Peroxisome biogenesis disorders are autosomal recessive disorders often characterized by impaired plasmalogen biosynthesis. In these cases, the peroxisomal enzyme GNPAT, necessary for the initial steps of plasmalogen biosynthesis, is mislocalized to the cytoplasm where it is inactive. In addition, genetic mutations in the
GNPAT or
AGPS genes can result in plasmalogen deficiencies, which lead to the development of
rhizomelic chondrodysplasia punctata (RCDP) type 2 or 3, respectively. In such cases, both copies of the
GNPAT or
AGPS gene must be mutated in order for disease to manifest. Unlike the peroxisome biogenesis disorders, other aspects of peroxisome assembly in RCDP2 and RCDP3 patients are normal as is their ability to metabolize very long chain fatty acids. Individuals with severe plasmalogen deficiencies frequently show abnormal neurological development, skeletal malformation, impaired respiration, and cataracts. Deficits in plasmalogen levels contribute to pathology in
Zellweger syndrome. Plasmalogen alkyl chains have been shown to promote or inhibit the
cell death from
ferroptosis, depending on their degree of saturation.
During inflammation During inflammation, neutrophil-derived
myeloperoxidase produces
hypochlorous acid, which causes oxidative
chlorination of plasmalogens at the sn-1 chain by reacting with the
vinyl ether bond. Several researchers are currently investigating the impact of chlorinated lipids on pathology. ==Possible disease links==