a1 Dipartimento di Psicologia and Centro ‘Daniel Bovet’, ‘Sapienza’ University, Rome, Italy
a2 Santa Lucia Foundation, European Centre for Brain Research CERC, Rome, Italy
a3 Dipartimento di Scienze e Tecnologie Biomediche, Università dell'Aquila, L'Aquila, Italy
Abstract
Although phenylketonuria (PKU) is the most common genetic cause of mental retardation, the cellular mechanisms underlying impaired brain function are still unclear. Using PAHenu2 mice (ENU2), the genetic mouse model of PKU, we previously demonstrated that high phenylalanine levels interfere with brain tryptophan hydroxylase activity by reducing the availability of serotonin (5-hydroxytryptamine, 5-HT), crucial for maturation of neuronal connectivity in the prefrontal cortex (PFC), around the third postnatal week, a critical period for cortical maturation. 5-Hydroxytryptophan (5-HTP), the product of tryptophan hydroxylation, is known to be a better treatment to increase brain 5-HT levels. In this study we investigated the role of 5-HT during the early postnatal period in cognitive disturbances and in cortical dendritic alterations of PKU subjects by restoring temporarily (postnatal days 14–21) physiological brain levels of 5-HT in ENU2 through 5-HTP treatment. In adult ENU2 mice early 5-HTP treatment reverses cognitive deficits in spatial and object recognition tests accompanied by an increase in spine maturation of pyramidal neurons in layer V of the prelimbic/infralimbic area of the PFC, although locomotor deficits are not recovered by treatment. Taken together, our results support the hypothesis that mental retardation in PKU depends on reduced availability of brain 5-HT during critical developmental periods that interferes with cortical maturation and point to 5-HTP supplementation as a highly promising additional tool to heal PKU patients.
(Received May 18 2010)
(Reviewed June 21 2010)
(Revised September 09 2010)
(Accepted September 16 2010)
(Online publication November 01 2010)
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Correspondence:
c1 Address for correspondence: Dr T. Pascucci, Dipartimento di Psicologia, ‘Sapienza’ University, via dei Marsi 78, 00185 Rome, Italy. Tel.: ++39-6-501703075 Fax: ++39-6-501703319. Email: tiziana.pascucci@uniroma1.it