狠狠撸

狠狠撸Share a Scribd company logo
Phenylketonuria
a metabolic flowchart
Kristine Joy Y. Sumanga
MD-II CPU-ColMed
What is Phenylketonuria (PKU)?
an autosomal recessive metabolic genetic
disorder characterized by homozygous or compound
heterozygous mutations in the gene for the hepatic
enzyme phenylalanine hydroxylase (PAH), rendering it
nonfunctional.[ This enzyme is necessary to
metabolize the amino acid phenylalanine (Phe) to the
amino acid tyrosine (Tyr).
Precursor A
Substrate B
Toxic by-product
Product C
2 Deficient Enzyme
D E
General Metabolic Concept
Dietary Proteins
PhenylalaninePhenylpyruvic
acid
Tyrosine
Phenylalanine
Hydroxylase
3, 4
dihydroxyphenyl
alanine (DOPA)
Melanin pigments
The whole metabolic
pathway of PKU
Phenylalanine
Tyrosine
p-hydroxyphenylpyruvic acid
Homogentisic acid
2,5 dihydroxyphenylacetic acid
Maleylacetoacetic acid
Triiothyronine (T3)
Thyroxine (T4)
Glutamine GABA
Pyruvate Oxaloacetate
Glutamate decarboxylase
Pyruvate carboxylase
Phenylpyruvic acid
Phenylalanine
hydrolase
Tyrosine
transaminase
p-hydroxyphenylpyruvic
acid oxidase
Homogentisic acid
oxidase
Fumanylacetoacetic acid
Fumaric acid Acetoacetic acid
Carbon dioxide + Water
Iodinase 3,4 dihydroxyphenylalanine (DOPA) Melanin
Pigments
(decrease
pigmentation,
Blue eyes)
(Cretinisim)
(increased mousy odor)
(seizure ,increase deep
tendon reflex)
(decrease ATP, mental retardation)
(-)BH4
X
X
X
X
Thank You and God bless

More Related Content

Phenylketonuria