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Órgano Oficial del Instituto Nacional de Pediatría
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2012, Number 6

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Acta Pediatr Mex 2012; 33 (6)

Neuropathology of phenylketonuria (PKU)

Specola N
Full text How to cite this article

Language: Spanish
References: 10
Page: 340-342
PDF size: 109.76 Kb.


Key words:

Phenylketonuria, oxidative damage, neurodegeneration, peroxidation..

ABSTRACT

Untreated phenylketonuria (PKU) causes cognitive, neuropsychological and motor skills impairment as well as microcephaly and demyelization. Persistent hyperphenylalaninemia produces toxicity on neurons and glial cells, alters cortical development, growth and dendritic density High levels of phenylalanine and low levels of neutral aminoacids in the brain disrupt neurotransmitter synthesis, increase oxidative damage, reduce the number of dopaminergic neurons and decrease the length of dendrites. White matter lesions are not present in all patients and there is no relation between these lesions and clinical severity. It has been shown that selenium and carnitine supplementation can decrease lipid and protein peroxidation. There are several mechanisms involved in neurodegeneration of patients with phenylketonuria; early treatment and strict nutritional control significantly improve the prognosis of these patients.


REFERENCES

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  2. Kaufman S. A model of human phenylalanine metabolism in normal subjects and in phenylketonuric patients. Proc Natl Acad Sci U S A 1999;96(6):3160-4.

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  5. Huttenlocher PR. The neuropathology of phenylketonuria: human and animal studies. Eur J Pediatr 2000;159(Suppl 2):S102-6.

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  7. van Spronsen FJ, Hoeksma M, Reijngoud DJ. Brain dysfunction in phenylketonuria: is phenylalanine toxicity the only possible cause? J Inherit Metab Dis 2009;32:46-51.

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Acta Pediatr Mex. 2012;33