Boehme D H, Leonberg S C, Varagiannis E, Marks N
Prog Clin Biol Res. 1980;39:305-14.
Little progress has been made in procedures for diagnosis of this baffling group of diseases known as ceroid lipofuscinoses (CL), which exhibit infantile, juvenile, and adult forms. Although these have been shown for the most part to be genetic in origin, the enzymatic or other defects leading to accumulation of lipopigments in tertiary lysosomes of neurons or astrocytes re unknown. Among the more commonly discussed theories is the role of peroxy radicals or their products formed by lipoperoxidation of polyunsaturated fatty acids. Although peroxy radicals are damaging to tissues and biological processes, no differences were observed in levels of leucocyte peroxidase (metabolizing H2O2) for Kuf's patients in comparison to age-matched controls. Also, no differences were observed in levels of blood factors that affect the rates of lipoperoxidatin by rat or human brain homogenates in vitro (measured by formation of MDA or other TBA positive materials).
对于这类被称为蜡样脂褐质沉积症(CL)的令人困惑的疾病,其诊断程序进展甚微,CL有婴儿型、青少年型和成人型。尽管这些疾病大多已被证明起源于遗传,但导致脂色素在神经元或星形胶质细胞的三级溶酶体中积累的酶缺陷或其他缺陷尚不清楚。在讨论较多的理论中,有过氧自由基或多不饱和脂肪酸过氧化形成的产物所起的作用。尽管过氧自由基对组织和生物过程具有损害作用,但与年龄匹配的对照组相比,并未观察到库夫病患者白细胞过氧化物酶(代谢过氧化氢)水平有差异。此外,在体外影响大鼠或人脑匀浆脂质过氧化速率的血液因子水平方面(通过丙二醛或其他TBA阳性物质的形成来测量),也未观察到差异。