Abstract
Background
The mainstay of therapy for phenylketonuria (PKU) remains dietary protein restriction. Developmental and neurocognitive outcomes for patients, however, remain suboptimal. We tested the hypothesis that mice with PKU receiving protein-restricted diets would reveal disruptions of brain amino acids that shed light on these neurocognitive deficits.
Method
Phenylalanine hydroxylase-deficient (PKU) mice and parallel controls (both wild-type and heterozygous) were fed custom diets containing 18, 6, and 4 % protein for 3 weeks, after which tissues (brain, liver, sera) were collected for amino acid analysis profiling.
Results
Phenylalanine (phe) was increased in all tissues (p < 0.0001) of PKU mice and improved with protein restriction. In sera, decreased tyrosine (p < 0.01) was corrected (defined as not significantly different from the level in control mice receiving 18 % chow) with protein restriction, whereas protein restriction significantly increased many other amino acids. A similar trend for increased amino acid levels with protein restriction was also observed in liver. In brain, the effects of protein restriction on large neutral amino acids (LNAAs) were variable, with some deficit correction (threonine, methionine, glutamine) and no correction of tyrosine under any dietary paradigm. Protein restriction (4 % diet) in PKU mice significantly decreased lysine, arginine, taurine, glutamate, asparagine, and serine which had been comparable to control mice under 18 % protein intake.
Conclusion
Depletion of taurine, glutamate, and serine in the brain of PKU mice with dietary protein restriction may provide new insight into neurocognitive deficits of PKU.
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Abbreviations
- Phe:
-
Phenylalanine
- tyr:
-
Tyrosine
- trp:
-
Tryptophan
- lys:
-
Lysine
- arg:
-
Arginine
- glu:
-
Glutamate
- asp:
-
Aspartic acid
- val:
-
Valine
- ile:
-
Isoleucine
- leu:
-
Leucine
- thr:
-
Threonine
- met:
-
Methionine
- gln:
-
Glutamine
- his:
-
Histidine
- gly:
-
Glycine
- pro:
-
Proline
- ala:
-
Alanine
- β-ala:
-
β-alanine
- ser:
-
Serine
- cit:
-
Citrulline
- tau:
-
Taurine
- PEA:
-
Phosphoethanolamine
- AADA:
-
2-aminoadipic acid
- AABA:
-
α-aminobutyric acid
- asn:
-
Asparagine
- cys:
-
Cystine
- orn:
-
Ornithine
- EA:
-
Ethanolamine
- BCAA:
-
Branched chain amino acids (leu, ile, val)
- LNAA:
-
Large neutral amino acids, including phe, tyr, trp, thr, met, gln, his, val, ile, leu
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The authors acknowledge the technical assistance of Ms. Erica Thorson.
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Communicated by: Nenad Blau
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Supplemental Fig. 1
Concentrations of small neutral amino acids in brain, liver, and sera derived from control and PKU mice receiving 18 %, 6 %, and 4 % protein diets for 3 weeks. Abbreviations employed: gly, glycine; pro, proline; ala, alanine; β−ala, β-alanine; ser, serine. Other parameters are described in the legend for Fig. 1. β-alanine was not detectable in sera. (GIF 205 kb)
Supplemental Fig. 2
Concentrations of other amino acids, including non-protein amino acids and metabolites, in brain, liver, and sera derived from control and PKU mice receiving 18 %, 6 %, and 4 % protein diets for 3 weeks. Abbreviations employed: cit, citrulline; tau, taurine; PEA, phosphoethanolamine; AADA, 2-aminoadipic acid; AABA, α-aminobutyric acid. AADA represents a metabolite on the lysine/saccharopine catabolic pathway. AABA is also recognized structurally as homoalanine, and is generated via transamination of 2-oxobutyrate, a metabolite in the isoleucine biosynthetic pathway. Other parameters are described in the legend for Fig. 1. Neither AADA nor AABA were detectable in sera. (GIF 182 kb)
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Vogel, K.R., Arning, E., Bottiglieri, T. et al. Multicompartment analysis of protein-restricted phenylketonuric mice reveals amino acid imbalances in brain. J Inherit Metab Dis 40, 227–235 (2017). https://doi.org/10.1007/s10545-016-9984-3
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DOI: https://doi.org/10.1007/s10545-016-9984-3