SEROTONIN-GABA TREATMENT IS HYPOTHESIZED FOR SELF-INJURY IN LESCH-NYHAN SYNDROME

SEROTONIN-GABA TREATMENT IS HYPOTHESIZED FOR SELF-INJURY IN LESCH-NYHAN SYNDROME
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DOI:
10.1016/0306-9877(92)90026-9
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发表时间:
1992-08-01
期刊:
影响因子:
4.7
通讯作者:
GEDYE, A
GEDYE, A
中科院分区:
医学4区
文献类型:
--
作者:
GEDYE, A

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Lesch-Nyhan患者的自我伤害运动被认为是非常严重的,目前难以治愈。Lesch-Nyhan综合征是一种嘌呤代谢的遗传性疾病,导致几种异常,其中之一是黄嘌呤水平升高。作者的理由是,血浆黄嘌呤升高引发了一系列事件,产生过多的内源性惊厥药和减少内源性抗惊厥药。建议治疗Lesch-Nyhan的自伤,需要减少两种内源性惊厥药(犬尿氨酸和喹啉酸)的产生,并增强两种内源性抗惊厥药(5-羟色胺和γ-氨基丁酸)。
The self-injurious movements of Lesch-Nyhan patients are considered extremely severe and currently intractable. Lesch-Nyhan syndrome is a genetic disorder of purine metabolism resulting in several abnormalities, one of which is elevated levels of xanthine. The author reasons that elevated plasma xanthine sets off a chain of events that produce excessive endogenous convulsants and diminished endogenous anticonvulsants. Treatment is proposed for self-injury in Lesch-Nyhan that entails reducing production of two endogenous convulsants (kynurenine and quinolinic acid) and enhancing two endogenous anticonvulsants (serotonin and gamma aminobutyric acid).