Phenylketonuria and hyperphenylalanemia are inborn errors in metabolism
of phenylalanine arising from defects in steps to convert phenylalanine to
tyrosine. Phe accumulation causes severe mental retardation that can be
prevented by timely identification of affected individuals and their placement
on a Phe-restricted diet. In spite of many studies in patients and animal
models, the basis for acquisition of mental retardation during the critical
period of brain development is not adequately understood. All animal models for
human disease have advantages and limitations, and characteristics common to
different models are most likely to correspond to the disorder. This study
established similar levels of Phe exposure in developing rats between 3 and 16
days of age using three models to produce chronic hyperphenylalanemia, and
identified changes in brain amino acid levels common to all models that persist
for ~16h of each day. In a representative model, local rates of glucose
utilization (CMRglc) were determined at 25–27 days of age,
and only selective changes that appeared to depend on Phe exposure were
observed. CMRglc was reduced in frontal cortex and thalamus and
increased in hippocampus and globus pallidus. Behavioral testing to evaluate
neuromuscular competence revealed poor performance in
chronically-hyperphenylalanemic rats that persisted for at least three weeks
after cessation of Phe injections and did not occur with mild or acute
hyperphenylalanemia. Thus, the abnormal amino acid environment, including
hyperglycinemia, in developing rat brain is associated with selective regional
changes in glucose utilization and behavioral abnormalities that are not readily
reversed after they are acquired.