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关于口服缬氨酸、异亮氨酸和亮氨酸治疗苯丙酮尿症的初步支持。

Preliminary support for the oral administration of valine, isoleucine and leucine for phenylketonuria.

作者信息

Jordan M K, Brunner R L, Hunt M M, Berry H K

出版信息

Dev Med Child Neurol. 1985 Feb;27(1):33-9. doi: 10.1111/j.1469-8749.1985.tb04522.x.

DOI:10.1111/j.1469-8749.1985.tb04522.x
PMID:3979670
Abstract

Recent behavioral data have demonstrated the importance of maintaining low phenylalanine concentrations beyond early childhood in patients with phenylketonuria, which can be a difficult task, particularly during adolescence. Administration of certain large neutral amino-acids (valine, isoleucine, leucine--VIL) appears to reduce phenylalanine concentrations in the cerebrospinal fluid of humans and in the brain of rats. The present study compared neuropsychological test-performance of six patients with phenylketonuria during periods of VIL administration and periods when this supplement was not given. Although individual responses to VIL were variable, there was an over-all improvement of about 1 1/2 SD in neuropsychological test performance during VIL treatment. Abstract reasoning and tactile motor problem-solving increased more than pure motor performance.

摘要

近期行为学数据表明,对于苯丙酮尿症患者而言,在幼儿期之后维持低苯丙氨酸浓度至关重要,而这可能是一项艰巨的任务,尤其是在青春期。给予某些大中性氨基酸(缬氨酸、异亮氨酸、亮氨酸——VIL)似乎能降低人类脑脊液和大鼠大脑中的苯丙氨酸浓度。本研究比较了6例苯丙酮尿症患者在服用VIL期间和未服用该补充剂期间的神经心理测试表现。尽管个体对VIL的反应各不相同,但在VIL治疗期间,神经心理测试表现总体上提高了约1.5个标准差。抽象推理和触觉运动问题解决能力的提高幅度大于单纯的运动表现。

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1
Preliminary support for the oral administration of valine, isoleucine and leucine for phenylketonuria.关于口服缬氨酸、异亮氨酸和亮氨酸治疗苯丙酮尿症的初步支持。
Dev Med Child Neurol. 1985 Feb;27(1):33-9. doi: 10.1111/j.1469-8749.1985.tb04522.x.
2
Valine, isoleucine, and leucine. A new treatment for phenylketonuria.
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Reduction of cerebrospinal fluid phenylalanine after oral administration of valine, isoleucine, and leucine.
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Lowering brain phenylalanine levels by giving other large neutral amino acids. A new experimental therapeutic approach to phenylketonuria.
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The need of essential amino acids in children. An evaluation based on the intake of phenylalanine, tyrosine, leucine, isoleucine, and valine in children with phenylketonuria, tyrosine amino transferase defect, and maple syrup urine disease.儿童对必需氨基酸的需求。基于苯丙酮尿症、酪氨酸氨基转移酶缺陷症和枫糖尿症患儿苯丙氨酸、酪氨酸、亮氨酸、异亮氨酸和缬氨酸摄入量的评估。
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Branched chain amino acids improve complex maze learning in rat offspring prenatally exposed to hyperphenylalaninemia: implications for maternal phenylketonuria.支链氨基酸可改善产前暴露于高苯丙氨酸血症的大鼠后代的复杂迷宫学习能力:对母体苯丙酮尿症的启示。
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A variant form of branched-chain keto aciduria.支链酮酸尿症的一种变异形式。
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The effect of plasma valine, isoleucine and leucine on the control of the flux through tyrosine- and tryptophan-hydroxylase in the brain.
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Mental health and social functioning in early treated Phenylketonuria: the PKU-COBESO study.早期治疗苯丙酮尿症患者的心理健康和社会功能:PKU-COBESO 研究。
Mol Genet Metab. 2013;110 Suppl:S57-61. doi: 10.1016/j.ymgme.2013.10.011. Epub 2013 Oct 22.

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Phenylketonuria revisited: treatment of adults with behavioural manifestations.
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The role of the blood-brain barrier in the aetiology of permanent brain dysfunction in hyperphenylalaninaemia.
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