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Deficiência de acil-CoA redutase 1 dos ácidos graxos
ORPHA:438178CID-10 · E71.3OMIM 616154DOENÇA RARA

Uma condrodisplasia pontilhada rizomélica que tem base material em mutação homozigótica ou heterozigótica composta no gene FAR1 no cromossomo 11p15, que é necessária para a conversão de acil-CoAs graxos em álcoois graxos, causando redução ou perda completa da atividade de FAR1, resultando em deficiência de FAR1 peroxisomal.

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Introdução

O que você precisa saber de cara

📋

Uma condrodisplasia pontilhada rizomélica que tem base material em mutação homozigótica ou heterozigótica composta no gene FAR1 no cromossomo 11p15, que é necessária para a conversão de acil-CoAs graxos em álcoois graxos, causando redução ou perda completa da atividade de FAR1, resultando em deficiência de FAR1 peroxisomal.

Publicações científicas
33 artigos
Último publicado: 2026 Jul-Aug

Escala de raridade

CLASSIFICAÇÃO ORPHANET · BRASIL 2024
<1 / 1 000 000
Ultra-rara
<1/50k
Muito rara
1/20k
Rara
1/10k
Pouco freq.
1/5k
Incomum
1/2k
Prevalência
0.0
Worldwide
Casos conhecidos
3
pacientes catalogados
Início
Infancy
+ neonatal
🏥
SUS: Cobertura mínimaScore: 15%
CID-10: E71.3
🇧🇷Dados SUS / DATASUS
PROCEDIMENTOS SIGTAP (7)
0202010279
Dosagem de aminoácidos (erros inatos)metabolic_test
0202010295
Dosagem de ácidos orgânicos na urinagenetic_test
0202010490
Teste de triagem para erros inatos do metabolismonewborn_screening
0202010694
Sequenciamento completo do exoma (WES)rehabilitation
0202080013
Teste do pezinho (triagem neonatal)nutritional
0301070040
Atendimento em reabilitação — doenças raras
+1 outros procedimentos
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Entender a doença

Do básico ao detalhe, leia no seu ritmo

Preparando trilha educativa...

Sinais e sintomas

O que aparece no corpo e com que frequência cada sintoma acontece

Partes do corpo afetadas

🧠
Neurológico
13 sintomas
😀
Face
7 sintomas
👁️
Olhos
4 sintomas
📏
Crescimento
2 sintomas
🦴
Ossos e articulações
1 sintomas

+ 6 sintomas em outras categorias

Características mais comuns

100%prev.
Atraso de crescimento
Frequente (79-30%)
100%prev.
Tetraparesia espástica
Frequente (79-30%)
100%prev.
Convulsão
Frequente (79-30%)
100%prev.
Atraso global do desenvolvimento
Frequente (79-30%)
100%prev.
Espasticidade
Frequência: 3/3
100%prev.
Microcefalia
Frequência: 3/3
33sintomas
Muito frequente (8)
Frequente (18)
Ocasional (6)
Sem dados (1)

Os sintomas variam de pessoa para pessoa. Abaixo estão as 33 características clínicas mais associadas, ordenadas por frequência.

Atraso de crescimentoGrowth delay
Frequente (79-30%)100%
Tetraparesia espásticaSpastic tetraparesis
Frequente (79-30%)100%
ConvulsãoSeizure
Frequente (79-30%)100%
Atraso global do desenvolvimentoGlobal developmental delay
Frequente (79-30%)100%
EspasticidadeSpasticity
Frequência: 3/3100%

Linha do tempo da pesquisa

Publicações por ano — veja quando o interesse científico cresceu
Anos de pesquisa1desde 2026
Total histórico33PubMed
Últimos 10 anos13publicações
Pico20234 papers
Linha do tempo
2026Hoje · 2026🧪 2006Primeiro ensaio clínico📈 2023Ano de pico
Publicações por ano (últimos 10 anos)

Encontrou um erro ou informação desatualizada? Sugira uma correção →

Genética e causas

O que está alterado no DNA e como passa nas famílias

Genes associados

1 gene identificado com associação a esta condição. Padrão de herança: Autosomal recessive.

FAR1Fatty acyl-CoA reductase 1Disease-causing germline mutation(s) inAltamente restrito
FUNÇÃO

Catalyzes the reduction of saturated and unsaturated C16 or C18 fatty acyl-CoA to fatty alcohols (PubMed:15220348, PubMed:24108123, PubMed:35238077). It plays an essential role in the production of ether lipids/plasmalogens which synthesis requires fatty alcohols (PubMed:20071337, PubMed:24108123, PubMed:33239752). In parallel, it is also required for wax monoesters production since fatty alcohols also constitute a substrate for their synthesis (By similarity) (PubMed:24108123, PubMed:35238077)

LOCALIZAÇÃO

Peroxisome membrane

VIAS BIOLÓGICAS (1)
Wax biosynthesis
MECANISMO DE DOENÇA

Peroxisomal fatty acyl-CoA reductase 1 disorder

An autosomal recessive metabolic disorder clinically characterized by severe intellectual disability, early-onset epilepsy, microcephaly, congenital cataracts, growth retardation, and spasticity.

VIAS REACTOME (1)
EXPRESSÃO TECIDUAL(Ubíquo)
Brain Spinal cord cervical c-1
60.3 TPM
Esôfago - Mucosa
59.2 TPM
Nervo tibial
58.9 TPM
Vagina
49.5 TPM
Útero
47.1 TPM
INTERAÇÕES PROTEICAS (4)
OUTRAS DOENÇAS (2)
spastic paraparesis-cataracts-speech delay syndromefatty acyl-CoA reductase 1 deficiency
HGNC:26222UniProt:Q8WVX9

Variantes genéticas (ClinVar)

41 variantes patogênicas registradas no ClinVar.

🧬 FAR1: NM_032228.6(FAR1):c.234_235del (p.Lys78fs) ()
🧬 FAR1: NM_032228.6(FAR1):c.1479G>T (p.Trp493Cys) ()
🧬 FAR1: NM_032228.6(FAR1):c.1397T>C (p.Ile466Thr) ()
🧬 FAR1: NM_032228.6(FAR1):c.956-3C>T ()
🧬 FAR1: NM_032228.6(FAR1):c.1498T>C (p.Cys500Arg) ()
Ver todas no ClinVar

Classificação de variantes (ClinVar)

Distribuição de 10 variantes classificadas pelo ClinVar.

6
3
1
Patogênica (60.0%)
VUS (30.0%)
Benigna (10.0%)
VARIANTES MAIS SIGNIFICATIVAS
FAR1: NM_032228.6(FAR1):c.1522C>T (p.Arg508Ter) [Likely pathogenic]
FAR1: NM_032228.6(FAR1):c.772G>A (p.Gly258Arg) [Likely pathogenic]
FAR1: NM_032228.6(FAR1):c.286G>A (p.Glu96Lys) [Conflicting classifications of pathogenicity]
FAR1: NM_032228.6(FAR1):c.1094A>G (p.Asp365Gly) [Pathogenic]
FAR1: NM_032228.6(FAR1):c.787C>T (p.Arg263Ter) [Pathogenic]

Vias biológicas (Reactome)

1 via biológica associada aos genes desta condição.

Diagnóstico

Os sinais que médicos procuram e os exames que confirmam

Carregando...

Tratamento e manejo

Remédios, cuidados de apoio e o que precisa acompanhar

Pipeline de tratamentos
Pipeline regulatório — de medicamentos já aprovados a drogas em pesquisa exploratória.
·Pré-clínico3
Medicamentos catalogadosEnsaios clínicos· 0 medicamentos · 3 ensaios
Carregando informações de tratamento...

Onde tratar no SUS

Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)

🇧🇷 Atendimento SUS — Deficiência de acil-CoA redutase 1 dos ácidos graxos

🗺️

Selecione um estado ou use sua localização para ver resultados.

Dados de DATASUS/CNES, SBGM, ABNeuro e Ministério da Saúde. Sempre confirme a disponibilidade diretamente com o estabelecimento.

Pesquisa ativa

Ensaios clínicos abertos e novidades científicas recentes

🟢 Recrutando agora

1 pesquisa recrutando participantes. Converse com seu médico sobre a possibilidade de participar.

Outros ensaios clínicos

0 ensaios clínicos encontrados.

Distribuição por fase
Ver todos no ClinicalTrials.gov
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Publicações mais relevantes

🥉Melhor nível de evidência: Relato de caso
Timeline de publicações
0 papers (10 anos)
#1

Physiological role of plasmalogen homeostasis in the liver - A link to cholesterol metabolism.

Biochimica et biophysica acta. Molecular and cell biology of lipids2026 Jan

In mammals, plasmalogens are enriched in the brain, kidney, and heart, while the lowest amounts of plasmalogens are found in the liver. The physiological significance of the low level of plasmalogens in the liver remains unknown. Here, we used alkylglycerol, a precursor that is readily converted to plasmalogen upon exogenous administration, to study the effects of elevated liver plasmalogens on fatty acyl-CoA reductase (FAR1), a rate-limiting enzyme in plasmalogen biosynthesis. Indeed, oral administration of alkylglycerol in wild-type mice augmented plasmalogen levels in the liver and resulted in reduced FAR1 protein levels. Vice versa, we determined increased FAR1 levels in mice with diminished plasmalogen levels due to a genetic defect in plasmalogen biosynthesis. Together, these findings suggest a role of FAR1-mediated regulation of plasmalogen biosynthesis in liver physiology. Further experiments indicated that elevation of plasmalogens in the liver of wild-type mice reduces the protein level of squalene epoxidase, and further suppresses a liver X receptor-mediated transcription of genes encoding ATP-binding cassette transporters such as Abca1, Abcg5, and Abcg8. In the livers of plasmalogen-deficient mice, the expression of Abca1 appears to be reduced due to the suppressed function of the nuclear receptor protein hepatocyte nuclear factor 4. These aberrant expression of transporters causes reduced levels of high-density lipoprotein cholesterol in plasma derived from wild-type mice administered alkylglycerol and plasmalogen synthesis-deficient mice. Taken together, the present results suggest that the homeostasis of plasmalogens, mediated by the regulation of FAR1 protein levels in the liver, plays a physiologically important role in the synthesis of high-density lipoprotein.

#2

Identification of BoFAR3a Reveals the Genetic Basis of a Glossy Green Trait in Broccoli.

Plants (Basel, Switzerland)2026 Feb 14

Mutants with a bright green appearance due to wax synthesis or deposition defects have been reported in various plants such as Arabidopsis thaliana, corn, and rice, but they are relatively rare in broccoli (a brassicaceae crop). Here, we describe SY03, a natural mutant of broccoli with a glossy green phenotype owing to epidermal wax deficiency. Genetic analysis indicated that the leaf luster trait of SY03 was controlled by a single recessive gene. By using the F2 generation and combining bulked segregant analysis and molecular marker techniques, the candidate gene BoFAR3a, homologous to the Arabidopsis FAR gene, was identified within a 96.678 kb interval of chromosome C01. The A→G point mutation in exon 1 of the BoFAR3a coding sequence substitutes the canonical ATG start codon with GTG, which is predicted to abrogate or severely reduce translation initiation. RT-qPCR indicated that the expression levels of BoFAR3a were significantly decreased in the leaves of the glossy green phenotype mutant. Heterologous expression of BoFAR3a in A. thaliana restored the phenotype of A. thaliana mutant FAR3. The discovery of BoFAR3a is of great significance for breeding lustrous and commercially appealing broccoli varieties. This study systematically analyzed the molecular basis of the lustrous green phenotype in broccoli, providing new insights into the epidermal waxy regulatory network of cruciferous crops. In the future, the wax synthesis pathway can be precisely improved through gene editing technology, achieving a coordinated enhancement of the appearance quality and stress resistance of broccoli.

#3

Acyl-CoA Reductase Far1 Deficiency Impairs Ether Lipid Production and Hypomyelination in Mouse Brains.

Molecular and cellular biology2025

Mammalian cell membranes contain ether lipids, which include an alkyl chain derived from a fatty alcohol that is produced by fatty acyl-CoA reductases (FARs). There are two mammalian FAR genes, FAR1 and FAR2, and mutations in FAR1 cause the peroxisomal fatty acyl-CoA reductase 1 disorder (PFCRD), which is accompanied by various symptoms, including neurological disorders. To date, the contributions of FAR1 and FAR2 to brain ether lipid production and the molecular mechanism of PFCRD have remained unknown. To investigate these, we analyzed knockout (KO) mice of Far1 and Far2. In the brain, the expression levels of Far1 were higher than those of Far2, and Far1 was widely expressed. Lipidomic analyses showed that the quantity of ether lipids ethanolamine-plasmalogens was reduced in Far1 KO mice, with a complementary increase in diacyl-type phosphatidylethanolamines, but not in Far2 KO mice. Electron microscope analysis of the corpus callosum revealed reductions in the percentage of myelinated axons and myelin thickness in Far1 KO mice relative to WT mice. In conclusion, FAR1 is the major FAR isozyme involved in ether lipid synthesis in the brain, and its deficiency causes hypomyelination. We speculate that this hypomyelination is one of the causes of the neurological symptoms of PFCRD.

#4

Regulation of plasmalogen biosynthesis in mammalian cells and tissues.

Brain research bulletin2023 Mar

Plasmalogens are a unique family of cellular glycerophospholipids that contain a vinyl-ether bond. Synthesis of plasmalogens is initiated in peroxisomes and completed in the endoplasmic reticulum. The absence of plasmalogens in several organs of patients with deficiency in peroxisome biogenesis suggests that de novo synthesis of plasmalogens contributes significantly to plasmalogen homeostasis in humans. Plasmalogen biosynthesis is spatiotemporally regulated by a feedback mechanism that senses the amount of plasmalogens in the inner leaflet of the plasma membrane and regulates the stability of fatty acyl-CoA reductase 1 (FAR1), the rate-limiting enzyme for plasmalogen biosynthesis. Dysregulation of plasmalogen synthesis impairs cholesterol synthesis in cells and brain, resulting in the reduced expression of genes such as mRNA encoding myelin basic protein, a phenotype found in the cerebellum of plasmalogen-deficient mice. In this review, we summarize the current knowledge of molecular mechanisms underlying the regulation of plasmalogen biosynthesis and the link between plasmalogen homeostasis and cholesterol biosynthesis, and address the pathogenesis of impaired plasmalogen homeostasis in rodent and humans.

#5

Normal plasmalogen levels are maintained in tissues from mice with hepatocyte-specific deletion in peroxin 5.

Brain research bulletin2023 Feb

On the basis of findings that cultured rat hepatocytes secrete lipoprotein with a high plasmalogen content and the occurrence of this lipid in human serum, it has been suggested that hepatocytes play a role in the supply of plasmalogens to tissues. We tested this hypothesis in a mouse with a hepatocyte-specific defect in peroxisomes, an organelle essentially required for plasmalogen biosynthesis. We analyzed plasmalogens in lipid extracts of forebrain, liver and five further tissues and in plasma by reaction with dansylhydrazine in hydrochloric acid, which cleaves the vinyl ether of plasmalogens and forms a fluorescent dansylhydrazone, which we quantified by reversed phase high performance liquid chromatography. Reaction with dansylhydrazine in acetic acid was used to quantify free aldehydes as a control. Our results show normal levels of plasmalogens in plasma and in all tissues examined, including forebrain and the liver, irrespective of the inactivation of hepatic peroxisomes. None of the selected ether lipids analyzed by mass spectrometry in plasma and liver was decreased in the mice deficient in liver peroxisomes. In contrast, we found three plasmenylcholine species which were even significantly increased in the livers of these animals. Quantification of mRNA expression of plasmalogen biosynthetic enzymes revealed particularly low expression of fatty acyl-CoA reductase, the key regulatory enzyme of plasmalogen biosynthesis, in liver, with and without hepatic peroxisome deficiency. Our results do not support the suggested role of hepatocytes in supplying plasmalogens to tissues.

Publicações recentes

Ver todas no PubMed

📚 EuropePMC3 artigos no totalmostrando 13

2026

Identification of BoFAR3a Reveals the Genetic Basis of a Glossy Green Trait in Broccoli.

Plants (Basel, Switzerland)
2026

Physiological role of plasmalogen homeostasis in the liver - A link to cholesterol metabolism.

Biochimica et biophysica acta. Molecular and cell biology of lipids
2025

Acyl-CoA Reductase Far1 Deficiency Impairs Ether Lipid Production and Hypomyelination in Mouse Brains.

Molecular and cellular biology
2023

Maternal protein deficiency impairs peroxisome biogenesis and leads to oxidative stress and ferroptosis in liver of fetal growth restriction offspring.

The Journal of nutritional biochemistry
2023

Disrupted intercellular bridges and spermatogenesis in fatty acyl-CoA reductase 1 knockout mice: A new model of ether lipid deficiency.

FASEB journal : official publication of the Federation of American Societies for Experimental Biology
2023

Regulation of plasmalogen biosynthesis in mammalian cells and tissues.

Brain research bulletin
2023

Normal plasmalogen levels are maintained in tissues from mice with hepatocyte-specific deletion in peroxin 5.

Brain research bulletin
2021

A rare case of fatty acyl-CoA reductase 1 deficiency in an Indian infant manifesting rhizomelic chondrodystrophy phenotype.

Clinical genetics
2019

Impaired plasmalogen synthesis dysregulates liver X receptor-dependent transcription in cerebellum.

Journal of biochemistry
2017

The Acyl Desaturase CER17 Is Involved in Producing Wax Unsaturated Primary Alcohols and Cutin Monomers.

Plant physiology
2016

HPLC-Based Mass Spectrometry Characterizes the Phospholipid Alterations in Ether-Linked Lipid Deficiency Models Following Oxidative Stress.

PloS one
2015

Synthesis of medium-chain length (C6-C10) fuels and chemicals via β-oxidation reversal in Escherichia coli.

Journal of industrial microbiology &amp; biotechnology
2015

Fatty Acyl-CoA Reductase 1 Deficiency.

Pediatric neurology briefs

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Doenças relacionadas

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Ordenadas pelo número de sintomas em comum.

Referências e fontes

Bases de dados externas citadas neste artigo

Publicações científicas

Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.

  1. Physiological role of plasmalogen homeostasis in the liver - A link to cholesterol metabolism.
    Biochimica et biophysica acta. Molecular and cell biology of lipids· 2026· PMID 41061849mais citado
  2. Identification of BoFAR3a Reveals the Genetic Basis of a Glossy Green Trait in Broccoli.
    Plants (Basel, Switzerland)· 2026· PMID 41754319mais citado
  3. Acyl-CoA Reductase Far1 Deficiency Impairs Ether Lipid Production and Hypomyelination in Mouse Brains.
    Molecular and cellular biology· 2025· PMID 40931707mais citado
  4. Regulation of plasmalogen biosynthesis in mammalian cells and tissues.
    Brain research bulletin· 2023· PMID 36720320mais citado
  5. Normal plasmalogen levels are maintained in tissues from mice with hepatocyte-specific deletion in peroxin 5.
    Brain research bulletin· 2023· PMID 36584717mais citado
  6. From molecules to field: Integrated insights into cuticle-mediated drought tolerance in plants.
    Biotechnol Adv· 2026· PMID 41912054recente
  7. Diagnostic Utility of FAR1 Methylation Levels in Hepatocellular Carcinoma Patients Undergoing Liver Transplantation.
    Ann Transplant· 2026· PMID 41630389recente
  8. The lipid basis of cell death and autophagy.
    Autophagy· 2024· PMID 37768124recente

Bases de dados e fontes oficiais

Identificadores e referências canônicas usadas para montar este verbete.

  1. ORPHA:438178(Orphanet)
  2. OMIM OMIM:616154(OMIM)
  3. MONDO:0014510(MONDO)
  4. GARD:13319(GARD (NIH))
  5. Variantes catalogadas(ClinVar)
  6. Busca completa no PubMed(PubMed)
  7. Q55784859(Wikidata)

Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.

Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar

Deficiência de acil-CoA redutase 1 dos ácidos graxos
Compêndio · Raras BR

Deficiência de acil-CoA redutase 1 dos ácidos graxos

ORPHA:438178 · MONDO:0014510
Prevalência
<1 / 1 000 000
Casos
3 casos conhecidos
Herança
Autosomal recessive
CID-10
E71.3 · Distúrbios do metabolismo de ácidos graxos
Início
Infancy, Neonatal
Prevalência
0.0 (Worldwide)
MedGen
UMLS
C4015344
EuropePMC
Wikidata
Evidência
🥉 Relato de caso
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