Skip to main content
Log in

Absence of a significant renal threshold for two aromatic acids in phenylketonuric children over two years of age

  • Original Investigations
  • Published:
European Journal of Pediatrics Aims and scope Submit manuscript

Abstract

There is a steady and nonlinear relationship between the levels of both phenylpyruvic acid (PPA) and o-hydroxyphenylacetic acid (oOPAA) in urine and the plasma levels of phenylalanine (phe) in children more than two years of age with phenylketonuria (PKU). If phe levels in blood rise above 0.35 mM (5.8 mg/100 ml) both aromatic acids are found regularly in urine. Typically, urinary concentrations of PPA are about 5 times higher than those of oOPAA. This report is based on the analysis of 94 samples from 51 children, on or off diet.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Bickel H (1970) Phenylalaninaemia or classical phenylketonuria (PKU)? Neuropädiatrie 1:379–382

    Google Scholar 

  2. Blaskovics ME, Schaeffler GE, Hack S (1974) Phenylalaninaemia, differential diagnosis. Arch Dis Childh 49: 835–843

    Google Scholar 

  3. Blau K (1970) Aromatic acid excretion in phenylketonuria. Analysis of the unconjugated aromatic acids derived from phenylalanine. Clin Chim Acta 27:5–18

    Google Scholar 

  4. Blumenkrantz N, Asboe-Hansen G (1977) Urinary creatinine is unsuitable as reference value for collagen metabolite output. Clin Biochem 10:109–110

    Google Scholar 

  5. Chang PN, Fish RO (1976) Observations of behavioral and personality characteristics of phenylketonurics according to their dietary duration: Early treatment and normal intelligence. Psychol Rep 39:835–841

    Google Scholar 

  6. Dhondt JL, Cartigny B, Farriaux JP (1974) Interêts du dosage de l'acide ortho-hydroxyphénylacétique urinarire dans les hyperphénylalaninémies. Ann Biol Clin 32:499–506

    Google Scholar 

  7. Donker DNJ, Reits D, van Sprang FJ, Storm van Leeuwen W, Wadman SK (1979) Computer analysis of the EEG as an aid in the evaluation of dietetic treatment in phenylketonuria. Electroencephalogr Clin Neurophysiol 46:205–213

    Google Scholar 

  8. Gaull GE, Tallan HH, Lajtha A, Rassin DK (1975) Pathogenesis of brain dysfunction in inborn errors of amino acid metabolism. In: Biology of brain dysfunction, (ed GE Gaull), Vol 3. Plenum, New York and London, pp 47–143

    Google Scholar 

  9. Koepp P, Scholtyssek M, Plettner C (1978) Urinary excretion of aromatic acids in hyperphenylalaninemic states: Response to a protein challenge. Eur J Pediatr 127:269–278

    Google Scholar 

  10. Koff E, Boyle P, Pueschel SM (1977) Perceptual-motor functioning in children with phenylketonuria. Amer J Dis Child 131:1084–1087

    Google Scholar 

  11. Langenbeck U, Mench-Hoinowski A, Dieckmann KP, Möhring HU, Petersen M (1978) O-Trimethylsilylquinoxalinol derivatives of aromatic α-ketoacids; mass spectra and quantitative gas chromatography. J Chromatogr 145:185–193

    Google Scholar 

  12. Langenbeck U, Mench-Hainowski A, Rød-Urban I, Luthe H (1978) Quantitative determination of plasma phenylpyruvic acid by GC-MS with an isomeric internal standard. In: Quantitative mass spectrometry in life sciences (eds AP de Leenheer, R Roncucci, V van Peteghem), Vol 2. Elsevier, Amsterdam, pp 209–219

    Google Scholar 

  13. Partington MW, Vickery SK (1974) Phenylketonemia in phenylketonuria. Neuropädatrie 5:125–137

    Google Scholar 

  14. Rapoport D, Saudubray JM, Hatt A, Weil-Halpern F, Depondt E, Boisse J, Mozziconacci P (1975) Etude psychologique de 20 enfants phénylcétonuriques traités tôt. Ann Pédiat 22:509–516

    Google Scholar 

  15. Rey F, Pellié C, Sivy M, Blandin-Savoja F, Rey J, Frézal J (1974) Influence of age on orthohydroxyphenylacetic acid excretion in phenylketonuria and its genetic variants. Pediat Res 8:540–545

    Google Scholar 

  16. Vink CLJ, Kroes AA (1961) The renal clearance of phenylpyruvate. Clin Chim Acta 6:813–818

    Google Scholar 

  17. Wadman SK, Ketting D, de Bree PK, van der Heiden C, Grimberg MTh, Kruijswijk H (1975) Permanent chemical phenylketonuria and a normal phenylalanine tolerance in two sisters with a normal mental development. Clin Chim Acta 65:197–204

    Google Scholar 

  18. Zelniček E, Podhradská O (1969) Clearance of endogenous phenylpyruvate in phenylketonurics. Clin Chim Acta 25: 179–180

    Google Scholar 

  19. Zelniček E, Podhradská J (1974) Determination of urinary phenylpyruvic acid in phenylketonurics by enol-borate method. Clin Chim Acta 53:373–374

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

With support of Deutsche Forschungsgemeinschaft (SFB 33 and Schwerpunkt “Biochemische Humangenetik”)

With support of Deutsche Forschungsgemeinschaft (SFB 33)

Part of the results was obtained during M.D. thesis work of M.P.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Langenbeck, U., Behbehani, A., Mench-Hoinowski, A. et al. Absence of a significant renal threshold for two aromatic acids in phenylketonuric children over two years of age. Eur J Pediatr 134, 115–118 (1980). https://doi.org/10.1007/BF01846027

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01846027

Key words

Navigation