Guest guest Posted March 26, 2002 Report Share Posted March 26, 2002 This is going to be long. But since enzymes is what this group is about, here goes. If any of you are interested, email me privately. Here's a few interesting tidbits. Oregon does ALL the PKU testing for five states, and Pacific Astoria labs makes the test kits for several other states. The reference range is set at 4.0 in the five states, and in any state that uses the Pacific Astoria kit. The PKU testing labs in Oregon will not (they say it's the law) give out the NUMBER results to parents. Only to physicians. They don't even post the numbers to physicians, just " normal " or not. PKU is very hard to detect in a child older than a couple years, because phenol is normal and expected in the blood of an older child. People with PKU lack certain digestive enzymes to handle the phenol. It causes all sorts of metobolic problems. Likewise, yeast strains sensitive to Hg are those which have innately low levels of tyrosine synthesis. Mercury can deplete cellular tyrosine by binding to the SH-groups of the tyrosine uptake system, preventing colony growth (Ono et al, 1987), and Hg-depleted tyrosine would be particularly significant in cells known to accumulate mercury (e.g., neurons of the CNS, see below). Similarly, disruptions in tyrosine production in hepatic cells, arising from a genetic condition called Phenylketonuria (PKU), also results in autism (Gillberg & , 1992, p.203). Oregon law (and a number of other states) mandates insurance coverage for " medical foods. " PKU diets qualify. No identified PKU -- no insurance outlay. Read about PKU. They KNOW it causes: Mental retardation Motor coordination problems Autism Agression and destructive outbursts Screaming is common Hyperactivity Seizures Heart and Circulatory Problems Wierd Anemias Short statutre Also: 60% have small heads 90% are blond haired blue-eyed Ethinicity: Northern European. Ireland and land have the highest incidence (1/4,000 there, 1/16,000 worldwide) in the world. Hair testing in PKU kids shows high aluminum and other eccentricities. If undetected at birth, a baby can appear " normal " for up to a year. If not treated within that time, the MR is " permanent. " (Don't believe it! They are doing research on previously undetected and untreated PKU adults in institutions and raising their IQ by many points -- ergo, even previously untreated adults benefit from the low phenol diet and special enzyme supplements!) The diet can help even permanently MR people with their behaviors In Europe they reference mild PKU in the 3.0 range and monitor/treat those children through dietary modification as well. " The Guthrie Inhibition Assay is usually used to test for blood phenylalanine levels. (An assay compares samples from the body to a reference standard of known concentration to determine the relative strength of the substance in the samples.) The test uses a special strain of the bacterium Bacillus subtilis that requires phenylalanine for growth. The bacterium is grown on the surface of a special medium that lacks phenylalanine. Paper disks containing blood samples and testing standards are placed on top of the agar plate, and the bacteria are allowed to grow. The amount of growth around each disk is proportional to the amount of phenylalanine in the disk. A second assay detects high levels of phenylalanine metabolites in the urine. (These metabolites are the products of phenylalanine when it's broken down and used by the body.) These metabolites first appear four to six weeks after birth and are detected by the addition of a few drops of a 10% ferric chloride solution to a urine sample. If the metabolites are present, a deep bluish green color develops. Color development indicates that the patient has PKU. " Oregon: in 1988, 58+% of newborn screens were submitted incorrectly, according to the survey. Again, a lengthy read, but full of interesting stuff. Wonder what the " submitted incorrectly " results are now. http://www.google.com/search? q=cache:dFJ1K_43C_sC:www.aap.org/advocacy/medhome/NBScategorizedcompen d.pdf+PKU+missed+%22compendium%22 & hl=en & lr=lang_en & ie=ISO-8859-1 Regarding insurance coverage for medical foods: http://www.law.uh.edu/healthlawperspectives/Managed/990525MedicalFood. html Several links about " the subject " and it's metabolism effects, etc. http://www.oralchelation.com/ingred/lphenyla.htm Research from Sweden. Lengthy, but worth the read. http://publications.uu.se/theses/fulltext/91-554-5156-X.pdf This is from a school of engineering in VA. Look at the molecular structure: http://www.egr.vcu.edu/courses/ENGR122S00/lectures/lec22.pdf From my husband's chemistry handbook: Phenol (phenyl alcohol, phenyl hydroxide) Check the molecule. Identical to phenylalanine. a Constituent of NutraSweet: Incompatible and/or reactive with: calcium hypochlorite, aluminum choride, acids. Strong oxidizers. Most PKU Guthrie testing is done with bacillus subtilis. That bacteria requires phenol to grow. Bacillus subtilis is found in the top 2 " of soil in warmer climates, usually arid, not northern climates. Not naturally native to human gut. It must be renewed in the human gut to continue. Once it eats what it wants to eat, it starves and dies. Bacillus subtilis eats yeast. Directly responsive to what is in the gut, less dietary modification required. Produces many of the enzymes you and others are using to help digest various carbos. Used extensively in veterinary and animal food products, especially those containing cereals. Used commercially to kill fungus in and around plants, in spray treatments. Kills 'em dead. This is from American Family Physician: http://www.aafp.org/afp/991001ap/1462.html The blood phenylalanine concentration in newborns is normally 0.5 mg to 1 mg per dL (30 to 60 µmol per L). In general, few infants with PKU will remain unidentified when a phenylalanine cut-off value of 2 mg per dL (121 µmol per L) in the first 24 hours is used. Not all states, however, use 2 mg per dL as the cut-off value. Forty states and jurisdictions use 4 mg per dL (242 µmol per L) as the screening cut-off value for PKU, six states use 3 mg per dL (182 µmol per L) and seven states use 2 mg per dL.10 Some newborns without PKU have transiently elevated phenylalanine levels of more than 6 mg per dL (363 µmol per L) related to delayed maturation of enzymes required for amino acid metabolism. Blood phenylalanine levels are generally slightly lower in breast-fed infants than in bottle-fed infants. Breast milk contains only 12 to 14 mg of phenylalanine per ounce, compared with 24 to 28 mg per ounce in formula. Because PKU is a heterogeneous disorder, phenylalanine levels vary greatly in infants with the disease. However, treatment is usually not necessary in infants who persistently demonstrate blood phenylalanine concentrations of less than 10 mg per dL (605 µmol per L). Such cases are mild and permit production of phenylalanine hydroxylase, which converts phenylalanine to tyrosine, as in the normal person.11 Persons with severe mutations have much higher phenylalanine levels. To be completely certain of the diagnosis, follow-up testing is recommended in male infants with initial phenylalanine levels between 3 and 10 mg per dL and in female infants with values between 4 and 10 mg per dL.12 Affected females should be followed through their reproductive years to prevent impaired fetal neurologic development as a result of maternal PKU.13 And from the National Library of Medicine: Diamond A. Phenylalanine levels of 6-10 mg/dl may not be as benign as once thought. Acta Paediatr Suppl 1994 Dec;407:89-91. Available from: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi? cmd=Retrieve & db=PubMed & list_uids=95284443 & dopt=Abstract To quote: " Department of Psychology, University of Pennsylvania, Philadelphia 19104-6196, USA. Results of a longitudinal study of children treated early and continuously for phenylketonuria (PKU) indicated that those children whose plasma phenylalanine (Phe) levels were approximately 3-5 times normal (6-10 mg/dl; levels previously considered safe in the US) were impaired in cognitive functions dependent on prefrontal cortex. In particular, the children had difficulty when required to hold information in the mind and, at the same time, exercise inhibitory control to resist doing what might be their first inclination. The deficits were evident in relation to each of several comparison groups and at all three age ranges (infants, toddlers and young children). The deficits appeared to be selective in that the same children who were impaired on the prefrontal cortex tests performed normally on the control tests. Since most of the control tasks tap functions dependent on parietal cortex or the medial temporal lobe, these results suggest that those functions are spared. To investigate the biological mechanism causing these cognitive deficits, we created an animal model of early-treated PKU. The results indicated that rats whose plasma Phe levels were mildly, but chronically, elevated had cognitive deficits (impaired performance on a behavioral task dependent on frontal cortex (delayed alternation)) and neurochemical changes (most notably, reduced dopamine metabolism in frontal cortex). Kathleen Stokes Quote Link to comment Share on other sites More sharing options...
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