PMID- 31105574 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 1664-042X (Print) IS - 1664-042X (Electronic) IS - 1664-042X (Linking) VI - 10 DP - 2019 TI - Propagation of Plasma L-Phenylalanine Concentration Fluctuations to the Neurovascular Unit in Phenylketonuria: An in silico Study. PG - 360 LID - 10.3389/fphys.2019.00360 [doi] LID - 360 AB - Phenylketonuria (PKU) is an inherited metabolic disease characterized by abnormally high concentrations of the essential amino acid L-phenylalanine (Phe) in blood plasma caused by reduced activity of phenylalanine hydroxylase (PAH). While numerous studies have shown association between high plasma Phe concentration and intellectual impairment, it is not clear whether increased Phe fluctuations also observed in PKU affect the brain as well. To investigate this, time-resolved in vivo data on Phe and competing large neutral amino acid (LNAA) concentrations in neurons are needed, but cannot be acquired readily with current methods. We have used in silico modeling as an alternative approach to characterize the interactive dynamics of Phe and competing LNAAs (CL) in the neurovascular unit (NVU). Our results suggest that plasma Phe fluctuations can propagate into the NVU cells and change there the concentration of LNAAs, with the highest magnitude of this effect observed at low frequency and high amplitude-to-mean ratio of the plasma Phe concentration fluctuations. Our model further elucidates the effect of therapeutic LNAA supplementation in PKU, showing how abnormal concentrations of Phe and CL in the NVU move thereby toward normal physiologic levels. FAU - Taslimifar, Mehdi AU - Taslimifar M AD - The Interface Group, Institute of Physiology, University of Zurich, Zurich, Switzerland. AD - Epithelial Transport Group, Institute of Physiology, University of Zurich, Zurich, Switzerland. FAU - Buoso, Stefano AU - Buoso S AD - The Interface Group, Institute of Physiology, University of Zurich, Zurich, Switzerland. AD - Institute for Diagnostic and Interventional Radiology, Zurich University Hospital, Zurich, Switzerland. FAU - Verrey, Francois AU - Verrey F AD - Epithelial Transport Group, Institute of Physiology, University of Zurich, Zurich, Switzerland. AD - Zurich Center for Integrative Human Physiology, University of Zurich, Zurich, Switzerland. AD - National Center of Competence in Research, Kidney Control of Homeostasis, Zurich, Switzerland. FAU - Kurtcuoglu, Vartan AU - Kurtcuoglu V AD - The Interface Group, Institute of Physiology, University of Zurich, Zurich, Switzerland. AD - Zurich Center for Integrative Human Physiology, University of Zurich, Zurich, Switzerland. AD - National Center of Competence in Research, Kidney Control of Homeostasis, Zurich, Switzerland. AD - Neuroscience Center Zurich, University of Zurich, Zurich, Switzerland. LA - eng PT - Journal Article DEP - 20190402 PL - Switzerland TA - Front Physiol JT - Frontiers in physiology JID - 101549006 PMC - PMC6454150 OTO - NOTNLM OT - L-phenylalanine fluctuation OT - amino acid transporter OT - large neutral amino acid OT - neurovascular unit OT - phenylketonuria EDAT- 2019/05/21 06:00 MHDA- 2019/05/21 06:01 PMCR- 2019/04/02 CRDT- 2019/05/21 06:00 PHST- 2018/10/23 00:00 [received] PHST- 2019/03/14 00:00 [accepted] PHST- 2019/05/21 06:00 [entrez] PHST- 2019/05/21 06:00 [pubmed] PHST- 2019/05/21 06:01 [medline] PHST- 2019/04/02 00:00 [pmc-release] AID - 10.3389/fphys.2019.00360 [doi] PST - epublish SO - Front Physiol. 2019 Apr 2;10:360. doi: 10.3389/fphys.2019.00360. eCollection 2019.