Instituto de Ciências Básicas da Saúde, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.
Cell Mol Neurobiol. 2012 Oct;32(7):1113-8. doi: 10.1007/s10571-012-9834-2. Epub 2012 Apr 4.
Phenylketonuria is a recessive autosomal disorder that is caused by a deficiency in the activity of phenylalanine-4-hydroxylase, which converts phenylalanine to tyrosine, leading to the accumulation of phenylalanine and its metabolites phenyllactic acid, phenylacetic acid, and phenylpyruvic acid in the blood and tissues of patients. Phenylketonuria is characterized by severe neurological symptoms, but the mechanisms underlying brain damage have not been clarified. Recent studies have shown the involvement of oxidative stress in the neuropathology of hyperphenylalaninemia. Glucose-6-phosphate dehydrogenase plays an important role in antioxidant defense because it is the main source of reduced nicotinamide adenine dinucleotide phosphate (NADPH), providing a reducing power that is essential in protecting cells against oxidative stress. Therefore, the present study investigated the in vitro effect of phenylalanine (0.5, 1, 2.5, and 5 mM) and its metabolites phenyllactic acid, phenylacetic acid, and phenylpyruvic acid (0.2, 0.6, and 1.2 mM) on the activity of enzymes of the pentose phosphate pathway, which is involved in the oxidative phase in rat brain homogenates. 6-Phosphogluconate dehydrogenase activity was not altered by any of the substances tested. Phenylalanine, phenyllactic acid, and phenylacetic acid had no effect on glucose-6-phosphate dehydrogenase activity. Phenylpyruvic acid significantly reduced glucose-6-phosphate dehydrogenase activity without pre-incubation and after 1 h of pre-incubation with the homogenates. The inhibition of glucose-6-phosphate dehydrogenase activity caused by phenylpyruvic acid could elicit an impairment of NADPH production and might eventually alter the cellular redox status. The role of phenylpyruvic acid in the pathophysiological mechanisms of phenylketonuria remains unknown.
苯丙酮尿症是一种常染色体隐性遗传病,由苯丙氨酸-4-羟化酶活性缺乏引起,该酶将苯丙氨酸转化为酪氨酸,导致患者血液和组织中苯丙氨酸及其代谢产物苯乳酸、苯乙酸和苯丙酮酸积累。苯丙酮尿症的特征是严重的神经症状,但导致脑损伤的机制尚未阐明。最近的研究表明,氧化应激参与了高苯丙氨酸血症的神经病理学过程。葡萄糖-6-磷酸脱氢酶在抗氧化防御中起着重要作用,因为它是还原型烟酰胺腺嘌呤二核苷酸磷酸(NADPH)的主要来源,提供了一种还原能力,对于保护细胞免受氧化应激至关重要。因此,本研究调查了苯丙氨酸(0.5、1、2.5 和 5 mM)及其代谢产物苯乳酸、苯乙酸和苯丙酮酸(0.2、0.6 和 1.2 mM)在体外对大鼠脑匀浆中参与氧化阶段的戊糖磷酸途径的酶活性的影响。6-磷酸葡萄糖脱氢酶的活性不受任何测试物质的影响。苯丙氨酸、苯乳酸和苯乙酸对葡萄糖-6-磷酸脱氢酶的活性没有影响。苯丙酮酸在没有预孵育和预孵育 1 小时后,显著降低葡萄糖-6-磷酸脱氢酶的活性。苯丙酮酸对葡萄糖-6-磷酸脱氢酶活性的抑制可能会导致 NADPH 生成受损,并最终改变细胞氧化还原状态。苯丙酮酸在苯丙酮尿症病理生理机制中的作用尚不清楚。