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Differential effects of low-phenylalanine protein sources on brain neurotransmitters and behavior in C57Bl/6-Pah(enu2) mice.
[phenylketonuria]
Phenylketonuria
(
PKU
)
is
an
inborn
error
of
metabolism
caused
by
a
deficiency
of
the
enzyme
phenylalanine
hydroxylase
,
which
metabolizes
phenylalanine
(
phe
)
to
tyrosine
.
A
low
-phe
diet
plus
amino
acid
(
AA
)
formula
is
necessary
to
prevent
cognitive
impairment
;
glycomacropeptide
(
GMP
)
contains
minimal
phe
and
provides
a
palatable
alternative
to
the
AA
formula
.
Our
objective
was
to
assess
neurotransmitter
concentrations
in
the
brain
and
the
behavioral
phenotype
of
PKU
mice
(
Pah
(
enu
2
)
on
the
C
5
7
Bl
/
6
background
)
and
how
this
is
affected
by
low
-phe
protein
sources
.
Wild
type
(
WT
)
and
PKU
mice
,
both
male
and
female
,
were
fed
high
-phe
casein
,
low
-phe
AA
,
or
low
-phe
GMP
diets
between
3
and
18
weeks
of
age
.
Behavioral
phenotype
was
assessed
using
the
open
field
and
marble
burying
tests
,
and
brain
neurotransmitter
concentrations
were
measured
using
HPLC
with
electrochemical
detection
system
.
Data
were
analyzed
by
3
-
way
ANOVA
with
genotype
,
sex
,
and
diet
as
the
main
treatment
effects
.
Brain
mass
and
the
concentrations
of
catecholamines
and
serotonin
were
reduced
in
PKU
mice
compared
to
WT
mice
;
the
low
-phe
AA
and
GMP
diets
improved
these
parameters
in
PKU
mice
.
Relative
brain
mass
was
increased
in
female
PKU
mice
fed
the
GMP
diet
compared
to
the
AA
diet
.
PKU
mice
exhibited
hyperactivity
and
impaired
vertical
exploration
compared
to
their
WT
littermates
during
the
open
field
test
.
Regardless
of
genotype
or
diet
,
female
mice
demonstrated
increased
vertical
activity
time
and
increased
total
ambulatory
and
horizontal
activity
counts
compared
with
male
mice
.
PKU
mice
fed
the
high
-phe
casein
diet
buried
significantly
fewer
marbles
than
WT
control
mice
fed
casein
;
this
was
normalized
in
PKU
mice
fed
the
low
-phe
AA
and
GMP
diets
.
In
summary
,
C
5
7
Bl
/
6
-
Pah
(
enu
2
)
mice
showed
an
impaired
behavioral
phenotype
and
reduced
brain
neurotransmitter
concentrations
that
were
improved
by
the
low
-phe
AA
or
GMP
diets
.
These
data
support
lifelong
adherence
to
a
low
-phe
diet
for
PKU
.
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Diseases presenting
"brain neurotransmitter concentrations"
symptom
phenylketonuria
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