2020
DOI: 10.3233/trd-200049
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Disorders of phenylalanine and tyrosine metabolism

Abstract: This article provides a review of the inborn errors of phenylalanine and tyrosine metabolism including the diagnostic approach, dietary and pharmalogical management and emerging therapies. Hyperphenylalaninaemia results mainly from defects in either phenylalanine hydroxylase (PAH) (resulting in phenylketonuria (PKU)) or the production or recycling of tetrahydrobiopterin (BH 4). Untreated PKU results in irreversible neurocognitive impairment. Five inherited disorders of tyrosine metabolism are known, which incl… Show more

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Cited by 14 publications
(10 citation statements)
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“…Any kind of abnormality in the concentration levels of L-tyrosine can lead to several disorders, such as hypo- and hyper-thyroidism, in living beings [ 7 ]. In addition, dementia, depression, Parkinson’s disease, tyrosinemia and disfunction of the kidney and liver have also been reported due to unbalanced concentrations of L-tyrosine in living systems [ 8 , 9 ]. Additionally, increased concentrations of L-tyrosine in the body has caused atherosclerosis, joint pains and heartburn in some cases [ 10 ].…”
Section: Introductionmentioning
confidence: 99%
“…Any kind of abnormality in the concentration levels of L-tyrosine can lead to several disorders, such as hypo- and hyper-thyroidism, in living beings [ 7 ]. In addition, dementia, depression, Parkinson’s disease, tyrosinemia and disfunction of the kidney and liver have also been reported due to unbalanced concentrations of L-tyrosine in living systems [ 8 , 9 ]. Additionally, increased concentrations of L-tyrosine in the body has caused atherosclerosis, joint pains and heartburn in some cases [ 10 ].…”
Section: Introductionmentioning
confidence: 99%
“…In HT-3, an inherited deficiency of HPPD, both of these factors may also play a part in mitigating increase in sTYR. In HT-2 on the other hand, the formation of HPLA, catalysed by an oxidoreductase called 4-hydroxyphenyllactate:NAD + oxidoreductase, also called HPPR 33 , 34 is lacking and leaves only increase in PHE driven by the increase in TYR to minimise tyrosinaemia, the reason why HT-2 patients develop more severe tyrosinaemia than HT-3 patients 35 .…”
Section: Discussionmentioning
confidence: 99%
“…Additionally, phenylalanine is converted to tyrosine by phenylalanine hydroxylase (PAH) in a healthy human subject. Tyrosine is further used as a precursor to neurotransmitters such as epinephrine, norepinephrine, and dopamine [ 34 , 35 ]. Thus, the phenylalanine metabolism plays an important role in mental health.…”
Section: Discussionmentioning
confidence: 99%