Of mice and men: Plasma phenylalanine reduction in PKU corrects neurotransmitter pathways in the brain

In phenylketonuria (PKU), mutations of the phenylalanine hydroxylase (PAH) gene decrease the ability of PAH to convert phenylalanine (Phe) to tyrosine (Tyr), resulting in Phe accumulation in the blood and brain and disruption of neurotransmitter (NT) biosynthesis and metabolism. The following transl...

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Published inMolecular genetics and metabolism Vol. 128; no. 4; pp. 422 - 430
Main Authors Berguig, Geoffrey Y., Martin, Nathan T., Creer, Athena Y., Xie, Lin, Zhang, Lening, Murphy, Ryan, Pacheco, Glenn, Bullens, Sherry, Olbertz, Joy, Weng, Haoling H.
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.12.2019
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Summary:In phenylketonuria (PKU), mutations of the phenylalanine hydroxylase (PAH) gene decrease the ability of PAH to convert phenylalanine (Phe) to tyrosine (Tyr), resulting in Phe accumulation in the blood and brain and disruption of neurotransmitter (NT) biosynthesis and metabolism. The following translational study explored the relationship between pegvaliase-mediated Phe correction in plasma and the NT biosynthesis and metabolism pathway in mice and humans with PKU. Lower plasma Phe levels were associated with normalization of the NT biosynthesis pathway which correlated with an improvement in inattention symptoms in subjects with PKU.
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ISSN:1096-7192
1096-7206
DOI:10.1016/j.ymgme.2019.08.004