Page last updated: 2024-10-16

betaine and Phenylketonurias

betaine has been researched along with Phenylketonurias in 2 studies

glycine betaine : The amino acid betaine derived from glycine.

Phenylketonurias: A group of autosomal recessive disorders marked by a deficiency of the hepatic enzyme PHENYLALANINE HYDROXYLASE or less frequently by reduced activity of DIHYDROPTERIDINE REDUCTASE (i.e., atypical phenylketonuria). Classical phenylketonuria is caused by a severe deficiency of phenylalanine hydroxylase and presents in infancy with developmental delay; SEIZURES; skin HYPOPIGMENTATION; ECZEMA; and demyelination in the central nervous system. (From Adams et al., Principles of Neurology, 6th ed, p952).

Research Excerpts

ExcerptRelevanceReference
" Carnitine supplementation of AA-MFs shows reduced bioavailability due, in part, to bacterial degradation to TMAO, whereas the bioavailability of carnitine is greater with prebiotic GMP-MFs."2.87Metabolomic Markers of Essential Fatty Acids, Carnitine, and Cholesterol Metabolism in Adults and Adolescents with Phenylketonuria. ( Broniowska, K; Levy, HL; Murali, SG; Nair, N; Ney, DM; Rohr, F; Stroup, BM, 2018)

Research

Studies (2)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's1 (50.00)29.6817
2010's1 (50.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Stroup, BM1
Nair, N1
Murali, SG1
Broniowska, K1
Rohr, F1
Levy, HL1
Ney, DM1
Fischer, GM1
Nemeti, B1
Farkas, V1
Debreceni, B1
Laszlo, A1
Schaffer, Z1
Somogyi, C1
Sandor, A1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Phase 2 Study of Glycomacropeptide vs. Amino Acid Diet for the Management of PKU[NCT01428258]32 participants (Actual)Interventional2011-09-30Completed
Etude de l'INflammation systémique de Bas GRade Chez Les Patients Adultes Atteints de PHénylcétonurie[NCT04879277]40 participants (Actual)Interventional2021-05-26Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Bone-specific Alkaline Phosphatase (BSAP) Plasma Concentration at Day 22

Plasma concentration of BSAP was determined as a measure of bone turnover. (NCT01428258)
Timeframe: day 22 of each dietary treatment

Interventionmicro gram per liter (Mean)
GMP Diet/GMP Medical Foods17.0
AA Diet/AA Medical Foods17.0

Change in the Plasma Phenylalanine Concentration of PKU Subjects Fed the Glycomacropeptide Diet Compared With the Change When Fed the Amino Acid Diet

Plasma will be collected at each base week and after 3 weeks on each of the dietary treatments, glycomacropeptide and amino acid, following an overnight fast. Plasma phenylalanine concentration (along with the complete profile of free amino acids) will be determined with an amino acid analyzer in the Wisconsin State Lab of Hygiene. Statistical analysis to determine the significance of the change in plasma phe concentration when comparing the 2 diets will consist of ANCOVA with covariates for baseline Phe and dietary Phe intake. The change in plasma Phe concentration from day 22 (final) to day 1 (baseline) was determined after adjusting for baseline Phe level and dietary Phe intake. (NCT01428258)
Timeframe: baseline to day 22 on each diet

Interventionmicro moles per liter plasma (Mean)
GMP Diet/GMP Medical Foods62
AA Diet/AA Medical Foods-85

Comparison of Phe Concentrations in Plasma With Concentrations in Dried Blood Spots

Concentrations of Phe in plasma and in dried blood spots collected simultaneously by subjects will be compared using 2 methodologies, regardless of intervention. At each of the 4 study visits (baseline and final for each dietary treatment): 1) venipuncture was used to collect blood and plasma was isolated and analyzed for Phe with ion exchange chromatography and 2) subjects were asked right after the venipuncture to spot their blood on filter paper for analysis of Phe with tandem mass spectroscopy (MS/MS). The discrepancy in Phe concentrations with these 2 methods was compared for each sample pair using Bland-Altman statistical analysis. Each subject should have had 4 sample pairs, 29 x 4 = 116, but we ended up with only 110 sample pairs, as explained below. (NCT01428258)
Timeframe: 4 times total, 2 per treatment

Interventionmicro moles per liter (Mean)
Phe Concentration in Plasma, Ion Exchange Chromatography731
Phe Concentration in Dried Blood Spots, Tandem Mass Spec514

Dietary Compliance

Compliance with the glycomacropeptide and amino acid dietary treatments will be assessed by comparison of the intake of medical food in grams of protein from medical food per day based on subject completion of 3-day food records prior to the final study visit on day 22. Statistical analysis for a dietary treatment effect will consist of ANOVA. (NCT01428258)
Timeframe: 3 week dietary treatment

Interventiong protein from MF/kg/day (Mean)
GMP Diet0.74
AA Diet/AA Medical Foods0.76

Executive Function Assessed by BRIEF

Completion of a standardized test, the Behavior Rating Inventory of Executive Function (BRIEF), by each subject for the GMP diet and the AA diet. Values are T-scores which have a mean of 50 points and a SD of 10 points. A T score of <50 is considered within the normative range. Data are analyzed with a paired t-test. (NCT01428258)
Timeframe: day 22 of each dietary treatment

InterventionT score (Mean)
GMP Diet/GMP Medical Foods49.0
AA Diet/AA Medical Foods48.8

N-terminal Telopeptide (NTX) Plasma Concentration at Day 22

Plasma concentration of NTX was determined as a measure of bone resorption; higher levels indicate greater bone breakdown (NCT01428258)
Timeframe: day 22 of each dietary treatment

Interventionnmol per liter bone collagen equivalents (Mean)
GMP Diet/GMP Medical Foods17.5
AA Diet/AA Medical Foods17.1

Vitamin D (25-OH) Plasma Concentration at Day 22

Vitamin D was measured as a measure of the capacity for calcium absorption. Higher levels of plasma vitamin D are consistent with higher calcium absorption. (NCT01428258)
Timeframe: day 22 of each dietary treatment

Interventionng per ml (Mean)
GMP Diet/GMP Medical Foods33.8
AA Diet/AA Medical Foods33.6

Trials

1 trial available for betaine and Phenylketonurias

ArticleYear
Metabolomic Markers of Essential Fatty Acids, Carnitine, and Cholesterol Metabolism in Adults and Adolescents with Phenylketonuria.
    The Journal of nutrition, 2018, 02-01, Volume: 148, Issue:2

    Topics: Adolescent; Adult; Amino Acids; Betaine; Biomarkers; Carnitine; Caseins; Cholesterol; Cross-Over Stu

2018
Metabolomic Markers of Essential Fatty Acids, Carnitine, and Cholesterol Metabolism in Adults and Adolescents with Phenylketonuria.
    The Journal of nutrition, 2018, 02-01, Volume: 148, Issue:2

    Topics: Adolescent; Adult; Amino Acids; Betaine; Biomarkers; Carnitine; Caseins; Cholesterol; Cross-Over Stu

2018
Metabolomic Markers of Essential Fatty Acids, Carnitine, and Cholesterol Metabolism in Adults and Adolescents with Phenylketonuria.
    The Journal of nutrition, 2018, 02-01, Volume: 148, Issue:2

    Topics: Adolescent; Adult; Amino Acids; Betaine; Biomarkers; Carnitine; Caseins; Cholesterol; Cross-Over Stu

2018
Metabolomic Markers of Essential Fatty Acids, Carnitine, and Cholesterol Metabolism in Adults and Adolescents with Phenylketonuria.
    The Journal of nutrition, 2018, 02-01, Volume: 148, Issue:2

    Topics: Adolescent; Adult; Amino Acids; Betaine; Biomarkers; Carnitine; Caseins; Cholesterol; Cross-Over Stu

2018

Other Studies

1 other study available for betaine and Phenylketonurias

ArticleYear
Metabolism of carnitine in phenylacetic acid-treated rats and in patients with phenylketonuria.
    Biochimica et biophysica acta, 2000, Jun-15, Volume: 1501, Issue:2-3

    Topics: Adult; Animals; Betaine; Carnitine; Female; Glutamic Acid; Homogentisic Acid; Humans; Ketoglutaric A

2000