Tyr, tyrosine

Tyr,酪氨酸
  • 文章类型: Journal Article
    短链脂肪酸(SCFA)在结肠癌的细胞和动物模型中表现出抗癌活性。醋酸盐,丙酸盐,和丁酸盐是由膳食纤维通过肠道微生物群发酵产生的三种主要SCFA,对人体健康具有有益作用。以往对SCFA抗肿瘤机制的研究大多集中在参与抗肿瘤通路的特定代谢产物或基因上,如活性氧(ROS)生物合成。在这项研究中,我们对乙酸盐的影响进行了系统和无偏见的分析,丙酸盐,和丁酸盐对人结肠直肠腺癌细胞生理浓度下ROS水平以及代谢和转录组特征的影响。我们观察到在处理的细胞中ROS水平显著升高。此外,显著调节的信号涉及代谢和转录组水平的重叠途径,包括ROS反应和代谢,脂肪酸运输和代谢,葡萄糖反应和代谢,线粒体运输和呼吸链复合物,一碳代谢,氨基酸运输和代谢,和谷氨酰胺分解,它们与ROS的产生直接或间接相关。此外,代谢和转录组调节以SCFAs类型依赖的方式发生,从乙酸到丙酸再到丁酸的程度逐渐增加。本研究全面分析了SCFA如何诱导ROS产生并调节结肠癌细胞的代谢和转录水平。这对于理解SCFA对结肠癌抗肿瘤活性的作用机制至关重要。
    Short-chain fatty acids (SCFAs) exhibit anticancer activity in cellular and animal models of colon cancer. Acetate, propionate, and butyrate are the three major SCFAs produced from dietary fiber by gut microbiota fermentation and have beneficial effects on human health. Most previous studies on the antitumor mechanisms of SCFAs have focused on specific metabolites or genes involved in antitumor pathways, such as reactive oxygen species (ROS) biosynthesis. In this study, we performed a systematic and unbiased analysis of the effects of acetate, propionate, and butyrate on ROS levels and metabolic and transcriptomic signatures at physiological concentrations in human colorectal adenocarcinoma cells. We observed significantly elevated levels of ROS in the treated cells. Furthermore, significantly regulated signatures were involved in overlapping pathways at metabolic and transcriptomic levels, including ROS response and metabolism, fatty acid transport and metabolism, glucose response and metabolism, mitochondrial transport and respiratory chain complex, one-carbon metabolism, amino acid transport and metabolism, and glutaminolysis, which are directly or indirectly linked to ROS production. Additionally, metabolic and transcriptomic regulation occurred in a SCFAs types-dependent manner, with an increasing degree from acetate to propionate and then to butyrate. This study provides a comprehensive analysis of how SCFAs induce ROS production and modulate metabolic and transcriptomic levels in colon cancer cells, which is vital for understanding the mechanisms of the effects of SCFAs on antitumor activity in colon cancer.
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  • 文章类型: Journal Article
    在这项工作中,通过多光谱和分子对接研究了低温真空加热下肌原纤维蛋白(MP)与丙二醛和4-羟基-2-壬烯醛的结合机制。结果表明,结合相互作用和温度升高导致构象发生显著变化,蛋白质固有荧光值降低,表面疏水性,和荧光激发-发射矩阵光谱。此外,α-螺旋和β-转角的减少,β-折叠的增加和MP的随机卷曲,暗示MP分子更加展开。等温滴定量热法和分子对接结果表明,与MP结合的主要驱动力是氢键,丙二醛的结合能力优于4-羟基-2-壬烯醛。此外,提高加热温度有利于MP的结合反应,并增强了MP的构象转变。这些结果将为进一步研究st鱼的脂质和蛋白质相互作用提供参考。
    In this work, the binding mechanism of myofibrillar protein (MP) with malondialdehyde and 4-hydroxy-2-nonenal under low temperature vacuum heating was investigated via multispectroscopic and molecular docking. The results showed that binding interaction and increasing temperature caused significant changes in the conformations as well as a decrease in the value of protein intrinsic fluorescence, surface hydrophobicity, and fluorescence excitation-emission matrix spectra. Furthermore, the decrease in α-helix and β-turn, increase in β-sheet and a random coil of MP, imply the MP molecules to be more unfolded. Isothermal titration calorimetry and molecular docking results showed that main driving force for binding with MP was hydrogen bond, and the binding ability of malondialdehyde was superior to that of 4-hydroxy-2-nonenal. Moreover, increasing the heating temperature was beneficial to the binding reaction and intensified the conformational transition of MP. These results will provide a reference for further studies on the lipid and protein interaction of sturgeon.
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  • 文章类型: Case Reports
    经典的苯丙酮尿症(PKU)对育龄妇女提出了独特的挑战。在怀孕的背景下,控制不佳的高苯丙氨酸血症可导致被称为母体PKU综合征的婴儿的毁灭性结局。我们介绍了患有经典PKU的女性无法维持有限的饮食且难以接受药物治疗的情况。她选择接受多米诺骨牌肝移植,从典型的支链酮酸脱氢酶缺乏症(枫糖浆尿病)的供体接受器官。血浆苯丙氨酸浓度在移植后几天内恢复正常,并在随访的第一年中以不受限制的饮食保持不变。患者报告主观情绪改善,能级,和整体生活质量。在适当的临床环境中,肝移植应考虑为PKU患者提供代谢稳定性,特别是育龄妇女。
    Classical phenylketonuria (PKU) presents a unique challenge for women of child-bearing age. In the context of pregnancy, poorly controlled hyperphenylalaninemia can result in a devastating constellation of outcomes for the baby referred to as the maternal PKU Syndrome. We present the case of a woman with classical PKU unable to maintain a restricted diet and refractory to pharmacological therapies. She elected to undergo a domino liver transplant, receiving an organ from a donor with classical branched chain ketoacid dehydrogenase deficiency (maple syrup urine disease). Plasma phenylalanine concentrations normalized within a few days after transplant and remained so on an unrestricted diet during the first year of follow-up. The patient reports subjective improvements in mood, energy level, and overall quality of life. In the appropriate clinical setting, liver transplant should be considered to provide metabolic stability for PKU patients, particularly women of childbearing age.
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  • 文章类型: Journal Article
    未经证实:缺乏对新型冠状病毒疾病的治疗导致寻找能够抑制病毒复制的特定抗病毒药物。植物界已被证明是具有抗病毒潜力的新分子的重要来源。
    UNASSIGNED:本研究旨在利用各种计算工具来鉴定最有资格的候选药物,这些候选药物具有通过抑制主要蛋白酶(Mpro)酶来阻止SARS-COV-2病毒复制的能力。
    未经证实:我们选择了提取物对先前发现的冠状病毒具有抑制潜力的植物。调查了它们的植物成分,并制备了100个分子的文库。然后,计算工具,如分子对接,利用ADMET和分子动力学模拟来筛选化合物并评估它们对Mpro酶的影响。
    未经鉴定:所有的植物成分都显示出对Mpro酶的良好结合亲和力。其中月桂碱具有最高的结合亲和力,即-294.1533kcal/mol。在ADMET分析中,模拟了1.2ns的最佳三种配体,然后将其中的稳定配体进一步模拟20ns。结果表明,在月桂碱w.r.t.蛋白质残基中未观察到构象变化,较低的RMSD值表明月桂碱-蛋白质复合物稳定20ns。
    未经批准:劳罗利辛,黑斑草根的活性成分,被发现具有良好的ADMET谱并且具有停止酶活性的能力。因此,这使得月桂碱成为治疗COVID-19的良好候选药物。
    UNASSIGNED: Lack of treatment of novel Coronavirus disease led to the search of specific antivirals that are capable to inhibit the replication of the virus. The plant kingdom has demonstrated to be an important source of new molecules with antiviral potential.
    UNASSIGNED: The present study aims to utilize various computational tools to identify the most eligible drug candidate that have capabilities to halt the replication of SARS-COV-2 virus by inhibiting Main protease (Mpro) enzyme.
    UNASSIGNED: We have selected plants whose extracts have inhibitory potential against previously discovered coronaviruses. Their phytoconstituents were surveyed and a library of 100 molecules was prepared. Then, computational tools such as molecular docking, ADMET and molecular dynamic simulations were utilized to screen the compounds and evaluate them against Mpro enzyme.
    UNASSIGNED: All the phytoconstituents showed good binding affinities towards Mpro enzyme. Among them laurolitsine possesses the highest binding affinity i.e. -294.1533 kcal/mol. On ADMET analysis of best three ligands were simulated for 1.2 ns, then the stable ligand among them was further simulated for 20 ns. Results revealed that no conformational changes were observed in the laurolitsine w.r.t. protein residues and low RMSD value suggested that the Laurolitsine-protein complex was stable for 20 ns.
    UNASSIGNED: Laurolitsine, an active constituent of roots of Lindera aggregata, was found to be having good ADMET profile and have capabilities to halt the activity of the enzyme. Therefore, this makes laurolitsine a good drug candidate for the treatment of COVID-19.
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  • 文章类型: Journal Article
    血液苯丙氨酸与酪氨酸(Phe/Tyr)比率是苯丙酮尿症患者代谢控制的重要指标。我们提供的数据强调了Phe/Tyr比率在高苯丙氨酸血症患者四氢生物蝶呤(BH4)反应性评估中的作用。我们的数据补充了Tansek等人的原始研究文章的结果。,2012年[1]。在增加蛋白质摄入量(2000mg/kg体重)四天后,我们对32名患者进行了BH4负荷测试。采血96、72、48、24、16h,和在以20mg/kg体重的剂量口服BH4之前的时刻。在给药后8和24小时收集另外的血液样品。苯丙氨酸(Phe)和酪氨酸(Tyr)水平通过串联质谱法从干燥的血点测定。在增加膳食蛋白质摄入量三天后,Phe/Tyr比率达到平稳状态。15名患者(47%)对BH4有反应,定义为BH4给药后24小时至少30%的Phe降低。与响应者相比,非响应者的Phe/Tyr比率明显更高。在响应者小组中,给予BH48和24小时后,Phe/Tyr比率平均下降了67%(p=0.001)和45%(p=0.001),分别。在无反应者组中,给药8小时后Phe/Tyr比率也降低,但不是给药后24小时。
    Blood phenylalanine-to-tyrosine (Phe/Tyr) ratio is an important indicator of metabolic control in phenylketonuria patients. We present the data that highlights the role of Phe/Tyr-ratio in the evaluation of tetrahydrobiopterin (BH4)-responsiveness in patients with hyperphenylalaninemia. Our data complements the results from the original research article by Tansek et al., 2012 [1]. We performed a BH4-loading test in 32 patients after four days of increased protein intake (2000 mg/kg body weight). Blood sampling was performed 96, 72, 48, 24, 16 h, and moments before oral administration of BH4 in a dose of 20 mg/kg body weight. Additional blood samples were collected 8 and 24 h after its administration. Phenylalanine (Phe) and Tyrosine (Tyr) levels were determined from dried blood spots by tandem mass spectrometry. Phe/Tyr-ratio reached a plateau after three days of increased dietary protein intake. Fifteen patients (47%) responded to BH4, defined as a decrease of Phe-of at least 30% after 24 h of BH4 administration. Phe/Tyr-ratios were significantly higher in non-responders compared to responders. In the responder group, Phe/Tyr-ratios decreased in average of 67% (p = 0.001) and 45% (p = 0.001) after 8 and 24 h of BH4 administration, respectively. Phe/Tyr-ratio decreased after 8 h of drug administration also in the non-responder group, but not 24 h after administration.
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  • 文章类型: Journal Article
    鱼藤酮是一种广谱农药,用于世界各地的各种农业实践。人类通过口服接触这种化学物质,鼻部,和真皮路线。鱼藤酮的吸入使肺的生物分子成分暴露于这种化学物质。肺的生物物理活动由肺表面活性剂精确调节以促进气体交换。表面活性蛋白(SP)是肺表面活性物质的基本成分。SP-A和SP-D等SP具有抗菌活性,可为肺部感染提供重要的第一道防线,而SP-B和SP-C主要参与呼吸循环和降低空气-水界面的表面张力。在这项研究中,使用AutoDockVina进行了分子对接分析,以研究鱼藤酮与四种SP的结合潜力。结果表明,鱼藤酮可以与SP-A的碳水化合物识别域(CRD)结合,N-,和SP-B的C末端肽,SP-C,和SP-D的CRD在多个位点通过几个相互作用介质如H键,C-H键,烷基键,pi-pi堆叠,范德华互动,和其他。鱼藤酮与SP的这种相互作用可以破坏肺中SP的生物物理和抗微生物功能,这可能会引起呼吸道疾病和病原体感染。
    Rotenone is a broad-spectrum pesticide employed in various agricultural practices all over the world. Human beings are exposed to this chemical through oral, nasal, and dermal routes. Inhalation of rotenone exposes bio-molecular components of lungs to this chemical. Biophysical activity of lungs is precisely regulated by pulmonary surfactant to facilitate gaseous exchange. Surfactant proteins (SPs) are the fundamental components of pulmonary surfactant. SPs like SP-A and SP-D have antimicrobial activities providing a crucial first line of defense against infections in lungs whereas SP-B and SP-C are mainly involved in respiratory cycle and reduction of surface tension at air-water interface. In this study, molecular docking analysis using AutoDock Vina has been conducted to investigate binding potential of rotenone with the four SPs. Results indicate that, rotenone can bind with carbohydrate recognition domain (CRD) of SP-A, N-, and C- terminal peptide of SP-B, SP-C, and CRD of SP-D at multiples sites via several interaction mediators such as H bonds, C-H bonds, alkyl bonds, pi-pi stacked, Van der Waals interaction, and other. Such interactions of rotenone with SPs can disrupt biophysical and anti-microbial functions of SPs in lungs that may invite respiratory ailments and pathogenic infections.
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  • 文章类型: Journal Article
    1型酪氨酸血症是由富马酸乙酰乙酸水解酶(FAH)缺乏引起的常染色体隐性遗传性氨基酸病。因此,酪氨酸及其代谢物积累,导致肝脏和肾脏毒性。这种疾病的症状通常在生命三周后出现,包括呕吐,未能茁壮成长,肝肿大,黄疸,出血素质,病和肾小管功能障碍。未治疗,该疾病最终发展为肝或肾衰竭,并通常导致致命的结果。有利的诊断是至关重要的,因为早期开始治疗可以增加阳性结果的可能性。这里,我们报道了1例1型酪氨酸血症家族史阳性的男性新生儿在出生后立即进行代谢检查.氨基酸通过串联质谱和超高效液相色谱进行定量。通过毛细管气相色谱-质谱联用分析了尿液中的有机酸。通过Sanger测序进行FAH基因的DNA分析。生命的第一天,患者的血浆氨基酸显示酪氨酸浓度增加,而尿液有机酸检测到琥珀酰丙酮,1型酪氨酸血症的酪氨酸代谢产物。患者的DNA分析显示FAH基因中c.554-1G>T突变纯合性,这与诊断一致。Nitisinone治疗,结合酪氨酸和苯丙氨酸的饮食限制,立即介绍。定期访问和测量氨基酸浓度,这使得治疗调整和治疗效率监测患者的酪氨酸血症1型,在过去4年以上的持续,并有望继续下去。
    Tyrosinemia type 1 is an autosomal recessive aminoacidopathy caused by fumarylacetoacetate hydrolase (FAH) deficiency. Consequently, tyrosine and its metabolites accumulate, resulting in liver and kidney toxicity. Symptoms of the disease usually manifest after three weeks of life and include vomiting, failure to thrive, hepatomegaly, jaundice, bleeding diathesis, rickets and renal tubular dysfunction. Untreated, the disease eventually progresses to liver or kidney failure and generally results in a fatal outcome. Expedient diagnosis is critical because an early start of treatment can increase the likelihood of a positive outcome. Here, we report on a male newborn with a family history positive for tyrosinemia type 1 who was subjected to a metabolic work-up immediately after birth. Amino acids were quantified by tandem mass spectrometry coupled with ultra performance liquid chromatography. Urinary organic acids were analyzed on capillary gas chromatography coupled with mass spectrometry. DNA analysis of the FAH gene was performed by Sanger sequencing. On the first day of life, the patient\'s plasma amino acids showed an increased tyrosine concentration, while urine organic acids detected succinylacetone, a tyrosine metabolite specific for tyrosinemia type 1. The patient\'s DNA analysis revealed homozygosity of the c.554-1G > T mutation in the FAH gene, which was consistent with the diagnosis. Nitisinone treatment, combined with a dietary restriction of tyrosine and phenylalanine, was introduced immediately. Regular visits and measurement of amino acid concentrations, which enables therapy adjustment and treatment efficiency monitoring in patients with tyrosinemia type 1, has continued over the past 4+ years, and is expected to continue.
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  • 文章类型: Journal Article
    质膜转运蛋白在营养物质的导入中起着关键作用,包括糖,氨基酸,核碱基,羧酸,和金属离子,围绕真菌细胞。通过胞吞作用选择性去除这些转运蛋白是最重要的调节机制之一,可确保细胞快速适应不断变化的环境(例如,营养波动或不同的压力)。这种机制的核心是蛋白质网络,其中包括与抑制蛋白相关的运输衔接子(ART),该衔接子将泛素连接酶Rsp5与营养转运蛋白和内吞因子联系起来。转运蛋白构象变化,以及其胞质末端/环与质膜脂质之间的动态相互作用,在胞吞过程中也很关键。这里,我们回顾了有关营养转运蛋白内吞作用的分子机制的最新知识和最新发现,在酿酒酵母酵母和某些丝状真菌曲霉中。我们详细阐述了在自然界中发现的动态条件下,紧密调节的内吞作用对细胞适应性的生理重要性,并强调了对该过程的进一步理解和工程对于最大化滴度至关重要。工业生物技术过程中工程细胞工厂的速率和产量(TRY)值。
    Plasma membrane transporters play pivotal roles in the import of nutrients, including sugars, amino acids, nucleobases, carboxylic acids, and metal ions, that surround fungal cells. The selective removal of these transporters by endocytosis is one of the most important regulatory mechanisms that ensures a rapid adaptation of cells to the changing environment (e.g., nutrient fluctuations or different stresses). At the heart of this mechanism lies a network of proteins that includes the arrestin-related trafficking adaptors (ARTs) which link the ubiquitin ligase Rsp5 to nutrient transporters and endocytic factors. Transporter conformational changes, as well as dynamic interactions between its cytosolic termini/loops and with lipids of the plasma membrane, are also critical during the endocytic process. Here, we review the current knowledge and recent findings on the molecular mechanisms involved in nutrient transporter endocytosis, both in the budding yeast Saccharomyces cerevisiae and in some species of the filamentous fungus Aspergillus. We elaborate on the physiological importance of tightly regulated endocytosis for cellular fitness under dynamic conditions found in nature and highlight how further understanding and engineering of this process is essential to maximize titer, rate and yield (TRY)-values of engineered cell factories in industrial biotechnological processes.
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  • 文章类型: Journal Article
    由SARS-CoV-2引起的严重急性呼吸系统综合症(SARS)在全球范围内空前蔓延,这描绘了大流行对人类健康的痛苦后果。经济和生态系统服务。到目前为止,新型冠状病毒(CoV)的爆发与SARS-CoV-2(2019年)有关,中东呼吸综合征冠状病毒(MERS-CoV,2012),和SARS-CoV-1(2003)事件。CoV涉及具有正义单链RNA(+ssRNA)的有包膜Betacoronavirus(βCoV)家族。很清楚的坚持,传输,SARS-CoV-2通过近距离传播,粪便-口腔途径现已成为社区传播的主要环境问题。CoV在胃肠道(GI)中的复制和持久性以及通过粪便脱落表明了向环境设置的潜在传播途径。尽管有证据,基于关于SARS-CoV-2在废水/污水/水中的发生和持久性的报道较少,感染病毒向社区的传播尚未确定。在这个领域,这篇通讯试图回顾肠膜病毒在环境环境中传播的可能流入途径,并参考其发生情况,持久性,检测,和灭活基于迄今为止出版的文献。通过载有肠道病毒的气溶胶通过空气传播的可能性,可能影响病毒传播的环境因素,综述了包膜病毒的消毒方法(常规和新兴)以及灭活机制。阐述了对废水流行病学(WBE)研究进行监视和预警信号的需求。这次交流将为理解SARS-CoV-2以及环境工程视角下的其他病毒提供基础,以设计有效的策略来对抗肠道病毒的传播,也是研究人员的工作文件,政策制定者和监管者。
    The unprecedented global spread of the severe acute respiratory syndrome (SARS) caused by SARS-CoV-2 is depicting the distressing pandemic consequence on human health, economy as well as ecosystem services. So far novel coronavirus (CoV) outbreaks were associated with SARS-CoV-2 (2019), middle east respiratory syndrome coronavirus (MERS-CoV, 2012), and SARS-CoV-1 (2003) events. CoV relates to the enveloped family of Betacoronavirus (βCoV) with positive-sense single-stranded RNA (+ssRNA). Knowing well the persistence, transmission, and spread of SARS-CoV-2 through proximity, the faecal-oral route is now emerging as a major environmental concern to community transmission. The replication and persistence of CoV in the gastrointestinal (GI) tract and shedding through stools is indicating a potential transmission route to the environment settings. Despite of the evidence, based on fewer reports on SARS-CoV-2 occurrence and persistence in wastewater/sewage/water, the transmission of the infective virus to the community is yet to be established. In this realm, this communication attempted to review the possible influx route of the enteric enveloped viral transmission in the environmental settings with reference to its occurrence, persistence, detection, and inactivation based on the published literature so far. The possibilities of airborne transmission through enteric virus-laden aerosols, environmental factors that may influence the viral transmission, and disinfection methods (conventional and emerging) as well as the inactivation mechanism with reference to the enveloped virus were reviewed. The need for wastewater epidemiology (WBE) studies for surveillance as well as for early warning signal was elaborated. This communication will provide a basis to understand the SARS-CoV-2 as well as other viruses in the context of the environmental engineering perspective to design effective strategies to counter the enteric virus transmission and also serves as a working paper for researchers, policy makers and regulators.
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  • 文章类型: Journal Article
    背景:实施新生儿筛查和早期开始终身治疗有助于预防严重并发症,并使早期治疗的苯丙酮尿症(ETPKU)患者获得更有利的结果。然而,PKU患者往往会出现微妙的认知和心理社会异常,严格的饮食治疗会带来经济和社会负担。因此,预计PKU会影响这些患者的生活质量(QoL)。关于代谢控制与健康相关QoL(HRQoL)之间的关系的证据不足。我们旨在使用标准化的PKU特异性PKU-QoL问卷评估短期和长期治疗对匈牙利成年PKU患者QoL的影响。方法:我们进行了单中心,横截面,匈牙利的观察研究。我们包括仅接受饮食和氨基酸补充剂治疗的成年PKU患者。患者使用标准化的成人PKU-QoL问卷报告HRQoL,并评估三个不同时间段的平均血液Phe浓度:前10年,填写问卷时的上一年和集中度。评估患者QoL评分与其Phe水平之间的相关性。根据所检查时间段内的个体平均Phe水平,将经典PKU组进一步分为“良好”和“次优”依从性组。我们评估了经典PKU患者的两个亚组之间的QoL差异。还比较了经典和非经典患者的QoL评分。结果:分析了88例成年患者的数据(66例患有经典PKU)。在任何领域,中位数PKU-QoL评分均未达到严重或严重影响/频繁症状。最高分(意味着更大的负担)主要与PKU的情绪影响和疾病管理有关。在对所有患者进行Phe水平和QoL评分之间的相关性分析时,我们发现短期或长期的几个领域的正相关性弱。经典PKU患者报告PKU的经济影响比不那么严重的PKU患者更大。治疗依从性良好的经典PKU患者比依从性欠佳的患者倾向于报告更好的HRQoL评分。结论:我们得出的结论是,使用PKU特异性问卷,患者表现出良好的HRQoL。我们的研究表明,次优的代谢控制与患者的HRQoL呈负相关。
    BACKGROUND: The implementation of neonatal screening and the early initiation of lifelong therapy have helped to prevent severe complications and enabled much more favorable outcomes for early-treated phenylketonuria (ETPKU) patients. However, PKU patients tend to develop subtle cognitive and psychosocial abnormalities and the strict dietary therapy can present financial and social burden. Thus, PKU is expected to affect the quality of life (QoL) of these patients. There is insufficient evidence regarding the relationship between metabolic control and Health-Related QoL (HRQoL). We aimed to assess the effect of short- and long-term therapy on QoL among Hungarian adult PKU patients using the standardized PKU-specific PKU-QoL questionnaire. Methods: We conducted a single-centre, cross-sectional, observational study in Hungary. We included adult PKU patients treated with diet and amino acid supplements only. Patients reported HRQoL using the standardized adult PKU-QoL questionnaire and mean blood Phe concentrations were assessed for three different time periods: the previous 10 years, the previous year and concentration at the time of completing the questionnaire. The correlation between patients\' QoL scores and their Phe levels was assessed. The classical PKU group was further divided into \"good\" and \"suboptimal\" adherence groups based on individual mean Phe levels in the examined time period. We evaluated differences in QoL among the two subgroups of classical PKU patients. QoL scores between classical and non-classical patients were also compared. Results: Data from 88 adult patients were analysed (66 had classical PKU). No median PKU-QoL score reached major or severe impact/frequent symptoms in any domain. The highest scores (meaning larger burden) were mostly related to emotional impact of PKU and disease management. When performing correlation analysis between Phe levels and QoL scores by all patients we found weak to fair positive correlation in several domains either short or long term. Patients with classical PKU reported greater financial impact of PKU than patients with less severe PKU. Classical PKU patients with good therapy adherence tended to report better HRQoL scores than patients with suboptimal adherence. Conclusion: We conclude that patients showed good HRQoL using the PKU-specific questionnaire. Our study demonstrates that suboptimal metabolic control is negatively associated with patients\' HRQoL.
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