Hommes F A
Department of Biochemistry and Molecular Biology, Medical College of Georgia, Augusta 30912-2100.
J Inherit Metab Dis. 1993;16(6):962-74. doi: 10.1007/BF00711512.
Previous studies on the effect of hyperphenylalaninaemia on the development of the muscarinic acetylcholine receptor in the cerebrum of the rat, using alpha-methylphenylalanine-induced hyperphenylalaninaemia, have shown a gradual and steady decrease in the number of binding sites for this neurotransmitter. The HPH-5 mouse, a phenylalanine hydroxylase mutant, can be hyperphenylalaninaemic without the use of a hydroxylase inhibitor. By employing quantitative autoradiography using [3H]quinuclinidylbenzilate to label muscarinic acetylcholine receptors, a refined analysis of this decrease in neurotransmitter binding sites can be made. The decrease was confirmed and is therefore due to the hyperphenylalaninaemia per se and not to the use of the inhibitor. Various areas of the brain reacted differently to hyperphenylalaninaemia, from no change (putamen) to a gradual decrease (external layer of the olfactory bulb, parietal, occipital and cingulate areas of the cerebral cortex, CA1 and CA3 layer of the hippocampus) to a decrease preceded by a transient increase (frontal area of the cerebral cortex, caudate nucleus). The extent of these changes depends on the duration of exposure to hyperphenylalaninaemia as well as on the degree of brain maturation, but can even be observed in the brain of the adult mouse on a hyperphenylalaninaemic regimen for 11 days. Since the hippocampus has been shown to be involved in the long-term storage of information, damage to this structure by hyperphenylalaninaemia may provide a clue to the global mental retardation observed in untreated PKU.
以往利用α-甲基苯丙氨酸诱导的高苯丙氨酸血症研究高苯丙氨酸血症对大鼠大脑中毒蕈碱型乙酰胆碱受体发育的影响,结果显示该神经递质的结合位点数量逐渐稳步减少。HPH-5小鼠是一种苯丙氨酸羟化酶突变体,无需使用羟化酶抑制剂即可出现高苯丙氨酸血症。通过使用[3H]喹核醇基苯甲酸酯进行定量放射自显影来标记毒蕈碱型乙酰胆碱受体,可以对神经递质结合位点的这种减少进行精细分析。这种减少得到了证实,因此是由于高苯丙氨酸血症本身,而非抑制剂的使用。大脑的不同区域对高苯丙氨酸血症的反应不同,从无变化(壳核)到逐渐减少(嗅球外层、顶叶、枕叶和扣带回皮质区域、海马体的CA1和CA3层),再到先短暂增加后减少(额叶皮质区域、尾状核)。这些变化的程度取决于高苯丙氨酸血症的暴露持续时间以及大脑成熟程度,但即使在接受11天高苯丙氨酸血症方案的成年小鼠大脑中也能观察到。由于海马体已被证明与信息的长期存储有关,高苯丙氨酸血症对该结构的损害可能为未经治疗的苯丙酮尿症中观察到的整体智力发育迟缓提供线索。