Classical Phenylketonuria

2020 ◽  
Author(s):  
2002 ◽  
Vol 57 (1-2) ◽  
pp. 182-188 ◽  
Author(s):  
Artemis Doulgeraki ◽  
Zetta Papadopoulou-Daifoti ◽  
Stylianos Tsakiris

The effect of different ʟ-phenylalanine (Phe) concentrations (0.12D12.1 mᴍ) on acetylcholinesterase (AChE), (Na+,K+)-ATPase and Mg2+-ATPase activities was evaluated in homogenates of suckling rat frontal cortex, hippocampus and hypothalamus. Phe, at high concentrations, reduced AChE activity in frontal cortex and hippocampus by 18%-20%. On the contrary, the enzyme activity was unaltered in the hypothalamus. Na+,K+-ATPase was stimulated by high levels of the amino acid, both in the frontal cortex and the hypothalamus by 60%, whereas it was inhibited in the hippocampus by 40%. Mg2+-ATPase was not influenced by Phe. It is suggested that: a) In the frontal cortex, the improper acetylcholine (ACh) release, due to AChE inhibition by Phe, combined with the stimulation of Na+,K+-ATPase, possibly explain tremor and the hyperkinetic behaviour in patients with classical phenylketonuria (PKU). b) In the hippocampus, inhibition of AChE by Phe could lead to problems in memory, while Na+,K+-ATPase inhibition by Phe may induce metabolic disorders and electrical instability of the synaptosomal membrane. c) In the hypothalamus, the behavioral problems in PKU “off diet” may be related to noradrenaline (NA) levels, which are probably correlated with the modulated Na+,K+-ATPase by Phe.


2002 ◽  
Vol 25 (6) ◽  
pp. 431-436 ◽  
Author(s):  
J. Weglage ◽  
D. Wiedermann ◽  
J. Denecke ◽  
R. Feldmann ◽  
H.-G. Koch ◽  
...  

1968 ◽  
Vol 43 (227) ◽  
pp. 1-7 ◽  
Author(s):  
M. S. MCBean ◽  
J. B. Stephenson

Author(s):  
F. Güttler ◽  
G. Hansen

Abnormalities related to the hydroxylation of phenylalanine to tyrosine are classified into three phenotypes based on the amount of dietary phenylalanine tolerated to keep serum phenylalanine within therapeutic levels, i.e., 180–425 μmol/l (3–7 mg/100 ml): (1) Classical phenylketonuria (PKU) tolerating approximately 17% of a normal intake of phenylalanine or approximately 0.12 mmol per kg body weight; (2) mild PKU with a tolerance some 50% higher; and (3) persistent hyperphenylalaninaemia (HPA) with serum phenylalanine values within therapeutic levels on a daily intake of geqslant 0.7 mmol phenylalanine per kg body weight. Oral phenylalanine loading was performed on 100 heterozygotes for these abnormalities and 33 normal homozygotes. The slope of the rise in serum tyrosine multiplied by the maximum serum tyrosine concentration over the maximum phenylalanine concentration was the most powerful discriminant (D/_s, 3.54; overlapping 2.4%). Three heterozygous phenotypes were distinguished by this discriminant, and a significant correlation was observed between the phenotypic combination of the parents and the phenotype of their affected child. In particular, parents of children with classical PKU were clearly distinguished from heterozygotes for the other two abnormalities.


1970 ◽  
Vol 2 (01) ◽  
pp. 121-122 ◽  
Author(s):  
John Menkes ◽  
Neil Holtzman

2017 ◽  
Vol 50 (3) ◽  
pp. 159-161 ◽  
Author(s):  
Chike Bellarmine Item ◽  
Sharmane Escueta ◽  
Andrea Schanzer ◽  
Somayeh Farhadi ◽  
Thomas Metz ◽  
...  

2013 ◽  
Vol 108 (4) ◽  
pp. 255-258 ◽  
Author(s):  
Carol Hartnett ◽  
Ramona Salvarinova-Zivkovic ◽  
Eva Yap-Todos ◽  
Barbara Cheng ◽  
Alette Giezen ◽  
...  

1996 ◽  
Vol 155 (S1) ◽  
pp. S39-S44 ◽  
Author(s):  
F. Rey ◽  
V. Abadie ◽  
F. Plainguet ◽  
J. Rey

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