum disease, the SC intercorneocyte space has also been reported to be non‐uniform with some areas having appropriate lamellar structures and others that completely lacked them . In many cases, a complete absence of corneocyte lipid envelopes was also observed.…”
Section: Variations In Sc Ceramide Levelsmentioning
confidence: 99%
“…Moreover, mutations in ceramide synthase 3 have also been shown to be a cause of autosomal recessive congenital ichthyosis that leads to a specific loss of ceramides with very long acyl chains from C26‐C34 . In Refsum disease, the SC intercorneocyte space has also been reported to be non‐uniform with some areas having appropriate lamellar structures and others that completely lacked them . In many cases, a complete absence of corneocyte lipid envelopes was also observed.…”
Section: Variations In Sc Ceramide Levelsmentioning
confidence: 99%
“…In Refsum disease, accumulation of phytanic acid, a metabolites of phytol lead to central nervous system pathologies, and also ichthyosis and skin barrier dysfunction [23]. While earlier ultrastructural observations on Refsum disease focused on general ichthyotic features of epidermis as well as lipid droplets in the basal layers, information on the epidermal LBs-the basis of the permeability barrier as well as orderly desquamation-was lacking.…”
Section: Refsum Diseasementioning
confidence: 99%
“…Experimental studies on barrier disruption followed by metabolic interventions highlighted the role of these organelles in repair and restoration of the barrier following its disruption, as well as control of its formation and secretion by various cytokines and ionic signals within the epidermis [17]. A plethora of studies on gene knockout mice models as well as human skin diseases have added valuable information on developmental pathways and genes critical for the control of LB synthesis, secretion and post-secretory processing of its contents that govern not only the permeability barrier, but also proper desquamation, skin health and disease mechanisms [18][19][20][21][22][23]. Proteomic approaches have identified over 900 different proteins that are expressed within the LB population [24].…”
Section: Introduction and Historical Perspectivementioning
confidence: 99%
“…The symptoms of this disorder progress with life and include progressive retinitis pigmentosa and hearing loss, anosmia, polyneuropathy, cardiac arrhythmias, unsteadiness of gait, and ichthyosis ( 125 ). The symptom affecting the skin becomes apparent relatively late in life, as late as adolescence or even at the age of 30 or 40 years ( 126 ). The accumulation of PA in human skin causes an abnormal shape of lamellar bodies, which may cause a change in the organization of lipid lamellae ( 127 ).…”
Section: Introductionmentioning
confidence: 99%