Adrenomyeloneuropathy: increased accumulation of very long chain fatty acid in cultured skeletal muscle.

Skeletal muscle cultures from a patient with the rare disease adrenomyeloneuropathy (AMN), challenged by the addition of an extra amount of docosanoic or hexacosanoic acid to the usual growth medium, accumulated much more of these fatty acids into several lipid classes than did control patient cultures. Triglycerides were particularly affected. These experiments are the first demonstrating an enhanced capacity of AMN cultured tissue to accumulate medium-derived fatty acids into cellular lipid. Cultured human skeletal muscle represents a new model system for evaluating the metabolic defect which results in the pathological accumulation of very-long-chain fatty-acids in AMN patients.