Pyridoxal 5'-phosphate may be curative in early-onset epileptic encephalopathy.

Article Details

Citation

Hoffmann GF, Schmitt B, Windfuhr M, Wagner N, Strehl H, Bagci S, Franz AR, Mills PB, Clayton PT, Baumgartner MR, Steinmann B, Bast T, Wolf NI, Zschocke J

Pyridoxal 5'-phosphate may be curative in early-onset epileptic encephalopathy.

J Inherit Metab Dis. 2007 Feb;30(1):96-9. Epub 2006 Dec 23.

PubMed ID
17216302 [ View in PubMed
]
Abstract

Neonatal epileptic encephalopathy can be caused by inborn errors of metabolism. These conditions are often unresponsive to treatment with conventional antiepileptic drugs. Six children with pyridox(am)ine-5'-phosphate oxidase (PNPO) deficiency presented with neonatal epileptic encephalopathy. Two were treated with pyridoxal 5'-phosphate (PLP) within the first month of life and showed normal development or moderate psychomotor retardation thereafter. Four children with late or no treatment died or showed severe mental handicap. All of the children showed atypical biochemical findings. Prompt treatment with PLP in all neonates and infants with epileptic encephalopathy should become mandatory, permitting normal development in at least some of those affected with PNPO deficiency.

DrugBank Data that Cites this Article

Drug Targets
DrugTargetKindOrganismPharmacological ActionActions
Pyridoxal phosphatePyridoxine-5'-phosphate oxidaseProteinHumans
Unknown
Cofactor
Details