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苯丙氨酸羟化酶缺乏所致苯丙酮尿症:一个不断展开的故事。医学研究委员会苯丙酮尿症工作组

Phenylketonuria due to phenylalanine hydroxylase deficiency: an unfolding story. Medical Research Council Working Party on Phenylketonuria.

出版信息

BMJ. 1993 Jan 9;306(6870):115-9. doi: 10.1136/bmj.306.6870.115.

DOI:10.1136/bmj.306.6870.115
PMID:8435608
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1676688/
Abstract

Efficient neonatal screening for phenylketonuria and the availability of complex diets for lifelong use have virtually eliminated severe mental handicap from the disease. Nevertheless, there remains a high risk of fetal damage in offspring of women with the disease, and the possibility that the diets themselves may be harmful cannot be excluded. Search for a preventive treatment for the disease has been greatly aided by advances in molecular genetics. For example, in mice modified liver cells have been implanted, which have not only corrected the phenylalanine defect but have remained healthy for the normal life span of the animal. Overall, however, prevention and treatment have not progressed as quickly as was hoped, and research and development must be pursued vigorously to take account of contemporary perceptions of the disorder.

摘要

苯丙酮尿症的高效新生儿筛查以及可供终身使用的复合饮食的出现,实际上已消除了该疾病导致的严重智力障碍。然而,患该疾病的女性的后代仍有很高的胎儿受损风险,而且不能排除饮食本身可能有害的可能性。分子遗传学的进展极大地推动了对该疾病预防性治疗方法的探索。例如,在小鼠身上已植入经过改造的肝细胞,这些细胞不仅纠正了苯丙氨酸缺陷,而且在动物的正常寿命期内都保持健康。然而总体而言,预防和治疗的进展并未达到预期速度,必须大力开展研发工作,以跟上当代对该病症的认识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3cea/1676688/5783b15150f9/bmj00002-0045-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3cea/1676688/191ecc1162f5/bmj00002-0045-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3cea/1676688/5783b15150f9/bmj00002-0045-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3cea/1676688/191ecc1162f5/bmj00002-0045-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3cea/1676688/5783b15150f9/bmj00002-0045-b.jpg

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Phenylketonuria due to phenylalanine hydroxylase deficiency: an unfolding story. Medical Research Council Working Party on Phenylketonuria.苯丙氨酸羟化酶缺乏所致苯丙酮尿症:一个不断展开的故事。医学研究委员会苯丙酮尿症工作组
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Protein Substitutes in PKU; Their Historical Evolution.苯丙酮尿症中的蛋白质替代品:它们的历史演变。
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Tyrosine supplementation for phenylketonuria.酪氨酸补充剂用于苯丙酮尿症。

本文引用的文献

1
Linguistic development of children with phenylketonuria and normal intelligence.
J Pediatr. 1981 Feb;98(2):269-72. doi: 10.1016/s0022-3476(81)80658-0.
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Maternal phenylketonuria and hyperphenylalaninemia. An international survey of the outcome of untreated and treated pregnancies.母体苯丙酮尿症和高苯丙氨酸血症。未经治疗和经治疗妊娠结局的国际调查。
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Current situation and prospects of newborn screening and treatment for Phenylketonuria in China - compared with the current situation in the United States, UK and Japan.中国苯丙酮尿症新生儿筛查与治疗的现状及前景——与美国、英国和日本的现状比较
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Tyrosine supplementation for phenylketonuria.苯丙酮尿症的酪氨酸补充疗法。
Cochrane Database Syst Rev. 2013 Jun 5;2013(6):CD001507. doi: 10.1002/14651858.CD001507.pub3.
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PLoS One. 2013 Apr 19;8(4):e62039. doi: 10.1371/journal.pone.0062039. Print 2013.
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Chaperone-like therapy with tetrahydrobiopterin in clinical trials for phenylketonuria: is genotype a predictor of response?四氢生物蝶呤伴侣样疗法用于苯丙酮尿症的临床试验:基因型是反应的预测指标吗?
JIMD Rep. 2012;5:59-70. doi: 10.1007/8904_2011_96. Epub 2011 Dec 6.
10
Commentary: What degree of hyperphenylalaninaemia requires treatment?述评:何种程度的高苯丙氨酸血症需要治疗?
J Inherit Metab Dis. 2012 Sep;35(5):927-30. doi: 10.1007/s10545-012-9505-y. Epub 2012 Jun 21.
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Early-treated phenylketonuria: neuropsychologic consequences.
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Turnover of the fast components of myelin and myelin proteins in experimental hyperphenylalaninaemia. Relevance to termination of dietary treatment in human phenylketonuria.实验性高苯丙氨酸血症中髓鞘及其蛋白快速成分的更新。与人类苯丙酮尿症饮食治疗的终止相关性。
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