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Antioxidant status in hyperphenylalaninemia

C Sierra1, M A Vilaseca, D Moyano

  • 1Laboratori, Hospital Universitari Sant Joan de Déu, Barcelona, Spain.

Clinica Chimica Acta; International Journal of Clinical Chemistry
|October 6, 1998
PubMed
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Phenylketonuria (PKU) and mild hyperphenylalaninemia patients show lower erythrocyte glutathione peroxidase (GSH-Px) activity, linked to neuropsychological issues in PKU. This antioxidant enzyme deficiency may stem from factors beyond selenium levels.

Area of Science:

  • Biochemistry
  • Metabolic Disorders
  • Neuroscience

Background:

  • Inborn errors of metabolism can cause oxidative stress due to toxic metabolite accumulation and dietary restrictions affecting antioxidant status.
  • Phenylketonuria (PKU) and mild hyperphenylalaninemia are metabolic disorders with potential implications for oxidative stress and antioxidant defense mechanisms.

Purpose of the Study:

  • To investigate erythrocyte antioxidant enzyme activities and tocopherol concentrations in patients with PKU and mild hyperphenylalaninemia.
  • To determine plasma selenium levels in these patient groups and compare them to controls.
  • To explore the relationship between antioxidant status and neuropsychological disorders in these conditions.

Main Methods:

  • Measurement of erythrocyte glutathione peroxidase (GSH-Px) activity and tocopherol concentrations.

Related Experiment Videos

  • Determination of plasma selenium levels.
  • Comparison of biochemical markers and neuropsychological assessments between patient groups (PKU, mild hyperphenylalaninemia) and age-matched controls.
  • Main Results:

    • Significantly lower erythrocyte GSH-Px activity was observed in both PKU and mild hyperphenylalaninemia patients compared to controls (P < 0.001).
    • No significant difference in GSH-Px activity was found between PKU and mild hyperphenylalaninemia groups.
    • Neuropsychological disturbances were more prevalent in PKU patients with lower GSH-Px activity.
    • Plasma selenium levels were normal in both patient groups, suggesting factors other than selenium deficiency contribute to low GSH-Px activity.

    Conclusions:

    • Reduced erythrocyte GSH-Px activity is a characteristic finding in both PKU and mild hyperphenylalaninemia.
    • Low GSH-Px activity is associated with increased neuropsychological disturbances in PKU patients.
    • The observed low GSH-Px activity in these conditions may be influenced by factors such as unbalanced amino acid profiles, rather than solely by selenium status.