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二氢蝶啶还原酶缺乏所致高苯丙氨酸血症:通过测定尿中氧化型和还原型蝶呤进行诊断。

Hyperphenylalaninemia due to dihydropteridine reductase deficiency: diagnosis by measurement of oxidized and reduced pterins in urine.

作者信息

Milstien S, Kaufman S, Summer G K

出版信息

Pediatrics. 1980 Apr;65(4):806-10.

PMID:7367090
Abstract

Hyperphenylalaninemia due to dihydropteridine reductase deficiency results from the inability to maintain the aromatic amino acid hydroxylase cofactor, tetrahydrobiopterin, in its reduced or active form. Diagnosis of the disease is usually made by direct enzymatic assay on liver biopsies or in cultured skin fibroblasts. Evidence is presented that normal children and classic phenylketonuric children excrete mainly tetrahydrobiopterin in their urines, whereas children with dihydropteridine reductase deficiency excrete only oxidized forms of biopterin. Details of a rapid high performance liquid chromatographic assay for the measurement of the various forms of biopterin in urine are presented. This assay can be used to screen for suspected dihydropterine reductase mutants.

摘要

由于二氢蝶啶还原酶缺乏导致的高苯丙氨酸血症,是由于无法将芳香族氨基酸羟化酶辅因子四氢生物蝶呤维持在还原或活性形式。该疾病的诊断通常通过对肝活检组织或培养的皮肤成纤维细胞进行直接酶分析来进行。有证据表明,正常儿童和典型苯丙酮尿症儿童尿液中主要排泄四氢生物蝶呤,而二氢蝶啶还原酶缺乏的儿童仅排泄生物蝶呤的氧化形式。本文介绍了一种用于测量尿液中各种形式生物蝶呤的快速高效液相色谱分析法的详细信息。该分析方法可用于筛查疑似二氢蝶呤还原酶突变体。

相似文献

1
Hyperphenylalaninemia due to dihydropteridine reductase deficiency: diagnosis by measurement of oxidized and reduced pterins in urine.二氢蝶啶还原酶缺乏所致高苯丙氨酸血症:通过测定尿中氧化型和还原型蝶呤进行诊断。
Pediatrics. 1980 Apr;65(4):806-10.
2
[Hyperphenylalaninaemia with normal phenylalanine-hydroxylase activity and a deficiency of tetrahydrobiopterin and dihydropteridine reductase].苯丙氨酸羟化酶活性正常但四氢生物蝶呤和二氢蝶啶还原酶缺乏的高苯丙氨酸血症
Arch Fr Pediatr. 1977 Aug-Sep;34(7 Suppl):CIX-CXX.
3
Hyperphenylalaninemia due to a deficiency of biopterin. A variant form of phenylketonuria.由于生物蝶呤缺乏导致的高苯丙氨酸血症。苯丙酮尿症的一种变异形式。
N Engl J Med. 1978 Sep 28;299(13):673-9. doi: 10.1056/NEJM197809282991301.
4
[Hyperphenylalaninemia in 1981. A diagnostic approach (author's transl)].1981年的高苯丙氨酸血症。一种诊断方法(作者译)
Arch Fr Pediatr. 1981 Oct;38(8):573-8.
5
Dihydropteridine reductase deficiency associated with severe neurologic disease and mild hyperphenylalaninemia.二氢蝶啶还原酶缺乏症与严重神经系统疾病及轻度高苯丙氨酸血症相关。
Pediatrics. 1979 Jan;63(1):94-9.
6
Pterin metabolism in normal subjects and hyperphenylalaninaemic patients.正常受试者和高苯丙氨酸血症患者的蝶呤代谢
J Inherit Metab Dis. 1981;4(2):47-8. doi: 10.1007/BF02263584.
7
[Screening of tetrahydrobiopterin deficiency among hyperphenylalaninemic patients].[高苯丙氨酸血症患者中四氢生物蝶呤缺乏症的筛查]
Ann Biol Clin (Paris). 2002 Mar-Apr;60(2):165-71.
8
Hyperphenylalaninemia due to dihydropteridine reductase deficiency: diagnosis by enzyme assays on dried blood spots.二氢蝶啶还原酶缺乏所致高苯丙氨酸血症:通过干血斑酶测定进行诊断。
Pediatrics. 1982 Sep;70(3):426-30.
9
Diagnosis of variants of hyperphenylalaninemia by determination of pterins in urine.通过测定尿中蝶呤对高苯丙氨酸血症的变异型进行诊断。
Clin Chim Acta. 1981 Mar 5;110(2-3):205-14. doi: 10.1016/0009-8981(81)90349-1.
10
Phenylketonuria due to a deficiency of dihydropteridine reductase.由于二氢蝶啶还原酶缺乏所致的苯丙酮尿症。
N Engl J Med. 1975 Oct 16;293(16):785-90. doi: 10.1056/NEJM197510162931601.

引用本文的文献

1
Tetrahydrobiopterin biosynthesis defects examined in cytokine-stimulated fibroblasts.在细胞因子刺激的成纤维细胞中检测四氢生物蝶呤生物合成缺陷。
J Inherit Metab Dis. 1993;16(6):975-81. doi: 10.1007/BF00711513.
2
Regulation of nitric oxide synthesis by proinflammatory cytokines in human umbilical vein endothelial cells. Elevations in tetrahydrobiopterin levels enhance endothelial nitric oxide synthase specific activity.促炎细胞因子对人脐静脉内皮细胞一氧化氮合成的调节。四氢生物蝶呤水平的升高增强了内皮型一氧化氮合酶的比活性。
J Clin Invest. 1994 May;93(5):2236-43. doi: 10.1172/JCI117221.
3
Pterin metabolism in normal subjects and hyperphenylalaninaemic patients.
正常受试者和高苯丙氨酸血症患者的蝶呤代谢
J Inherit Metab Dis. 1981;4(2):47-8. doi: 10.1007/BF02263584.
4
Dihydrobiopterin biosynthesis deficiency.二氢生物蝶呤生物合成缺陷
Eur J Pediatr. 1983 Dec;141(2):92-5. doi: 10.1007/BF00496797.
5
Dihydropteridine reductase deficiency: non-response to oral tetrahydrobiopterin load test.二氢蝶啶还原酶缺乏症:口服四氢生物蝶呤负荷试验无反应。
J Inherit Metab Dis. 1984;7(2):69-71. doi: 10.1007/BF01805806.
6
Hyperphenylalaninaemia caused by defects in biopterin metabolism.由生物蝶呤代谢缺陷引起的高苯丙氨酸血症。
J Inherit Metab Dis. 1985;8 Suppl 1:20-7. doi: 10.1007/BF01800655.
7
Biopterins in arginase, dihydropteridine reductase and phenylalanine hydroxylase deficiency.精氨酸酶、二氢蝶啶还原酶和苯丙氨酸羟化酶缺乏症中的生物蝶呤
J Neurol Neurosurg Psychiatry. 1987 Feb;50(2):242. doi: 10.1136/jnnp.50.2.242.
8
Pteridines and mono-amines: relevance to neurological damage.蝶啶与单胺:与神经损伤的关联
Postgrad Med J. 1986 Feb;62(724):113-23. doi: 10.1136/pgmj.62.724.113.
9
Tetrahydrobiopterin, the cofactor for aromatic amino acid hydroxylases, is synthesized by and regulates proliferation of erythroid cells.四氢生物蝶呤是芳香族氨基酸羟化酶的辅因子,由红系细胞合成并调节其增殖。
Proc Natl Acad Sci U S A. 1989 Aug;86(15):5864-7. doi: 10.1073/pnas.86.15.5864.
10
Strategy for the screening of tetrahydrobiopterin deficiency among hyperphenylalaninaemic patients: 15-years experience.高苯丙氨酸血症患者中四氢生物蝶呤缺乏症的筛查策略:15年经验
J Inherit Metab Dis. 1991;14(2):117-27. doi: 10.1007/BF01800581.