BRAIN LIPIDS OF A CASE OF JUVENILE NIEMANN‐PICK DISEASE1

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Abstract
—Lipids of frontal lobe grey and white matter were examined in parallel from a normal and a diseased child (M. Niemann‐Pick), both nine years of age.In the grey matter of the pathological case the following changes, although small, were found: a slight increase in all phospholipids and decreased values for nervonic acid in cerebrosides and for hydroxy fatty acids in sulphatides.White matter seemed much more affected by the disease: water content was about 6 per cent higher which corresponds to an approx. 20 per cent loss of dry substance compared with the normal brain. Further increases were observed in ‘ganglioside’ fraction and in all phosphatides. Cerebroside and sulphatide levels appeared decreased owing to destruction of myelin. In all of the glycerophosphatides oleic acid portions were lowered whereas in sphingolipids mainly nervonic acid values were reduced. Aldehyde content of both tissues seemed lowered in the disease, however, changes in composition were observed only in white matter, where the stearaldehyde portion of ethanolamine glycerophospholipid increased at the expense of palmitaldehyde and oleinaldehyde.

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