Literature DB >> 17334706

Double blind placebo control trial of large neutral amino acids in treatment of PKU: effect on blood phenylalanine.

R Matalon1, K Michals-Matalon, G Bhatia, A B Burlina, A P Burlina, C Braga, L Fiori, M Giovannini, E Grechanina, P Novikov, J Grady, S K Tyring, F Guttler.   

Abstract

Large neutral amino acids (LNAA) have been used on a limited number of patients with phenylketonuria (PKU) with the purpose of decreasing the influx of phenylalanine (Phe) to the brain. In an open-label study using LNAA, a surprising decline of blood Phe concentration was found in patients with PKU in metabolic treatment centres in Russia, the Ukraine, and the United States. To validate the data obtained from this trial, a short-term double-blind placebo control study was done using LNAA in patients with PKU, with the participation of three additional metabolic centres--Milan, Padua and Rio de Janeiro. The results of the short trial showed significant lowering of blood Phe concentration by an average of 39% from baseline. The data from the double-blind placebo control are encouraging, establishing proof of principle of the role of orally administered LNAA in lowering blood Phe concentrations in patients with PKU. Long-term studies will be needed to validate the acceptability, efficacy and safety of such treatment.

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Year:  2007        PMID: 17334706     DOI: 10.1007/s10545-007-0556-4

Source DB:  PubMed          Journal:  J Inherit Metab Dis        ISSN: 0141-8955            Impact factor:   4.750


  44 in total

1.  Tetrahydrobiopterin responsiveness in phenylketonuria differs between patients with the same genotype.

Authors:  M Lindner; D Haas; E Mayatepek; J Zschocke; P Burgard
Journal:  Mol Genet Metab       Date:  2001-05       Impact factor: 4.797

2.  Amino acid assignment to one of three blood-brain barrier amino acid carriers.

Authors:  W H Oldendorf; J Szabo
Journal:  Am J Physiol       Date:  1976-01

3.  Phenylketonuria: current dietary treatment practices in the United States and Canada.

Authors:  R O Fisch; R Matalon; S Weisberg; K Michals
Journal:  J Am Coll Nutr       Date:  1997-04       Impact factor: 3.169

4.  Return to diet therapy in patients with phenylketonuria.

Authors:  K Michals; M Dominik; V Schuett; E Brown; R Matalon
Journal:  J Pediatr       Date:  1985-06       Impact factor: 4.406

5.  Large neutral amino acids in the treatment of phenylketonuria (PKU).

Authors:  R Matalon; K Michals-Matalon; G Bhatia; E Grechanina; P Novikov; J D McDonald; J Grady; S K Tyring; F Guttler
Journal:  J Inherit Metab Dis       Date:  2006-09-21       Impact factor: 4.982

Review 6.  Tetrahydrobiopterin responsiveness in phenylketonuria. Two new cases and a review of molecular genetic findings.

Authors:  U Lässker; J Zschocke; N Blau; R Santer
Journal:  J Inherit Metab Dis       Date:  2002-02       Impact factor: 4.982

7.  Effect of stopping low-phenylalanine diet on intellectual progress of children with phenylketonuria.

Authors:  I Smith; M E Lobascher; J E Stevenson; O H Wolff; H Schmidt; S Grubel-Kaiser; H Bickel
Journal:  Br Med J       Date:  1978-09-09

8.  Biopterin responsive phenylalanine hydroxylase deficiency.

Authors:  Reuben Matalon; Richard Koch; Kimberlee Michals-Matalon; Kathryn Moseley; Sankar Surendran; Stephen Tyring; Heidi Erlandsen; Alejandra Gamez; Raymond C Stevens; Anne Romstad; Lisbeth B Møller; Flemming Guttler
Journal:  Genet Med       Date:  2004 Jan-Feb       Impact factor: 8.822

9.  Neurological outcome in adult patients with early-treated phenylketonuria.

Authors:  J Pietz; R Dunckelmann; A Rupp; D Rating; H M Meinck; H Schmidt; H J Bremer
Journal:  Eur J Pediatr       Date:  1998-10       Impact factor: 3.183

10.  Tetrahydrobiopterin sensitivity in German patients with mild phenylalanine hydroxylase deficiency.

Authors:  M Lindner; R Steinfeld; P Burgard; A Schulze; E Mayatepek; J Zschocke
Journal:  Hum Mutat       Date:  2003-04       Impact factor: 4.878

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  39 in total

Review 1.  Phenylketonuria: a 21st century perspective.

Authors:  Francjan J van Spronsen
Journal:  Nat Rev Endocrinol       Date:  2010-09       Impact factor: 43.330

2.  Clinical utility gene card for: Phenylketonuria.

Authors:  Johannes Zschocke; Thomas Haverkamp; Lisbeth Birk Møller
Journal:  Eur J Hum Genet       Date:  2011-09-14       Impact factor: 4.246

3.  Nutritional Management of Phenylketonuria.

Authors:  Erin L Macleod; Denise M Ney
Journal:  Ann Nestle Eng       Date:  2010-06

Review 4.  Food products made with glycomacropeptide, a low-phenylalanine whey protein, provide a new alternative to amino Acid-based medical foods for nutrition management of phenylketonuria.

Authors:  Sandra C van Calcar; Denise M Ney
Journal:  J Acad Nutr Diet       Date:  2012-08       Impact factor: 4.910

5.  Clinical therapeutics for phenylketonuria.

Authors:  Jaspreet Singh Kochhar; Sui Yung Chan; Pei Shi Ong; Lifeng Kang
Journal:  Drug Deliv Transl Res       Date:  2012-08       Impact factor: 4.617

6.  Effect of Blood Phenylalanine Levels on Oxidative Stress in Classical Phenylketonuric Patients.

Authors:  Burcu Kumru; Davut Sinan Kaplan; Burcu Oztürk Hismi; Hakim Celik
Journal:  Cell Mol Neurobiol       Date:  2017-12-28       Impact factor: 5.046

Review 7.  Nutritional management of PKU with glycomacropeptide from cheese whey.

Authors:  D M Ney; S T Gleason; S C van Calcar; E L MacLeod; K L Nelson; M R Etzel; G M Rice; J A Wolff
Journal:  J Inherit Metab Dis       Date:  2008-10-29       Impact factor: 4.982

8.  Experimental evidence that phenylalanine provokes oxidative stress in hippocampus and cerebral cortex of developing rats.

Authors:  Carolina G Fernandes; Guilhian Leipnitz; Bianca Seminotti; Alexandre U Amaral; Angela Zanatta; Carmen R Vargas; Carlos S Dutra Filho; Moacir Wajner
Journal:  Cell Mol Neurobiol       Date:  2009-09-23       Impact factor: 5.046

Review 9.  Large neutral amino acids in the treatment of PKU: from theory to practice.

Authors:  Francjan J van Spronsen; Martijn J de Groot; Marieke Hoeksma; Dirk-Jan Reijngoud; Margreet van Rijn
Journal:  J Inherit Metab Dis       Date:  2010-10-26       Impact factor: 4.982

10.  Interpretation of plasma amino acids in the follow-up of patients: the impact of compartmentation.

Authors:  Claude Bachmann
Journal:  J Inherit Metab Dis       Date:  2008-01-31       Impact factor: 4.982

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