Abstract
Background: High phenylalanine levels in phenylketonuria (PKU) have been associated with brain oxidative stress and amino acid imbalance. Exercise has been shown to improve brain function in hyperphenylalaninemia and neurodegenerative diseases. This study aimed to verify the effects of exercise on coordination and balance, plasma and brain amino acid levels, and brain oxidative stress markers in PKU mice.
Methods: Twenty wild-type (WT) and 20 PAHenu2 (PKU) C57BL/6 mice were placed in cages with (exercise, Exe) or without (sedentary, Sed) running wheels during 53 days. At day 43, a balance beam test was performed. Plasma and brain were collected for analyses of amino acid levels and the oxidative stress parameters superoxide dismutase (SOD) activity, sulfhydryl and reduced glutathione (GSH) contents, total radical-trapping antioxidant potential (TRAP), and total antioxidant reactivity (TAR).
Results: SedPKU showed poor coordination (p < 0.001) and balance (p < 0.001), higher plasma and brain phenylalanine (p < 0.001), and increased brain oxidative stress (p < 0.05) in comparison to SedWT. ExePKU animals ran less than ExeWT (p = 0.018). Although no improvement was seen in motor coordination and balance, exercise in PKU restored SOD, sulfhydryl content, and TRAP levels to controls. TAR levels were increased in ExePKU in comparison to SedPKU (p = 0.012). Exercise decreased plasma and brain glucogenic amino acids in ExePKU, but did not change plasma and brain phenylalanine in both WT and PKU.
Conclusions: Exercise prevents oxidative stress in the brain of PKU mice without modifying phenylalanine levels. Hence, exercise positively affects the brain, demonstrating its value as an intervention to improve brain quality in PKU.
Competing interests: None declared
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Abbreviations
- BCAA:
-
Branched-chain amino acid
- Exe:
-
Exercise
- GSH:
-
Reduced glutathione
- PAH:
-
Phenylalanine hydroxylase
- Phe:
-
Phenylalanine
- PKU:
-
Phenylketonuria
- Sed:
-
Sedentary
- SOD:
-
Superoxide dismutase
- TAR:
-
Total antioxidant reactivity
- TRAP:
-
Total radical-trapping antioxidant potential
- WT:
-
Wild type
References
Aksenov MY, Markesbery WR (2001) Changes in thiol content and expression of glutathione redox system genes in the hippocampus and cerebellum in Alzheimer’s disease. Neurosci Lett 302:141–145
Ang ET, Tai YK, Lo SQ, Seet R, Soong TW (2010) Neurodegenerative diseases: exercising toward neurogenesis and neuroregeneration. Front Aging Neurosci 2:25
Browne RW, Armstrong D (1998) Reduced glutathione and glutathione disulfide. Methods Mol Biol 108:347–352
Carter RJ, Lione LA, Humby T et al (1999) Characterization of progressive motor deficits in mice transgenic for the human Huntington’s disease mutation. J Neurosci 19:3248–3257
Chang YK, Liu S, Yu HH, Lee YH (2012) Effect of acute exercise on executive function in children with attention deficit hyperactivity disorder. Arch Clin Neuropsychol 27:225–237
Clark PJ, Brzezinska WJ, Thomas MW, Ryzhenko NA, Toshkov SA, Rhodes JS (2008) Intact neurogenesis is required for benefits of exercise on spatial memory but not motor performance or contextual fear conditioning in C57BL/6J mice. Neuroscience 155:1048–1058
de Groot MJ, Hoeksma M, Blau N, Reijngoud DJ, van Spronsen FJ (2010) Pathogenesis of cognitive dysfunction in phenylketonuria: review of hypotheses. Mol Genet Metab 99(Suppl 1):S86–S89
Durrant JR, Seals DR, Connell ML et al (2009) Voluntary wheel running restores endothelial function in conduit arteries of old mice: direct evidence for reduced oxidative stress, increased superoxide dismutase activity and down-regulation of NADPH oxidase. J Physiol 587:3271–3285
Elokda AS, Nielsen DH (2007) Effects of exercise training on the glutathione antioxidant system. Eur J Cardiovasc Prev Rehabil 14:630–637
Ercal N, Aykin-Burns N, Gurer-Orhan H, McDonald JD (2002) Oxidative stress in a phenylketonuria animal model. Free Radic Biol Med 32:906–911
Evelson P, Travacio M, Repetto M, Escobar J, Llesuy S, Lissi EA (2001) Evaluation of total reactive antioxidant potential (TRAP) of tissue homogenates and their cytosols. Arch Biochem Biophys 388:261–266
Fernandes CG, Leipnitz G, Seminotti B et al (2010) Experimental evidence that phenylalanine provokes oxidative stress in hippocampus and cerebral cortex of developing rats. Cell Mol Neurobiol 30:317–326
Gonzalez MJ, Gutierrez AP, Gassio R, Fuste ME, Vilaseca MA, Campistol J (2011) Neurological complications and behavioral problems in patients with phenylketonuria in a follow-up unit. Mol Genet Metab 104(Suppl):S73–S79
Graham TE, MacLean DA (1998) Ammonia and amino acid metabolism in skeletal muscle: human, rodent and canine models. Med Sci Sports Exerc 30:34–46
Hagen MEK, Pederzolli CD, Sgaravatti AM et al (2002) Experimental hyperphenylalaninemia provokes oxidative stress in rat brain. Biochim Biophys Acta 1586:344–352
Jahja R, Huijbregts SC, de Sonneville LM, van der Meere JJ, van Spronsen FJ (2014) Neurocognitive evidence for revision of treatment targets and guidelines for phenylketonuria. J Pediatr 164:895.e2–899.e2
Kim DI, Kim KS (2013) Walnut extract exhibits anti-fatigue action via improvement of exercise tolerance in mice. Lab Anim Res 29:190–195
Kirk-Sanchez NJ, McGough EL (2014) Physical exercise and cognitive performance in the elderly: current perspectives. Clin Interv Aging 9:51–62
Lin TW, Kuo YM (2013) Exercise benefits brain function: the monoamine connection. Brain Sci 3:39–53
Lowry OH, Rosebrough NJ, Farr AL, Randall RJ (1951) Protein measurement with the Folin phenol reagent. J Biol Chem 193:265–275
Marklund SL (1985) Pyrogallol autoxidation. In: Greenwald RA (ed) Handbook of methods for oxygen radical research. CRC, Boca Raton, pp 243–247
Martynyuk AE, van Spronsen FJ, Van der Zee EA (2010) Animal models of brain dysfunction in phenylketonuria. Mol Genet Metab 99(Suppl 1):S100–S105
Mazzola PN, Terra M, Rosa AP et al (2011) Regular exercise prevents oxidative stress in the brain of hyperphenylalaninemic rats. Metab Brain Dis 26:291–297
Meneguello MO, Mendonca JR, Lancha AH Jr, Costa Rosa LF (2003) Effect of arginine, ornithine and citrulline supplementation upon performance and metabolism of trained rats. Cell Biochem Funct 21:85–91
Moraes TB, Zanin F, da Rosa A et al (2010) Lipoic acid prevents oxidative stress in vitro and in vivo by an acute hyperphenylalaninemia chemically-induced in rat brain. J Neurol Sci 292:89–95
Moraes TB, Dalazen GR, Jacques CE, de Freitas RS, Rosa AP, Dutra-Filho CS (2014) Glutathione metabolism enzymes in brain and liver of hyperphenylalaninemic rats and the effect of lipoic acid treatment. Metab Brain Dis 29:609–615
Mulder CK, Papantoniou C, Gerkema MP, Van Der Zee EA (2014) Neither the SCN nor the adrenals are required for circadian time-place learning in mice. Chronobiol Int 31:1075–1092
Ney DM, Hull AK, van Calcar SC, Liu X, Etzel MR (2008) Dietary glycomacropeptide supports growth and reduces the concentrations of phenylalanine in plasma and brain in a murine model of phenylketonuria. J Nutr 138:316–322
Petzinger GM, Fisher BE, McEwen S, Beeler JA, Walsh JP, Jakowec MW (2013) Exercise-enhanced neuroplasticity targeting motor and cognitive circuitry in Parkinson’s disease. Lancet Neurol 12:716–726
Piscopo P, Crestini A, Adduci A et al (2011) Altered oxidative stress profile in the cortex of mice fed an enriched branched-chain amino acids diet: possible link with amyotrophic lateral sclerosis? J Neurosci Res 89:1276–1283
Qin M, Smith CB (2007) Regionally selective decreases in cerebral glucose metabolism in a mouse model of phenylketonuria. J Inherit Metab Dis 30:318–325
Radak Z, Kumagai S, Taylor AW, Naito H, Goto S (2007) Effects of exercise on brain function: role of free radicals. Appl Physiol Nutr Metab 32:942–946
Radak Z, Hart N, Sarga L et al (2010) Exercise plays a preventive role against Alzheimer’s disease. J Alzheimers Dis 20:777–783
Ribas GS, Sitta A, Wajner M, Vargas CR (2011) Oxidative stress in phenylketonuria: what is the evidence? Cell Mol Neurobiol 31:653–662
Sanayama Y, Nagasaka H, Takayanagi M et al (2011) Experimental evidence that phenylalanine is strongly associated to oxidative stress in adolescents and adults with phenylketonuria. Mol Genet Metab 103:220–225
Sawin EA, Murali SG, Ney DM (2014) Differential effects of low-phenylalanine protein sources on brain neurotransmitters and behavior in C57Bl/6-Pah(enu2) mice. Mol Genet Metab 111:452–461
Schulpis KH, Tsakiris S, Traeger-Synodinos J, Papassotiriou I (2005) Low total antioxidant status is implicated with high 8-hydroxy-2-deoxyguanosine serum concentrations in phenylketonuria. Clin Biochem 38:239–242
Sierra C, Vilaseca MA, Moyano D et al (1998) Antioxidant status in hyperphenylalaninemia. Clin Chim Acta 276:1–9
Sitta A, Barschak AG, Deon M et al (2009a) L-carnitine blood levels and oxidative stress in treated phenylketonuric patients. Cell Mol Neurobiol 29:211–218
Sitta A, Manfredini V, Biasi L et al (2009b) Evidence that DNA damage is associated to phenylalanine blood levels in leukocytes from phenylketonuric patients. Mutat Res 679:13–16
Soderling SH, Langeberg LK, Soderling JA et al (2003) Loss of WAVE-1 causes sensorimotor retardation and reduced learning and memory in mice. Proc Natl Acad Sci U S A 100:1723–1728
Solverson P, Murali SG, Brinkman AS et al (2012) Glycomacropeptide, a low-phenylalanine protein isolated from cheese whey, supports growth and attenuates metabolic stress in the murine model of phenylketonuria. Am J Physiol Endocrinol Metab 302:E885–E895
Souza LC, Filho CB, Goes AT et al (2013) Neuroprotective effect of physical exercise in a mouse model of Alzheimer’s disease induced by beta-amyloid(1)(-)(4)(0) peptide. Neurotox Res 24:148–163
Stroth S, Reinhardt RK, Thone J et al (2010) Impact of aerobic exercise training on cognitive functions and affect associated to the COMT polymorphism in young adults. Neurobiol Learn Mem 94:364–372
Surtees R, Blau N (2000) The neurochemistry of phenylketonuria. Eur J Pediatr 159(Suppl 2):S109–S113
Takeda K, Machida M, Kohara A, Omi N, Takemasa T (2011) Effects of citrulline supplementation on fatigue and exercise performance in mice. J Nutr Sci Vitaminol 57:246–250
Tsou YH, Shih CT, Ching CH et al (2015) Treadmill exercise activates Nrf2 antioxidant system to protect the nigrostriatal dopaminergic neurons from MPP+ toxicity. Exp Neurol 263:50–62
van Bakel MM, Printzen G, Wermuth B, Wiesmann UN (2000) Antioxidant and thyroid hormone status in selenium-deficient phenylketonuric and hyperphenylalaninemic patients. Am J Clin Nutr 72:976–981
van Spronsen FJ, Hoeksma M, Reijngoud DJ (2009) Brain dysfunction in phenylketonuria: is phenylalanine toxicity the only possible cause? J Inherit Metab Dis 32:46–51
van Vliet D, Anjema K, Jahja R et al (2015) BH4 treatment in BH4-responsive PKU patients: preliminary data on blood prolactin concentrations suggest increased cerebral dopamine concentrations. Mol Genet Metab 114:29–33
Vilaseca MA, Lambruschini N, Gomez-Lopez L et al (2010) Quality of dietary control in phenylketonuric patients and its relationship with general intelligence. Nutr Hosp 25:60–66
Weglage J, Fromm J, van Teeffelen-Heithoff A et al (2013) Neurocognitive functioning in adults with phenylketonuria: results of a long term study. Mol Genet Metab 110(Suppl):S44–S48
Wipfli B, Landers D, Nagoshi C, Ringenbach S (2011) An examination of serotonin and psychological variables in the relationship between exercise and mental health. Scand J Med Sci Sports 21:474–481
Acknowledgments
This research project has been made possible thanks to a fellowship from PKU Academy under the auspices of EXCEMED, Excellence in Medical Education, the Abel Tasman Talent Program from the University Medical Center Groningen and the University of Groningen. We thank Pim de Blaauw for the amino acid analyses and Wanda Douwenga and Jan Keijser for their technical support.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Additional information
Communicated by: Nenad Blau, PhD
Concise 1: Sentence Take-Home Message
Voluntary training improved brain oxidative stress and reduced brain and plasma glucogenic amino acids in phenylketonuria mice without changing phenylalanine levels.
Compliance with Ethics Guidelines
Conflict of Interest
Priscila Nicolao Mazzola, Vibeke Bruinenberg, Karen Anjema, Danique van Vliet, Carlos Severo Dutra-Filho, Francjan J. van Spronsen, and Eddy A. van der Zee declare that they have no conflict of interest.
Animal Rights
All institutional and national guidelines for the care and use of laboratory animals were followed.
Details of the Contribution of Individual Authors
Priscila Nicolao Mazzola, Vibeke Bruinenberg, Karen Anjema, and Danique van Vliet collected the data. Priscila Nicolao Mazzola performed the statistical analyses and drafted the manuscript. All authors participated in the study design, contributed to the interpretation of the results, and revised the manuscript.
Electronic Supplementary Material
Below is the link to the electronic supplementary material.
Rights and permissions
Copyright information
© 2015 SSIEM and Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Mazzola, P.N. et al. (2015). Voluntary Exercise Prevents Oxidative Stress in the Brain of Phenylketonuria Mice. In: Morava, E., Baumgartner, M., Patterson, M., Rahman, S., Zschocke, J., Peters, V. (eds) JIMD Reports, Volume 27. JIMD Reports, vol 27. Springer, Berlin, Heidelberg. https://doi.org/10.1007/8904_2015_498
Download citation
DOI: https://doi.org/10.1007/8904_2015_498
Received:
Revised:
Accepted:
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-50408-6
Online ISBN: 978-3-662-50409-3
eBook Packages: Biomedical and Life SciencesBiomedical and Life Sciences (R0)