Inborn errors in metabolism and 4-boronophenylalanine-fructose-based boron neutron capture therapy.

Abstract:

:Infusions of boronophenylalanine-fructose complex (BPA-F), at doses up to 900 mg/kg of BPA and 860 mg/kg of fructose, have been used to deliver boron to cancer tissue for boron neutron capture therapy (BNCT). In patients with phenylketonuria (PKU), phenylalanine accumulates, which is harmful in the long run. PKU has been an exclusion criterion for BPA-F-mediated BNCT. Fructose is harmful to individuals with hereditary fructose intolerance (HFI) in amounts currently used in BNCT. The harmful effects are mediated through induction of hypoglycemia and acidosis, which may lead to irreversible organ damage or even death. Consequently, HFI should be added as an exclusion criterion for BNCT if fructose-containing solutions are used in boron carriers. Non-HFI subjects may also develop symptoms, such as gastrointestinal pain, if the fructose infusion rate is high. We therefore recommend monitoring of glucose levels and correcting possible hypoglycemia promptly. Except for some populations with extremely low PKU prevalence, HFI and PKU prevalences are similar, approximately 1 or 2 per 20,000.

journal_name

Radiat Res

journal_title

Radiation research

authors

Laakso J,Ruokonen I,Lapatto R,Kallio M

doi

10.1667/rr3067

subject

Has Abstract

pub_date

2003-11-01 00:00:00

pages

606-9

issue

5

eissn

0033-7587

issn

1938-5404

pii

RR3067

journal_volume

160

pub_type

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