Phenylketonuria Flashcards
Enzyme deficient in phenylketonuria
Phenylalanine hydroxylase
most common clinically encountered inborn error of amino acid metabolism
Phenylketonuria
In PKU, there is impaired conversion of phenylalanine to
Tyrosine
reduced form of phenylpyruvate,
Phenyllactate
Hyperphenylalanenemia may also be caused by deficiencies in the enzymes that synthesize or reduce the coenzyme
Tetrahydrobioptrein BH4
small fraction of PKU is a result of a deficiency in either
dihydropteridine (BH2) reductase or
BH2 synthetase
BH4 is also required for
Tyrosine hydroxylase
Tryptophan hydroxylase
due to deficiency of Phynylalanine hydroxylase
Type 1 or classical PKU
due to deficiency of dihydrobiopterin reductase
Type 2 and 3
due to defects in dihydrobiopterin biosynthesis
Type 4and 5
rare disorder of tyrosine catabolism
Alkaptonuria
Alkaptonuria deficiency in
homogentisic acid oxidase.
Enzyme in conversion of 1st reaction, phenylalanine to tyrosine
Phenylalanine hydroxylase
Used in conversion of 1st reaction, phenylalanine to tyrosine
O2 and NADH + H
By product in conversion of 1st reaction, phenylalanine to tyrosine
NAD+
H2O
Disease in conversion of 1st reaction, phenylalanine to tyrosine
PKU
Enzyme in 2nd reaction, tyrosine to hydroxyphenylpyruvate
Tyrosine aminotransferase
Used in 2nd reaction, tyrosine to hydroxyphenylpyruvate
Alpha ketoglutarate
By product in 2nd reaction, tyrosine to hydroxyphenylpyruvate
Glutamate
Disease in 2nd reaction, tyrosine to hydroxyphenylpyruvate
Tyrosinemia 2
Enzyme in 3rd reaction, hydroxyphenyl pyruvate to homogentisate
Hydroxyphenyl pyruvate dioxygenase
Used in 3rd reaction, hydroxyphenyl pyruvate to homogentisate
O2
By product in 3rd reaction, hydroxyphenyl pyruvate to homogentisate
CO2
Disease in 3rd reaction, hydroxyphenyl pyruvate to homogentisate
Tyrosinemia 3