Tetrahydrobiopterin-responsive phenylalanine hydroxylase deficiency

被引:257
作者
Kure, S
Hou, DC
Ohura, T
Iwamoto, H
Suzuki, S
Sugiyama, N
Sakamoto, O
Fujii, K
Matsubara, Y
Narisawa, K
机构
[1] Tohoku Univ, Dept Med Genet, Sch Med, Aoba Ku, Sendai, Miyagi, Japan
[2] Tohoku Univ, Sch Med, Dept Pediat, Sendai, Miyagi 980, Japan
[3] Kanagawa Childrens Med Ctr, Div Pediat Neurol, Yokohama, Kanagawa, Japan
[4] Osaka Med Coll, Dept Pediat, Takatsuki, Osaka 569, Japan
[5] Yokkaichi Municipal Hosp, Dept Pediat, Yokkaichi, Mie, Japan
关键词
D O I
10.1016/S0022-3476(99)70138-1
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Serum phenylalanine concentrations decreased in 4 patients with hyperphenylalaninemia after loading with tetrahydrobiopterin. There were no abnormalities in urinary pteridine excretion or in dihydropteridine reductase activity. However, mutations were detected in the phenylalanine hydroxylase gene, suggesting a novel subtype of phenylalanine hydroxylase deficiency that may respond to treatment with cofactor supplementation.
引用
收藏
页码:375 / 378
页数:4
相关论文
共 15 条
[1]  
ARAI N, 1982, PEDIATRICS, V70, P426
[2]   A NEW THEORY OF ENTERORECIRCULATION OF AMINO-ACIDS AND ITS USE FOR DEPLETING UNWANTED AMINO-ACIDS USING ORAL ENZYME ARTIFICIAL CELLS, AS IN REMOVING PHENYLALANINE IN PHENYLKETONURIA [J].
CHANG, TMS ;
BOURGET, L ;
LISTER, C .
ARTIFICIAL CELLS BLOOD SUBSTITUTES AND IMMOBILIZATION BIOTECHNOLOGY, 1995, 23 (01) :1-21
[3]   DIAGNOSIS OF MALIGNANT HYPERPHENYLALANINEMIA [J].
DANKS, DM ;
COTTON, RGH ;
SCHLESINGER, P .
ARCHIVES OF DISEASE IN CHILDHOOD, 1979, 54 (05) :329-330
[4]   ANALYSIS OF REDUCED FORMS OF BIOPTERIN IN BIOLOGICAL TISSUES AND FLUIDS [J].
FUKUSHIMA, T ;
NIXON, JC .
ANALYTICAL BIOCHEMISTRY, 1980, 102 (01) :176-188
[5]   COMBINED TETRAHYDROBIOPTERIN-PHENYLALANINE LOADING TEST IN THE DETECTION OF PARTIALLY DEFECTIVE BIOPTERIN SYNTHESIS [J].
GUTTLER, F ;
LOU, H ;
LYKKELUND, C ;
NIEDERWIESER, A .
EUROPEAN JOURNAL OF PEDIATRICS, 1984, 142 (02) :126-129
[6]  
HAYASHI T, 1992, STUDIES METABOLISM D, V26, P3471
[7]  
KAUFMAN S, 1970, J BIOL CHEM, V245, P4745
[8]  
KWOK SC, 1982, BIOCHEMISTRY-US, V24, P556
[9]  
Perez B, 1997, AM J HUM GENET, V60, P95
[10]   DIFFERENTIAL-DIAGNOSIS OF HYPERPHENYLALANINEMIA BY A COMBINED PHENYLALANINE-TETRAHYDROBIOPTERIN LOADING TEST [J].
PONZONE, A ;
GUARDAMAGNA, O ;
SPADA, M ;
FERRARIS, S ;
PONZONE, R ;
KIERAT, L ;
BLAU, N .
EUROPEAN JOURNAL OF PEDIATRICS, 1993, 152 (08) :655-661