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.

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