Chen Ting, Zhao Zhengyan, Jiang Pingping, Shu Qiang
Department of Cardiovascular and Thoracic Surgery, the Children's Hospital, Zhejiang University School of Medicine, Hangzhou 310052, China.
Department of Genetics and Metabolic Diseases, the Children's Hospital, Zhejiang University School of Medicine, Hangzhou 310052, China.
Zhejiang Da Xue Xue Bao Yi Xue Ban. 2018 May 25;47(3):219-226. doi: 10.3785/j.issn.1008-9292.2018.06.01.
Hyperphenylalaninemia(HPA), an autosomal recessive disease, is the most common inborn error of amino acid metabolism, caused by the deficiency of phenylalanine hydroxylase(PAH) or tetrahydrobiopterin(BH4) which induced by mutations of genes. The accumulation of the clinical database and genetic information will enhance the development of novel personalized medicine and to provide more accurate and timely diagnostic and therapeutic approaches for HPA. This paper summarizes the correlations between HPA metabolism and PAH, BH4, pathogenic genes and their distributions in HPA, as well as the phenotypes and genotypes of HPA, so as to provide reference for personalized medicine for HPA.
高苯丙氨酸血症(HPA)是一种常染色体隐性疾病,是最常见的氨基酸代谢先天性缺陷,由苯丙氨酸羟化酶(PAH)或因基因突变诱导产生的四氢生物蝶呤(BH4)缺乏所致。临床数据库和遗传信息的积累将推动新型个性化药物的研发,并为HPA提供更准确、及时的诊断和治疗方法。本文总结了HPA代谢与PAH、BH4、致病基因及其在HPA中的分布之间的相关性,以及HPA的表型和基因型,以便为HPA的个性化医疗提供参考。