Page last updated: 2024-10-19

melatonin and BH4 Deficiency

melatonin has been researched along with BH4 Deficiency in 13 studies

Research Excerpts

ExcerptRelevanceReference
"Melatonin levels were not increased with the higher dose of Trp supplementation, but dopamine levels were increased with the higher dose of Tyr supplementation."2.79Melatonin and dopamine as biomarkers to optimize treatment in phenylketonuria: effects of tryptophan and tyrosine supplementation. ( Azen, C; Moseley, K; Yano, S, 2014)
"We aimed to study the prevalence of sleep disorders in early-treated PKU children and adolescents and assessed correlations with dopamine and serotonin status."1.51Prevalence of sleep disorders in early-treated phenylketonuric children and adolescents. Correlation with dopamine and serotonin status. ( Artuch, R; Campistol, J; Cuadras, D; Gassió, R; González, MJ; Ormazabal, A; Sans, O; Sierra, C, 2019)
"Conventional treatment of BH4 deficiency, i."1.30Hyperprolactinemia, a tool in treatment control of tetrahydrobiopterin deficiency: endocrine studies in an affected girl. ( Bieglmayer, C; Birnbacher, R; Blau, N; Frisch, H; Scheibenreiter, S; Waldhauser, F, 1998)

Research

Studies (13)

TimeframeStudies, this research(%)All Research%
pre-19904 (30.77)18.7374
1990's1 (7.69)18.2507
2000's2 (15.38)29.6817
2010's6 (46.15)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Gassió, R1
González, MJ1
Sans, O1
Artuch, R1
Sierra, C1
Ormazabal, A1
Cuadras, D1
Campistol, J1
Ney, DM1
Murali, SG1
Stroup, BM1
Nair, N1
Sawin, EA1
Rohr, F1
Levy, HL2
Yano, S3
Moseley, K3
Azen, C3
Fu, X1
Cederbaum, S1
Martinez-Cruz, F2
Pozo, D1
Osuna, C2
Espinar, A1
Marchante, C1
Guerrero, JM2
WOOLLEY, DW2
VANDERHOEVEN, T1
Birnbacher, R1
Scheibenreiter, S1
Blau, N1
Bieglmayer, C1
Frisch, H1
Waldhauser, F1
Butcher, RE1
Vorhees, CV1
Kindt, CW1
Kazmaier-Novak, KJ1
Berry, HK1
Polidora, VJ1
Van der Hoeven, T1

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
Pilot Study to Evaluate Melatonin Secretion as a Marker of Decreased Serotonin in Individuals With PKU: Evaluation of the CNS Effects of Tetrahydrobiopterin[NCT01617070]Phase 410 participants (Actual)Interventional2012-05-31Completed
[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

Serum Melatonin at the End of 4 Weeks

Evaluated for each subject under 4 conditions (washout, LNAA only, Kuvan only and LNAA+Kuvan) (NCT01617070)
Timeframe: measured every 4 weeks up to 16 weeks

Interventionpg/ml (Mean)
LNAA266.9
Washout205.7
BH4 (Kuvan)220.4
BH4 and LNAA301.2

Urine 6-sulfatoxymelatonin at the End of 4 Weeks

Evaluated for each subject under 4 conditions (washout, LNAA only, Kuvan only and LNAA+Kuvan) (NCT01617070)
Timeframe: measured every 4 weeks up to 16 weeks

Interventionng/mg Creatinine (Mean)
LNAA14.5
Washout8.2
BH4 (Kuvan)8.6
BH4 and LNAA13.2

Urine Dopamine at the End of 4 Weeks

Evaluated for each subject under 4 conditions (washout, LNAA only, Kuvan only and LNAA+Kuvan) (NCT01617070)
Timeframe: measured every 4 weeks up to 16 weeks

Interventionug/gCreatinine (Mean)
LNAA63.7
Washout42.6
BH4 (Kuvan)46.0
BH4 and LNAA67.6

Trials

3 trials available for melatonin and BH4 Deficiency

ArticleYear
Metabolomic changes demonstrate reduced bioavailability of tyrosine and altered metabolism of tryptophan via the kynurenine pathway with ingestion of medical foods in phenylketonuria.
    Molecular genetics and metabolism, 2017, Volume: 121, Issue:2

    Topics: Adolescent; Adult; Amino Acids; Biological Availability; Caseins; Catecholamines; Cross-Over Studies

2017
Melatonin and dopamine as biomarkers to optimize treatment in phenylketonuria: effects of tryptophan and tyrosine supplementation.
    The Journal of pediatrics, 2014, Volume: 165, Issue:1

    Topics: Adult; Amino Acids, Neutral; Biomarkers; Chromatography, High Pressure Liquid; Cross-Over Studies; D

2014
Large neutral amino acid supplementation increases melatonin synthesis in phenylketonuria: a new biomarker.
    The Journal of pediatrics, 2013, Volume: 162, Issue:5

    Topics: Adult; Aged; Amino Acids, Neutral; Biomarkers; Cross-Over Studies; Dietary Supplements; Double-Blind

2013

Other Studies

10 other studies available for melatonin and BH4 Deficiency

ArticleYear
Prevalence of sleep disorders in early-treated phenylketonuric children and adolescents. Correlation with dopamine and serotonin status.
    European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology Society, 2019, Volume: 23, Issue:5

    Topics: Adolescent; Biomarkers; Child; Dopamine; Female; Humans; Male; Melatonin; Phenylketonurias; Prevalen

2019
Evaluation of Tetrahydrobiopterin Therapy with Large Neutral Amino Acid Supplementation in Phenylketonuria: Effects on Potential Peripheral Biomarkers, Melatonin and Dopamine, for Brain Monoamine Neurotransmitters.
    PloS one, 2016, Volume: 11, Issue:8

    Topics: Adult; Amino Acids, Neutral; Biomarkers; Biopterins; Dietary Supplements; Dopamine; Drug Synergism;

2016
Is melatonin synthesis a new biomarker for the pathogenesis and treatment of phenylketonuria?
    The Journal of pediatrics, 2013, Volume: 162, Issue:5

    Topics: Amino Acids, Neutral; Biomarkers; Dietary Supplements; Female; Humans; Male; Melatonin; Phenylketonu

2013
Oxidative stress induced by phenylketonuria in the rat: Prevention by melatonin, vitamin E, and vitamin C.
    Journal of neuroscience research, 2002, Aug-15, Volume: 69, Issue:4

    Topics: Animals; Animals, Newborn; Antioxidants; Ascorbic Acid; Brain; Cerebellum; Disease Models, Animal; F

2002
PREVENTION OF A MENTAL DEFECT OF PHENYLKETONURIA WITH SEROTONIN CONGENERS SUCH AS MELATONIN OR HYDROXYTRYPTOPHAN.
    Science (New York, N.Y.), 1964, Jun-26, Volume: 144, Issue:3626

    Topics: 5-Hydroxytryptophan; Animals; Biomedical Research; Indoles; Learning; Melatonin; Mice; Pharmacology;

1964
Mitochondrial damage induced by fetal hyperphenylalaninemia in the rat brain and liver: its prevention by melatonin, Vitamin E, and Vitamin C.
    Neuroscience letters, 2006, Jan-09, Volume: 392, Issue:1-2

    Topics: Aldehydes; Animals; Animals, Newborn; Ascorbic Acid; Disease Models, Animal; Drug Interactions; Fema

2006
Hyperprolactinemia, a tool in treatment control of tetrahydrobiopterin deficiency: endocrine studies in an affected girl.
    Pediatric research, 1998, Volume: 43, Issue:4 Pt 1

    Topics: Adolescent; Biopterins; Carbidopa; Delayed-Action Preparations; Drug Combinations; Female; Follicle

1998
Induced PKU in rats: effects of age and melatonin treatment.
    Pharmacology, biochemistry, and behavior, 1977, Volume: 7, Issue:2

    Topics: Aging; Animals; Animals, Newborn; Behavior, Animal; Body Weight; Female; Humans; Learning; Melatonin

1977
Behavioral effects of "phenylketonuria" in rats.
    Proceedings of the National Academy of Sciences of the United States of America, 1967, Volume: 57, Issue:1

    Topics: Animals; Animals, Newborn; Behavior, Animal; Dogs; Female; Humans; Male; Melatonin; Phenylalanine; P

1967
Serotonin deficiency in infancy as a cause of a mental defect in experimental phenylketonuria.
    International journal of neuropsychiatry, 1965, Volume: 1, Issue:6

    Topics: 5-Hydroxytryptophan; Animals; Animals, Newborn; Chlorpromazine; Electroshock; Female; Humans; In Vit

1965