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PHENYLKETONURIA Stephanie Holton Phenylketonuria Genotype: • Mutuation of the enzyme, phenylalanine hydroxylase (PAH) Phenotype: • Mental Retardation, Seizures, Fair Skin, “Mousy Odor” & Eczema. Phenylketonuria PAH Gene• Location: chromosome 12q22-24 • Length: 79,278 bp’s (13 exons) • Over 450 mutations in the gene have been identified in patients with PKU. Phenylketonuria Normal PAH gene function• Responsible for the first step in processing the amino acid phenylalanine. • Also, necessary for the conversion of phenylalanine to tyrosine. Phenylketonuria Phenylketonuria Conserved Domains1) ACT: (35-109) regulatory role 2) euPHeOH: (119-424) • Catalyzes the first and rate-limiting step in the metabolism of phenylalanine • Location of PAH mutation in PKU Phenylketonuria PAH Mutation• Most common is located at position 408 • A substitution of an Arginine with a Tryptophan(Arg408Trp). Phenylketonuria Aberrant Function• Reduces the activity of phenylalanine hydroxylase • Phenylalanine ingested in foods cannot be metabolized and accumulates to toxic levels in the bloodstream and other tissues Phenylketonuria Aberrant Phenotype• The increased levels of Phenylalanine can cause brain damage, if left untreated. • Tyrosine- necessary for production of certain neurotransmitters & melanin (in hair in skin) References http://www.ncbi.nlm.nih.gov/entrez/dispomim.cg i?id=261600 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?d b=gene&cmd=Retrieve&dopt=full_report&list _uids=5053 http://ghr.nlm.nih.gov/gene=pah