Phenylketonuria Flashcards

0
Q

Enzyme deficient in phenylketonuria

A

Phenylalanine hydroxylase

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1
Q

most common clinically encountered inborn error of amino acid metabolism

A

Phenylketonuria

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2
Q

In PKU, there is impaired conversion of phenylalanine to

A

Tyrosine

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3
Q

reduced form of phenylpyruvate,

A

Phenyllactate

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4
Q

Hyperphenylalanenemia may also be caused by deficiencies in the enzymes that synthesize or reduce the coenzyme

A

Tetrahydrobioptrein BH4

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5
Q

small fraction of PKU is a result of a deficiency in either

A

dihydropteridine (BH2) reductase or

BH2 synthetase

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6
Q

BH4 is also required for

A

Tyrosine hydroxylase

Tryptophan hydroxylase

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7
Q

due to deficiency of Phynylalanine hydroxylase

A

Type 1 or classical PKU

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8
Q

due to deficiency of dihydrobiopterin reductase

A

Type 2 and 3

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9
Q

due to defects in dihydrobiopterin biosynthesis

A

Type 4and 5

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10
Q

rare disorder of tyrosine catabolism

A

Alkaptonuria

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11
Q

Alkaptonuria deficiency in

A

homogentisic acid oxidase.

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12
Q

Enzyme in conversion of 1st reaction, phenylalanine to tyrosine

A

Phenylalanine hydroxylase

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13
Q

Used in conversion of 1st reaction, phenylalanine to tyrosine

A

O2 and NADH + H

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14
Q

By product in conversion of 1st reaction, phenylalanine to tyrosine

A

NAD+

H2O

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15
Q

Disease in conversion of 1st reaction, phenylalanine to tyrosine

16
Q

Enzyme in 2nd reaction, tyrosine to hydroxyphenylpyruvate

A

Tyrosine aminotransferase

17
Q

Used in 2nd reaction, tyrosine to hydroxyphenylpyruvate

A

Alpha ketoglutarate

18
Q

By product in 2nd reaction, tyrosine to hydroxyphenylpyruvate

19
Q

Disease in 2nd reaction, tyrosine to hydroxyphenylpyruvate

A

Tyrosinemia 2

20
Q

Enzyme in 3rd reaction, hydroxyphenyl pyruvate to homogentisate

A

Hydroxyphenyl pyruvate dioxygenase

21
Q

Used in 3rd reaction, hydroxyphenyl pyruvate to homogentisate

22
Q

By product in 3rd reaction, hydroxyphenyl pyruvate to homogentisate

23
Q

Disease in 3rd reaction, hydroxyphenyl pyruvate to homogentisate

A

Tyrosinemia 3

24
Enzyme in 4th reaction, homogentisate to maleyacetoacetate
Homogentisate 1,2 dioxygenase
25
Used in 4th reaction, homogentisate to maleyacetoacetate
O2
26
By product in 4th reaction, homogentisate to maleyacetoacetate
H
27
Disease in 4th reaction, homogentisate to maleyacetoacetate
Alkaptonuria
28
Last reaction disease
Tyrosinemia 1
29
Fumarlyacetoacetate to fumarate
Fumaryl acetoacetate
30
Phenylalanine to phenylpyruvate enzyme
Aminotransferase
31
Phenylpyruvate leads to
Phenyllactate | Phenylacetate
32
Phenylalanine to phenylpyruvate used and by product
Pyruvate Alanine
33
Location of folling disease or PKU
Chromosome 12q22-24
34
PKU is inherited
Autosomal recessive trait
35
mutation of the enzyme Phenylalanine Hydroxylase
Genotype
36
Mental Retardation, Seizures, “Mousy Odor”,
Phenotype
37
Alkaptonuria cofactors
Fe and O2
38
 Low levels of tyrosine leads to lowered production of the
Pigment melanin