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New Strategies for the Treatment of Phenylketonuria (PKU).
[phenylketonuria]
Phenylketonuria
(
PKU
)
was
the
first
inherited
metabolic
disease
in
which
dietary
treatment
was
found
to
prevent
the
disease
's
clinical
features
.
Treatment
of
phenylketonuria
remains
difficult
due
to
progressive
decrease
in
adherence
to
diet
and
the
presence
of
neurocognitive
defects
despite
therapy
.
This
review
aims
to
summarize
the
current
literature
on
new
treatment
strategies
.
Additions
to
treatment
include
new
,
more
palatable
foods
based
on
glycomacropeptide
that
contains
very
limited
amount
of
aromatic
amino
acids
,
the
administration
of
large
neutral
amino
acids
to
prevent
phenylalanine
entry
into
the
brain
or
tetrahydropterina
cofactor
capable
of
increasing
residual
activity
of
phenylalanine
hydroxylase
.
Moreover
,
human
trials
have
recently
been
performed
with
subcutaneous
administration
of
phenylalanine
ammonia-lyase
,
and
further
efforts
are
underway
to
develop
an
oral
therapy
containing
phenylanine
ammonia-lyase
.
Gene
therapy
also
seems
to
be
a
promising
approach
in
the
near
future
.
Diseases
Validation
Diseases presenting
"oral therapy"
symptom
focal myositis
phenylketonuria
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