Related Experiment Video
Updated: Mar 22, 2026

Quantitative Autoradiographic Method for Determination of Regional Rates of Cerebral Protein Synthesis In Vivo
Published on: June 28, 2019
Relationship between age and white matter integrity in children with phenylketonuria
Erika Wesonga1, Joshua S Shimony2, Jerrel Rutlin3
1Department of Psychological & Brain Sciences, One Brookings Drive, Campus Box 1125, Washington University, St. Louis, MO 63130, USA.
Insights
Children with phenylketonuria (PKU) show accelerated white matter development differences compared to healthy children. This study found a stronger age-related decrease in mean diffusivity (MD) in the brains of children with PKU.
Area of Science:
- Neuroimaging
- Developmental Neuroscience
- Metabolic Disorders
Background:
- Diffusion tensor imaging (DTI) reveals impaired white matter integrity in children with phenylketonuria (PKU).
- Mean diffusivity (MD) is decreased in children with PKU compared to healthy controls.
- The relationship between age and white matter integrity in PKU requires further investigation.
Purpose of the Study:
- To examine age-related differences in white matter integrity (measured by MD) between children with PKU and healthy controls.
- To explore group differences in the trajectory of white matter development across brain regions.
Main Methods:
- Diffusion tensor imaging (DTI) was used to assess white matter integrity.
- Hierarchical linear regression and Pearson correlation analyses explored relationships among MD, age, and group.
- 31 children with early- and continuously-treated PKU and 51 healthy controls were studied.
Main Results:
- A stronger age-related decrease in mean diffusivity (MD) was observed in children with PKU compared to healthy children.
- This effect was significant in 4 out of 10 brain regions examined.
- Findings suggest an altered trajectory of white matter development in children with PKU.
Conclusions:
- The white matter development trajectory appears abnormal in children with phenylketonuria.
- Longitudinal studies are recommended to further understand white matter development in this population.
- Early and continuous treatment may influence these developmental patterns.
Abstract:
Diffusion tensor imaging (DTI) has shown poorer microstructural white matter integrity in children with phenylketonuria (PKU), specifically decreases in mean diffusivity (MD), in comparison with healthy children. However, little research has been conducted to investigate the relationship between age and white matter integrity in this population. The present study examined group differences in the relationship between age and MD across a range of brain regions in 31 children with early- and continuously-treated PKU and 51 healthy control children. Relationships among MD, age, and group were explored using hierarchical linear regression and Pearson correlation. Results indicated a stronger age-related decrease in MD for children with PKU in comparison with healthy children in 4 of the 10 brain regions examined, suggesting that the trajectory of white matter development is abnormal in children with PKU. Further research using longitudinal methodology is needed to fully elucidate our understanding of white matter development in children with PKU.
Related Concept Videos
Inborn Errors of Metabolism
Pharmacokinetics in Pediatric Patients: Drug Metabolism
Pharmacokinetics in Pediatric Patients: Drug Distribution
Biological Influences on Intelligence
Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption
Overview of Protein Metabolism
Amino acids play various roles in the body once they are absorbed into cells. They are restructured...

